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GERD (Gastro Esophageal Reflux Disease)

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GERD (Gastro Esophageal Reflux Disease)

  1. 1. Backward flow of the stomach or duodenal contents into the esophagus, may occur normally or as a chronic pathologic condition.
  2. 2. • Reflux of gastric contents in to the esophagus occurs occasionally in healthy individuals and some even experience classic heartburn symptoms episodically. • However, about 7% to 8% of the population experience daily heartburn resulting from frequent reflux of gastric and sometimes duodenal contents into the esophagus. • The prevalence of esophageal reflux varies with the description of the symptoms, but about 20% to 40% of adults report symptoms of GERD at least one time per week.
  3. 3. GERD may develop due to any of the following reasons. • Decreased muscle tone or abnormal relaxation of LES. • Reduce stomach motility allowing food to remain too long in the stomach. • Hiatus hernia.
  4. 4. • Acid taste • Increased belching • Hoarseness • Dry Cough • Burning sensation in upper middle of chest • Difficulty swallowing • Bloating
  5. 5. • Esophagitis • Bleeding, esophageal erosions and ulcerations, stricture of the intestine. • Barrett’s esophagus • Adenocarcinoma of the esophagus.
  6. 6. • To prevent esophageal reflux. • To prevent pain and irritation of the inflamed esophageal mucosa. • To decrease the erosive capacity of gastric secretions.
  7. 7. • Nutritional requirements remains the same as per the RDI for most patients, may change during certain complications such as in bleeding, its necessary to increase intake of dietary proteins, iron, B- group vitamins & vitamin C. • GERD has usually developed due to obesity that’s why it is essential to prescribe a weight reduction diet for a patient. • Eat your meal 2-3 hours before bedtime as shortly after having meal acid availability in stomach increases.
  8. 8. • Avoid eating specific foods that have been identified as potentially aggravating factors in some patients include raw onions, chocolate, caffeine, peppermint, citrus juices, alcoholic beverages, tomato products and spicy foods. • Large meals and desserts that are high in fat or caloric density stimulate significant amount of gastric secretion and slow gastric emptying, so its advisable to avoid high fat high calorie meals.

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