SlideShare una empresa de Scribd logo
1 de 9
Descargar para leer sin conexión
Backward flow of the stomach or duodenal contents into the
esophagus, may occur normally or as a chronic pathologic condition.
• Reflux of gastric contents in to the esophagus occurs occasionally
in healthy individuals and some even experience classic heartburn
symptoms episodically.
• However, about 7% to 8% of the population experience daily
heartburn resulting from frequent reflux of gastric and sometimes
duodenal contents into the esophagus.
• The prevalence of esophageal reflux varies with the description of
the symptoms, but about 20% to 40% of adults report symptoms of
GERD at least one time per week.
GERD may develop due to any of the following reasons.
• Decreased muscle tone or abnormal relaxation of LES.
• Reduce stomach motility allowing food to remain too long in the
stomach.
• Hiatus hernia.
• Acid taste
• Increased belching
• Hoarseness
• Dry Cough
• Burning sensation in upper middle of chest
• Difficulty swallowing
• Bloating
• Esophagitis
• Bleeding, esophageal erosions and ulcerations, stricture of the
intestine.
• Barrett’s esophagus
• Adenocarcinoma of the esophagus.
• To prevent esophageal reflux.
• To prevent pain and irritation of the inflamed esophageal mucosa.
• To decrease the erosive capacity of gastric secretions.
• Nutritional requirements remains the same as per the RDI for most
patients, may change during certain complications such as in
bleeding, its necessary to increase intake of dietary proteins, iron, B-
group vitamins & vitamin C.
• GERD has usually developed due to obesity that’s why it is essential
to prescribe a weight reduction diet for a patient.
• Eat your meal 2-3 hours before bedtime as shortly after having meal
acid availability in stomach increases.
• Avoid eating specific foods that have been identified as potentially
aggravating factors in some patients include raw onions, chocolate,
caffeine, peppermint, citrus juices, alcoholic beverages, tomato
products and spicy foods.
• Large meals and desserts that are high in fat or caloric density
stimulate significant amount of gastric secretion and slow gastric
emptying, so its advisable to avoid high fat high calorie meals.

Más contenido relacionado

La actualidad más candente

La actualidad más candente (20)

Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
 
Pud
PudPud
Pud
 
Constipation
Constipation Constipation
Constipation
 
Gastroesophageal reflux disorder- GERD
Gastroesophageal reflux disorder- GERDGastroesophageal reflux disorder- GERD
Gastroesophageal reflux disorder- GERD
 
Hiatal hernia
Hiatal herniaHiatal hernia
Hiatal hernia
 
Peptic ulcer
Peptic ulcerPeptic ulcer
Peptic ulcer
 
Dyspepsia
DyspepsiaDyspepsia
Dyspepsia
 
GERD
GERDGERD
GERD
 
peptic ulcer disease.PPT
peptic ulcer disease.PPTpeptic ulcer disease.PPT
peptic ulcer disease.PPT
 
acid peptic disorders
acid peptic disordersacid peptic disorders
acid peptic disorders
 
Gastroesophageal Reflux Disease and Exercise (GERD)
Gastroesophageal Reflux Disease and Exercise (GERD)  Gastroesophageal Reflux Disease and Exercise (GERD)
Gastroesophageal Reflux Disease and Exercise (GERD)
 
Gastro Esophageal Reflux Disease
Gastro Esophageal Reflux DiseaseGastro Esophageal Reflux Disease
Gastro Esophageal Reflux Disease
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
 
Irritable Bowel Syndrome
Irritable Bowel SyndromeIrritable Bowel Syndrome
Irritable Bowel Syndrome
 
Gastro esophageal reflux disease
Gastro esophageal reflux diseaseGastro esophageal reflux disease
Gastro esophageal reflux disease
 
Gastroesophageal Reflux Disease (GERD)
Gastroesophageal Reflux Disease (GERD)Gastroesophageal Reflux Disease (GERD)
Gastroesophageal Reflux Disease (GERD)
 
Dyspepsia
Dyspepsia Dyspepsia
Dyspepsia
 
Gastroesophageal reflux disease (GERD)
Gastroesophageal reflux disease (GERD) Gastroesophageal reflux disease (GERD)
Gastroesophageal reflux disease (GERD)
 
