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    Gerd 1

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    Rizza Mae Maglacion
    GERD occurs when stomach acid flows back into the esophagus, irritating its lining and commonly causing heartburn. It has various causes and symptoms and is typically diagnosed through endoscopy, pH testing, or imaging. Treatment involves lifestyle changes and medications like antacids, H2 blockers, or PPIs to reduce acid and prevent further damage, while surgery may be needed in severe cases.

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    Gerd 1

    Uploaded by

    Rizza Mae Maglacion
    28 views11 pages
    GERD occurs when stomach acid flows back into the esophagus, irritating its lining and commonly causing heartburn. It has various causes and symptoms and is typically diagnosed through endoscopy, pH testing, or imaging. Treatment involves lifestyle changes and medications like antacids, H2 blockers, or PPIs to reduce acid and prevent further damage, while surgery may be needed in severe cases.

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    GERD occurs when stomach acid flows back into the esophagus, irritating its lining and commonly causing heartburn. It has various causes and symptoms and is typically diagnosed through endoscopy, pH testing, or imaging. Treatment involves lifestyle changes and medications like antacids, H2 blockers, or PPIs to reduce acid and prevent further damage, while surgery may be needed in severe cases.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    28 views11 pages

    Gerd 1

    Uploaded by

    Rizza Mae Maglacion
    GERD occurs when stomach acid flows back into the esophagus, irritating its lining and commonly causing heartburn. It has various causes and symptoms and is typically diagnosed through endoscopy, pH testing, or imaging. Treatment involves lifestyle changes and medications like antacids, H2 blockers, or PPIs to reduce acid and prevent further damage, while surgery may be needed in severe cases.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 11

    MA. NELIA P.

    MAGSINO, MN, RN
    NCM 116 Class Instructor
    2nd Semester SY. 2022-2023
     (GERD) occurs when stomach
    acid repeatedly flows back into
    the tube connecting your mouth
    and stomach (esophagus).
     This backwash (acid reflux) can
    irritate the lining of your
    esophagus.
    SIGNS &
    SYMPTOMS ☺The most common symptom of GERD is
    Your doctor may also frequent heartburn, felt by a painful,
    use these names for burning sensation in the middle of your
    GERD: chest.
     Acid indigestion ☺ Backwash (regurgitation) of food or
     Acid reflux sour liquid
     Acid regurgitation ☺ Upper abdominal or chest pain
     Heartburn ☺ Trouble swallowing (dysphagia)
     Reflux ☺ Sensation of a lump in your throat
    CAUSES ☺ overweight, obese, or pregnant
    ☺Belching or eating a (Increased pressure on the
    large meal abdomen
    ☺high in fats, citrus ☺ Smoking or inhaling secondhand
    fruits, chocolate, and smoke
    peppermint ☺ alcoholic, caffeinated, or
    ☺Side effects from carbonated beverages
    certain medications ☺ Eating soon before going to bed
    DIAGNOSIS
    Upper endoscopy

    Ambulatory acid (pH) probe test

    Upper endoscopy X-Ray

    Esophaheal manometry

    Transanal Esophagoscopy
    Upper Endoscopy – is a procedure
    wherein a thin flexible tube/catheter
    equipped with a light and camera is
    inserted down to your throat to
    visualize the esophagus and stomach.
    Ambulatory acid (pH) probe X-ray of the upper
    test. A monitor is placed in your digestive system. X-
    esophagus to identify when, and rays are taken after
    for how long, stomach acid you drink a chalky
    regurgitates there. The monitor liquid that coats and
    connects to a small computer that fills the inside lining
    you wear around your waist or of your digestive
    with a strap over your shoulder. tract.
    Transnasal esophagoscopy. This
    Esophageal manometry. This test test is done to look for any damage
    measures the rhythmic muscle in your esophagus. A thin, flexible
    contractions in your esophagus tube with a video camera is put
    when you swallow. Esophageal through your nose and moved
    manometry also measures the down your throat into the
    coordination and force exerted by esophagus.
    the muscles of your esophagus.
    MANAGEMENT & TREATMENT
    I. Lifestyle Changes
     weight loss
     avoidance of carbonated beverages
     abstinence from smoking
     reducing alcohol and caffeine intake
     avoiding “trigger” foods (spicy foods, citrus or acidic foods)
     maintaining a low fat diet
     avoiding eating or drinking several hours before going to bed
     elevating the head of the bed at night.
    II. Medications & Surgery
    ANTACIDS HISTAMINE (H2) BLOCKER
     Are medicines that counteract  Medications to reduce acid
    (neutralise) the acid in your production. It may decrease
    stomach to relieve indigestion acid production from the
    and heartburn. stomach for up to 12 hours.

    PROTON PUMP INHIBITOR SURGERY


     Are stronger acid blockers  Fundoplication. The goal is to
    than H-2 blockers and allow reinforce the LES to recreate
    time for damaged esophageal the barrier that stops reflux
    tissue to heal. from occurring.
    The following are seven (7) nursing care plans and nursing
    diagnosis for gastroesophageal reflux disease (GERD):

    1. Imbalanced Nutrition: Less Than Body Requirements


    2. Acute Pain
    3. Imbalanced Nutrition: More Than Body Requirements
    4. Risk for Aspiration
    5. Deficient Knowledge
    6. Anxiety (Pediatric)
    7. Risk for Injury (Pediatric)
     Inflammation of the tissue in the esophagus (esophagitis). Stomach
    acid can break down tissue in the esophagus, causing inflammation,
    bleeding, and sometimes an open sore (ulcer). Esophagitis can cause
    pain and make swallowing difficult.
     Narrowing of the esophagus (esophageal stricture). Damage to the
    lower esophagus from stomach acid causes scar tissue to form. The
    scar tissue narrows the food pathway, leading to problems with
    swallowing.
     Precancerous changes to the esophagus (Barrett
    esophagus). Damage from acid can cause changes in the tissue lining
    the lower esophagus. These changes are associated with an increased
    risk of esophageal cancer.

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