GERD induced Esophagitis on UGI Endoscopy
In my personal experience- symptomatic relief is best by Mucaine gel as it contains a local anesthetic also - but for long term healing of mucosal lesions - sucralfate is better As already suggested by you - PPI , Prokinetic ia also to be given Also dietary and life style modifications are important as stress and anxiety are related to GERD .Also dinner at least 2 and half hours before going to bed is important
Etiology of GERD needs to be treated along with symptomatic treatment. Life style modification. Food habits, Use of spicy food,Tobacco, cold drinks, alcohol, smoking aldo are the contributory factors. Sleep pattern including post meal sleep timing, duration and position are also needs to be considered in the counselling. Of course stress management is must. Endoscopy to rule out hiatus hernia, lax esophageal sphincter etc.further management accordingly.
* PPI .. STANDARD DOSE..X 4 TO 8 .. WKS.. * ANTACIDS.. * PROBIOTICS.. * DIET PLAN.. AVOID.. HEAVY..SPICY DIET.. SMALL..FREQUENT DIETS USEFUL.. * GASTROENTEROLOGISTS OPINION..
Needs the cause to find out Diatery habits Stress Spicy diet, irregular diet Constipation All should b investigated Small frequent bland diet Stress free life Exercise Mucane gel is the best
ESOMEPRAZOLE+ DOMPERIDONE TABLET Tab. SHANKH VATI 2 BD AFTER FOOD.
Rabezol -DM 10 mg tab. Gelusi MPS...
You can add h2 blockers with these...rebamipide is also helpful.... antifungals must be given in immunocompromised...
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Identify this long-term complication of gastroesophageal reflux disease in a 55 year old male. Discuss the work up and management
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54yr old male with recurrent episodes of vomitings since 2 years and habitual constipation sigmoidoscopy was done give your openion and treatment
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patient aged-24yrs,H/o-GERD since4years, gastroendoscopy reveals moderate hiatus hernia with lax GE junction,symptoms better with ppi ...what should be the treatment plan further?
Dr. Ashish Tiwari1 Like4 Answers - Login to View the image
Patient 65year old female complaints discomfort over the neck for the past one year..mild burning while on have spicy and hot diet..no fever and no adjacent lymph nodes present..no other co morbidities Diagnosis and treatment
Dr. Abil Ansari1 Like15 Answers