TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE:
1.Dietary and Lifestyle Changes
& Postural therapy
2.Elevate head of bed 6–8 inches
3Avoid lying down after eating; remain
upright at least 2 hr after eating (most important lifestyle change).
4.Limit intake of foods and drink that reduce LES pressure: fatty foods, peppermint, acidic
foods, onions, chocolate, caffeine, alcohol.
5.Avoid medications that reduce LES pressure: theophylline, nitrates, tranquilizers,
progesterone, calcium blockers, anticholinergic agents, beta adrenergic agonists.
6.Stop smoking.
- Decrease the size of meals.
8.Weight reduction if obese (BMI > 30). - Avoid tight-fitting garments around abdomen.
10.Proton Pump Inhibitor
11.Most potent single agent for treating severe reflux esophagitis (e.g., omeprazole,
lansoprazole, rabeprazole, pantoprazole, and esomeprazole).
12.Acts to increase the pH of gastric contents and heal erosive esophagitis.
13.Endoscopic Therapy(if needed)
& To increase LES pressure.
14.Surgery (Endoscopic or Open)
& Aimed at restoring LES competence or preventing reflux.(often performed)
