Managing Acid Reflux Disorders

Managing Acid Reflux Disorders

This article is based on guidelines provided to UK primary care physicians (GPs).

Gastroesophageal Reflux in Children

Gastroesophageal Reflux in Children


Gastroesophageal reflux (GER) is defined as the involuntary retrograde passage of gastric contents into the esophagus with or without regurgitation or vomiting. It is a frequently experienced physiological condition occurring several times a day mostly postprandially and causing no symptoms. Gastroesophageal disease (GERD) occurs when reflux of the gastric contents causes symptoms that affect the quality of life or pathological complications.

GERD Diet Research Evidence 5

Article 5 - review of smoking, alcohol, obesity, citrus fruit, carbonated drinks, coffee, caffeine, chocolate, spicy foods, fatty foods, mint, timing of last meal and sleeping position.

If you have been diagnosed with acid reflux disease then it is important to follow lifestyle modifications. Doctors increasingly use an evidence-based approach to to guide them when advising patients. In this article I review some of the evidence for lifestyle modifications and advice which is given to heartburn sufferers.

GERD Diet Research Evidence 4

Article 4 - exercise and sleeping position

Exercise and acid reflux disease

Gastroenterology physicians do not generally regard physical activity as a relevant lifestyle measure in their patients who have gastro-oesophageal reflux disease. The effect of exercise on acid reflux has been studied [1.2.3].

Diagnosis and Investigation of Acid Reflux Disease

The diagnosis of gastroesophageal reflux disease is usually made on the basis of the history of symptoms given by the patient to their doctor. Acid reflux is an extremely common condition and not all those with symptoms require investigation. This is fortunate because there is no inexpensive definitive medical investigation for reflux disease, apart from an empirical trial of treatment with a PPI medication.