Medical history (history of illness) represents an important component in the diagnosis of gastroesophageal reflux disease. Family history Is there a frequent history of gastrointestinal tract disease in your family? Social history What is your profession? Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic … Gastroesophageal Reflux Disease: Medical History
Cardiovascular (I00-I99). Angina pectoris – “chest tightness”; sudden onset of pain in the heart region. Coronary artery disease (CAD) – disease of the coronary arteries. Myocardial infarction (heart attack) Liver, gallbladder, and biliary tract-pancreas (pancreas) (K70-K77; K80-K87). Biliary tract diseases, not specified Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Diffuse esophageal spasm – … Gastroesophageal Reflux Disease: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by gastroesophageal reflux disease: Respiratory system (J00-J99) Bronchial asthma (reflux asthma) Note: Successful reflux therapy for bronchial asthma may reduce the need for long-term therapeutic agents! Bronchial obstruction (narrowing (obstruction) of the bronchi). Chronic cough Chronic laryngitis (inflammation of the larynx) … Gastroesophageal Reflux Disease: Complications
During esophagogastroduodenoscopy (gastroscopy), gastroesophageal reflux disease can be classified as follows based on the extent of lesions (tissue lesions) found: The disease stages of reflux esophagitis are divided into four stages according to Savary and Miller: Stage Description 0 No mucosal changes I One or more nonconfluent mucosal lesions with redness and exudation II Confluent … Gastroesophageal Reflux Disease: Classification
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel movements? Visible vessels? Scars? Hernias (fractures)? Auscultation (listening) of the … Gastroesophageal Reflux Disease: Examination
2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification Test for Helicobacter pylori (see below Helicobacter pylori infection/laboratory diagnostics).
Therapeutic target Inhibition of excess acid to prevent progression of mucosal changes. Therapy recommendations 1. nutritional recommendations (see below “Further therapy“). 2. antacids (e.g., magaldrate, hydrotalcid). 3. proton pump inhibitors (PPI; acid blockers): when gastroesophageal reflux disease (GERD) is suspected and no alarm symptoms are present: such as. Dysphagia (difficulty swallowing), odynophagia (pain on swallowing), … Gastroesophageal Reflux Disease: Drug Therapy
The diagnosis of gastroesophageal reflux disease (GERD) serves the following purposes: Visualization of any mucosal damage (up to Barret’s esophagus). Determination of the extent of reflux (reflux). Clarification of the respective etiology (cause). Notice: Medical device diagnosis is required only in the presence of alarm symptoms, risk factors, atypical symptoms, or failure of 4 weeks … Gastroesophageal Reflux Disease: Diagnostic Tests
Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for supportive therapy of reflux disease: Calcium Potassium Magnesium The above vital substance recommendations (micronutrients) were created with the help of medical experts. All statements are supported by scientific studies with high levels of evidence. For a therapy recommendation, only … Gastroesophageal Reflux Disease: Micronutrient Therapy
Indications of interventional or surgical treatment: Taking PPI do not lead to appropriate therapeutic success, that is, acid reflux is not sufficiently suppressed (due to”fast metabolizer”). Presence of a clear non-acid reflux (mixed reflux) in addition to an acid reflux component. Despite elimination of heartburn (pyrosis), the quality of life is impaired (volume reflux) due … Gastroesophageal Reflux Disease: Surgical Therapy
To prevent gastroesophageal reflux disease, attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Malnutrition: Large, high-fat meals Drinks rich in sugar such as cocoa or too much sweets (especially chocolate). Hot spices Fruit juices (eg citrus juices / orange juice) with a lot of fruit acids. Peppermint tea and peppermint … Gastroesophageal Reflux Disease: Prevention
The following symptoms and complaints may indicate gastroesophageal reflux disease (GERD) (reflux symptoms): Leading symptoms Heartburn Regurgitation of stomach contents (backflow of food pulp from the esophagus into the mouth) Acid or non-acid regurgitation Complaints often occur when lying down. Accompanying symptoms Burning in the throat; possibly also the tongue* . Irritative cough/chronic cough* Earache* … Gastroesophageal Reflux Disease: Symptoms, Complaints, Signs
