Gastroesophageal reflux disease (GERD)
- Lifestyle/weight measures when relevant
- Frequent typical symptoms → PPI trial
- Take PPI before meal; optimize adherence first
- H2 blocker for mild/intermittent symptoms
- Refractory symptoms → confirm the diagnosis
- Alarm features/dysphagia → endoscopy
- Use lowest effective long-term regimen
Use at a glance
- Lifestyle/weight measures when relevant
Escalation / refractory disease
- Take PPI before meal; optimize adherence first
- Refractory symptoms → confirm the diagnosis
Practical pearls
- Frequent typical symptoms → PPI trial
- Alarm features/dysphagia → endoscopy
- Use lowest effective long-term regimen
Other practical pearls
- H2 blocker for mild/intermittent symptoms
Self-check
- What do refractory GERD symptoms require?
Confirming the diagnosis. - When should a PPI be taken?
Before a meal.
Drugs used for this (10)
All clinical uses · Open Gastroesophageal reflux disease (GERD) in the interactive console ↗