Inflammatory bowel disease
Inflammatory bowel diseaseInflammatory bowel disease
Inflammatory bowel disease
 
71ec2. gerd
71ec2. gerd71ec2. gerd
71ec2. gerd
 

Destacado

Peptic ulcer and gerd
Peptic ulcer and gerdPeptic ulcer and gerd
Peptic ulcer and gerdRewariBhavya
 
Gastro-oesophageal reflux (GORD)
Gastro-oesophageal reflux (GORD)Gastro-oesophageal reflux (GORD)
Gastro-oesophageal reflux (GORD)meducationdotnet
 
Barrett's Oesophagus - Treatment and Management
Barrett's Oesophagus - Treatment and ManagementBarrett's Oesophagus - Treatment and Management
Barrett's Oesophagus - Treatment and Managementmeducationdotnet
 
GERD Cultural considerations Ppt
GERD Cultural considerations PptGERD Cultural considerations Ppt
GERD Cultural considerations Pptfourthouse71
 
Gastroespohageal reflux disease (gerd) amp.ppt;amp.ppt; laryngopharyngeal
Gastroespohageal reflux disease (gerd) amp.ppt;amp.ppt; laryngopharyngealGastroespohageal reflux disease (gerd) amp.ppt;amp.ppt; laryngopharyngeal
Gastroespohageal reflux disease (gerd) amp.ppt;amp.ppt; laryngopharyngealLuiz Fragetti
 
Gastro oesophageo reflux disease (GORD)
Gastro oesophageo reflux disease (GORD)Gastro oesophageo reflux disease (GORD)
Gastro oesophageo reflux disease (GORD)Kavindya Fernando
 
Gastroesophageal reflux disease
Gastroesophageal reflux diseaseGastroesophageal reflux disease
Gastroesophageal reflux diseaseTarek Sheta
 
Laparoscopic Surgery Training Tips
Laparoscopic Surgery Training Tips Laparoscopic Surgery Training Tips
Laparoscopic Surgery Training Tips ensteve
 
Laparoscopic Tubal Recanalization Mob: 7289915430, www.drpradeepgarg
Laparoscopic Tubal Recanalization  Mob: 7289915430, www.drpradeepgargLaparoscopic Tubal Recanalization  Mob: 7289915430, www.drpradeepgarg
Laparoscopic Tubal Recanalization Mob: 7289915430, www.drpradeepgargPradeep Garg
 
Evolution & Ergonomics in Laparoscopy
Evolution & Ergonomics in LaparoscopyEvolution & Ergonomics in Laparoscopy
Evolution & Ergonomics in LaparoscopyHarmandeep Jabbal
 
Laparoscopic Sigmoid Colon Resection for Diverticular Disease
Laparoscopic Sigmoid Colon Resection for Diverticular DiseaseLaparoscopic Sigmoid Colon Resection for Diverticular Disease
Laparoscopic Sigmoid Colon Resection for Diverticular DiseaseGeorge S. Ferzli
 

Destacado (18)

Peptic ulcer and gerd
Peptic ulcer and gerdPeptic ulcer and gerd
Peptic ulcer and gerd
 
Gastro-oesophageal reflux (GORD)
Gastro-oesophageal reflux (GORD)Gastro-oesophageal reflux (GORD)
Gastro-oesophageal reflux (GORD)
 
Barrett's Oesophagus - Treatment and Management
Barrett's Oesophagus - Treatment and ManagementBarrett's Oesophagus - Treatment and Management
Barrett's Oesophagus - Treatment and Management
 
GERD Cultural considerations Ppt
GERD Cultural considerations PptGERD Cultural considerations Ppt
GERD Cultural considerations Ppt
 
Gastroespohageal reflux disease (gerd) amp.ppt;amp.ppt; laryngopharyngeal
Gastroespohageal reflux disease (gerd) amp.ppt;amp.ppt; laryngopharyngealGastroespohageal reflux disease (gerd) amp.ppt;amp.ppt; laryngopharyngeal
Gastroespohageal reflux disease (gerd) amp.ppt;amp.ppt; laryngopharyngeal
 
