Acid Reflux Disorder
Acid Reflux DisorderAny of a number of conditions caused by reflux of gastric secretions, on the oesophageal mucosa (GORD/GERD), laryngeal mucosa (reflux laryngitis) and lungs (“reflux pneumonitis”).
Diagnosis Postprandial heartburn relieved by antacids, endoscopy, biopsy (if warranted), pH monitoring
Management-medical Change lifestyle—e.g., raise head of bed, reduce bedtime snacks, reduce fatty foods, smoking cessation, reduce alcohol, use of antacids or alginic acid; histamine-receptor blockers—e.g., cimetidine, ranitidine, omeprazole.
Management-surgical Nissen fundoplication (which is widely preferred), Hill gastropexy, Belsey fundoplication