By vgreene, 26 May, 2015 Consider GERD as potential cofactor in pts w/ asthma, chronic cough, or laryngitis; carefully evaluate for non-GERD causes in all pts [S/M]
By vgreene, 26 May, 2015 If alarm sx (eg, dysphagia) or high risk of GERD complications: endoscopy<sup>6</sup> recommended
By vgreene, 26 May, 2015 If no typical GERD sx: reflux monitoring<sup>5</sup> prior to PPI trial [C/L]
By vgreene, 26 May, 2015 Not recommended: routine global elimination of food triggers (chocolate, caffeine, EtOH, acidic/spicy foods) [C/L]
By vgreene, 26 May, 2015 If nocturnal GERD: avoid meals 2-3h before bedtime, elevate head of bed [C/L]
By vgreene, 26 May, 2015 If long-term PPI required: use lowest effective dose, incl. on-demand or intermittent tx [C/L]. If pts experience heartburn relief<sup>3</sup> w/ H2RA: H2RA can be a maintenance option in pts w/o erosive dz [C/M]