Gerd, gastritis
Gerd, gastritisGerd, gastritis
Gerd, gastritis
 
Gastro oesophageo reflux disease (GORD)
Gastro oesophageo reflux disease (GORD)Gastro oesophageo reflux disease (GORD)
Gastro oesophageo reflux disease (GORD)
 
GERD ( GASTRO-ESOPHAGEAL RIFLUX DISEASE )
GERD ( GASTRO-ESOPHAGEAL RIFLUX DISEASE )GERD ( GASTRO-ESOPHAGEAL RIFLUX DISEASE )
GERD ( GASTRO-ESOPHAGEAL RIFLUX DISEASE )
 
Chest Lungs 3
Chest Lungs 3Chest Lungs 3
Chest Lungs 3
 
Hernia1 2007
Hernia1 2007Hernia1 2007
Hernia1 2007
 
Gastroesophageal reflux disease
Gastroesophageal reflux diseaseGastroesophageal reflux disease
Gastroesophageal reflux disease
 
Gerd
GerdGerd
Gerd
 
L4 barrett esophagus 2
L4 barrett esophagus 2L4 barrett esophagus 2
L4 barrett esophagus 2
 
Laparoscopic Surgery Training Tips
Laparoscopic Surgery Training Tips Laparoscopic Surgery Training Tips
Laparoscopic Surgery Training Tips
 
LAPAROSCOPIC APPENDECTOMY
LAPAROSCOPIC APPENDECTOMYLAPAROSCOPIC APPENDECTOMY
LAPAROSCOPIC APPENDECTOMY
 
Laparoscopic Tubal Recanalization Mob: 7289915430, www.drpradeepgarg
Laparoscopic Tubal Recanalization  Mob: 7289915430, www.drpradeepgargLaparoscopic Tubal Recanalization  Mob: 7289915430, www.drpradeepgarg
Laparoscopic Tubal Recanalization Mob: 7289915430, www.drpradeepgarg
 
Evolution & Ergonomics in Laparoscopy
Evolution & Ergonomics in LaparoscopyEvolution & Ergonomics in Laparoscopy
Evolution & Ergonomics in Laparoscopy
 
Laparoscopic Sigmoid Colon Resection for Diverticular Disease
Laparoscopic Sigmoid Colon Resection for Diverticular DiseaseLaparoscopic Sigmoid Colon Resection for Diverticular Disease
Laparoscopic Sigmoid Colon Resection for Diverticular Disease
 

Similar a GERD (Gastro Esophageal Reflux Disease)

GERD | Gastro esophageal reflux disease-a brief medical study
GERD | Gastro esophageal reflux disease-a brief medical study GERD | Gastro esophageal reflux disease-a brief medical study
GERD | Gastro esophageal reflux disease-a brief medical study martinshaji
 
Diet in liver disease.pptx
Diet in liver disease.pptxDiet in liver disease.pptx
Diet in liver disease.pptxmulenga22
 
Foods to Avoid With Acid Reflux.pdf
Foods to Avoid With Acid Reflux.pdfFoods to Avoid With Acid Reflux.pdf
Foods to Avoid With Acid Reflux.pdfKarenBrown251378
 
Gastroesophageal reflux disease
Gastroesophageal reflux diseaseGastroesophageal reflux disease
Gastroesophageal reflux diseaseMinaAdhikari4
 
Lets get healthy - Dr SanjivHaribhakti
Lets get healthy - Dr SanjivHaribhaktiLets get healthy - Dr SanjivHaribhakti
Lets get healthy - Dr SanjivHaribhaktiSanjiv Haribhakti
 
Nutritional care in cancer patients
Nutritional care in cancer patientsNutritional care in cancer patients
Nutritional care in cancer patientsDrArindam Bhaumik
 
Nutrition for disorders year 1 2014
Nutrition for disorders year 1 2014Nutrition for disorders year 1 2014
Nutrition for disorders year 1 2014aku karachi
 
Ramadan fasting and liver diseases
Ramadan fasting and liver diseasesRamadan fasting and liver diseases
Ramadan fasting and liver diseasesFarragBahbah
 
