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SynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyDrug Reaction DataReferences

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Gastroesophageal reflux disease in Adult
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Gastroesophageal reflux disease in Adult

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Contributors: Michael W. Winter MD, Christine Osborne MD
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Synopsis

Gastroesophageal reflux disease : Epigastric pain, Hoarseness, Globus sensation, Dysphagia, Dyspepsia, Dry cough
Gastroesophageal reflux disease (GERD) is a condition that develops when the reflux of stomach contents, often due to incompetence of the lower esophageal sphincter, causes troublesome symptoms or complications. Symptoms most typically include heartburn and regurgitation. GERD is one of the most common gastrointestinal disorders seen by both primary care physicians and gastroenterologists, occurring in about 10%-20% of the Western world. Development of GERD is highly associated with being overweight or obese. Other risk factors include age older than 50 years, cigarette smoking, NSAID use, female sex, and low socioeconomic status.

For patients presenting with typical symptoms of regurgitation or heartburn, a diagnosis of GERD can be presumptively made and treated empirically. If dysphagia, atypical chest pain, chronic cough, odynophagia, or emesis are reported, further investigation is required before empiric treatment is recommended, as an underlying motility disorder, structural abnormality, or malignancy may be present.

Codes

ICD10CM:
K21.00 – Gastro-esophageal reflux disease with esophagitis, without bleeding
K21.9 – Gastro-esophageal reflux disease without esophagitis

SNOMEDCT:
235595009 – Gastroesophageal reflux disease

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

A detailed history will help delineate many of these from one another.

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Updated:10/10/2022
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Gastroesophageal reflux disease in Adult
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A medical illustration showing key findings of Gastroesophageal reflux disease : Epigastric pain, Hoarseness, Globus sensation, Dysphagia, Dyspepsia, Dry cough
Copyright © 2023 VisualDx®. All rights reserved.