GERD PDF File Handwritten: A Chronic Conundrum
Introduction: Meet Sarah, a 35-year-old marketing executive who has been experiencing persistent heartburn and regurgitation for the past year. Despite antacids and lifestyle modifications, her symptoms persist. Let's delve into Sarah's case and explore the complexities of Gastroesophageal Reflux Disease (GERD). Case Presentation: - Chief Complaint: Heartburn and regurgitation - History of Present Illness: Symptoms began 1 year ago, worsening over time - Medical History: Obesity, hypertension - Lifestyle: Smoker, alcohol consumption, spicy food enthusiast Investigations: - Endoscopy: Esophagitis, hiatal hernia - Ambulatory Acid Probes: Elevated acid reflux - Upper GI Series: Hiatal hernia, reflux Diagnosis: - GERD - Hiatal hernia - Esophagitis Treatment Plan: - Lifestyle modifications: - Weight loss - Smoking cessation - Avoid trigger foods - Elevate head of bed - Medications: - Proton pump inhibitors (PPIs) ...