This is a draft cheat sheet. It is a work in progress and is not finished yet.
What is it?
Gastroesophageal reflux – sphincter at top of stomach doesn’t work properly. Stomach acid → oesophagus. |
Over time = damage to oesophagus (oesophagitis or Barrett’s oesophagus – lining changes over time due to irritation = ↑ cancer risk) |
Risk factors
weight |
aging |
genetics |
pregnancy |
trauma |
Associated foods
spicy |
high fat |
onion |
tomato |
pineapple |
capsicum |
OJ |
citrus |
cream-base soups |
pepper |
alcohol |
caffeine |
chewing gum |
chocolate |
Mint |
fizzy drinks |
S/S
Belching (burping) |
heartburn |
oesophageal spasm |
weight loss |
dysphagia |
sour taste |
regurgitation (-> dental erosion) |
sensation of lump in throat |
oesphageal inflammation and narrowing |
NIS
Malnutrition |
Dysphagia |
Odynophagia (painful swallowing) |
Cough (↑EER) |
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Intervention
Identify and reduce trigger foods |
Achieve & maintain a healthy body weight |
Medical management: PPI therapy (reducing stomach acid production, which helps relieve S/S and promote healing of the oesophageal lining) – taken before meals |
Malnutrition screening |
Strategies
↓ fatty foods |
Avoid eating within 4 hours of bed |
Avoid eating before vigorous exercise |
Avoid drinking with meals (30 mins before/after) |
Smaller meals |
Avoid laying down after eating |
Lifestyle: stress reduction, stop smoking, avoid tight clothes |
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Example PESS
inadequate oral intake, related to GORD with oesophageal spasm, sore throat and sour taste, as evidenced by weight loss of ___kg 6/52 |
Monitoring
Food triggers |
Wt hx |
Malnut screening |
Guidelines & References
Handbook p211 |
Gut foundation treatment of gastro-oesophageal reflux disease in adults and children (2016) |
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