Gastroesophageal Reflux Disease
(GERD, Acid Reflux, Heartburn)
Charles Patrick Davis, MD, PhD
Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
- GERD facts
- What is GERD (acid reflux)?
- What causes GERD?
- What are the symptoms of uncomplicated GERD?
- What are the complications of GERD?
- How is GERD diagnosed and evaluated?
- Symptoms and procedures to diagnose GERD
- GERD tests
- How is GERD treated?
- Lifestyle changes and GERD diet
- GERD medications
- GERD surgery
- What is a reasonable approach to the management of GERD?
- What are the unresolved issues in GERD?
- Pictures of Digestive Disease Myths - Slideshow
- Take the GERD Quiz
- Pictures of Diverticulitis (Diverticulosis) - Slideshow
- GERD (Gastroesophageal Reflux Disease) FAQs
- Patient Comments: GERD - Proton Pump Inhibitors
- Patient Comments: GERD - Diet
- Patient Comments: GERD - Causes
- Patient Comments: GERD - Diagnosis
- Patient Comments: GERD - Treatment
- Find a local Gastroenterologist in your town
- GERD (acid reflux) is a condition in which the acidified liquid content of the stomach backs up into the esophagus.
- The causes of GERD include an abnormal lower esophageal sphincter, hiatal hernia, abnormal esophageal contractions, and slow emptying of the stomach.
- GERD may damage the lining of the esophagus, thereby causing inflammation (esophagitis), although usually it does not.
- The symptoms of uncomplicated GERD are heartburn, regurgitation, and nausea.
- Complications of GERD include ulcers and strictures of the esophagus, Barrett's esophagus, cough and asthma, throat and laryngeal inflammation, inflammation and infection of the lungs, and collection of fluid in the sinuses and middle ear.
- Barrett's esophagus is a pre-cancerous condition that may require periodic endoscopic surveillance for the development of cancer.
- GERD may be diagnosed or evaluated by a trial of treatment, endoscopy, biopsy, X-ray, examination of the throat and larynx, 24 hour esophageal acid testing, esophageal motility testing, emptying studies of the stomach, and esophageal acid perfusion.
- GERD is treated with life-style changes, diet, antacids, histamine antagonists (H2 blockers), proton pump inhibitors (PPIs), pro-motility drugs, foam barriers, surgery, and endoscopy.
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