Gastroesophageal Reflux Disease
Uganda2023
Clinical management of Gastroesophageal Reflux Disease in Uganda
Uganda Clinical Guidelines 2023 · all from source →
General Adult
Diagnosis
1.
Clinical Features
Heartburn (burning sensation in chest) brought on by bending, exertion, lying down. Unpleasant sour taste, oesophagitis, halitosis, bloating, belching, nausea, chronic pharyngitis. Complications: Dysphagia, Reflux asthma.
2.
Investigations
Gastroscopy. Barium meal and follow through.
Treatment
1.
Lifestyle Modifications
Lose weight. Avoid alcohol, chocolate, citrus juice, tomatoes, peppermint, coffee, spicy/fatty foods, carbonated drinks. Avoid large meals. Wait 3 hours after meal before lying down. Elevate head of bed by 8 inches. Avoid tight fitting clothes.
Clinical Tools