Diet and gastrointestinal problems
Diet and gastrointestinal problemsDiet and gastrointestinal problems
Diet and gastrointestinal problemsmohammead osman
 
Dieth Therapy Final
Dieth Therapy FinalDieth Therapy Final
Dieth Therapy FinalJack Frost
 

Similar a GERD (Gastro Esophageal Reflux Disease) (20)

GERD | Gastro esophageal reflux disease-a brief medical study
GERD | Gastro esophageal reflux disease-a brief medical study GERD | Gastro esophageal reflux disease-a brief medical study
GERD | Gastro esophageal reflux disease-a brief medical study
 
Diet in liver disease.pptx
Diet in liver disease.pptxDiet in liver disease.pptx
Diet in liver disease.pptx
 
diseases.pptx
diseases.pptxdiseases.pptx
diseases.pptx
 
Foods to Avoid With Acid Reflux.pdf
Foods to Avoid With Acid Reflux.pdfFoods to Avoid With Acid Reflux.pdf
Foods to Avoid With Acid Reflux.pdf
 
GASTRO ESOPHAGEAL REFLUX DISEASE (GERD)
GASTRO ESOPHAGEAL REFLUX DISEASE (GERD)GASTRO ESOPHAGEAL REFLUX DISEASE (GERD)
GASTRO ESOPHAGEAL REFLUX DISEASE (GERD)
 
Gastroesophageal reflux disease
Gastroesophageal reflux diseaseGastroesophageal reflux disease
Gastroesophageal reflux disease
 
Gastroesophageal Reflux Disease (GERD)
Gastroesophageal Reflux Disease (GERD)Gastroesophageal Reflux Disease (GERD)
Gastroesophageal Reflux Disease (GERD)
 
Lets get healthy - Dr SanjivHaribhakti
Lets get healthy - Dr SanjivHaribhaktiLets get healthy - Dr SanjivHaribhakti
Lets get healthy - Dr SanjivHaribhakti
 
GASTRITIS.pptx
GASTRITIS.pptxGASTRITIS.pptx
GASTRITIS.pptx
 
Nutrition for disorders year 1
Nutrition for disorders year 1Nutrition for disorders year 1
Nutrition for disorders year 1
 
Nutritional care in cancer patients
Nutritional care in cancer patientsNutritional care in cancer patients
Nutritional care in cancer patients
 
Congenital diarrhea
Congenital diarrheaCongenital diarrhea
Congenital diarrhea
 
Nutrition for disorders year 1 2014
Nutrition for disorders year 1 2014Nutrition for disorders year 1 2014
Nutrition for disorders year 1 2014
 
Gastro Intestinal Diseases
Gastro Intestinal Diseases Gastro Intestinal Diseases
Gastro Intestinal Diseases
 
liver disease.pptx
liver disease.pptxliver disease.pptx
liver disease.pptx
 
Ramadan fasting and liver diseases
Ramadan fasting and liver diseasesRamadan fasting and liver diseases
Ramadan fasting and liver diseases
 
Cirrhosis of liver
Cirrhosis of liverCirrhosis of liver
Cirrhosis of liver
 
Acid Peptic Ulcer Diease
Acid Peptic Ulcer DieaseAcid Peptic Ulcer Diease
Acid Peptic Ulcer Diease
 
Diet and gastrointestinal problems
Diet and gastrointestinal problemsDiet and gastrointestinal problems
Diet and gastrointestinal problems
 
Dieth Therapy Final
Dieth Therapy FinalDieth Therapy Final
Dieth Therapy Final
 

Más de Sanjiv Haribhakti

Component separation technique for a very large abdominal wall hernia
Component separation technique for a very large abdominal wall herniaComponent separation technique for a very large abdominal wall hernia
Component separation technique for a very large abdominal wall herniaSanjiv Haribhakti
 
Obesity and Bariatric Surgery by Dr. Sanjiv Haribhakti
Obesity and Bariatric Surgery by Dr. Sanjiv HaribhaktiObesity and Bariatric Surgery by Dr. Sanjiv Haribhakti
Obesity and Bariatric Surgery by Dr. Sanjiv HaribhaktiSanjiv Haribhakti
 
Role of diet in lifestyle disorders
Role of diet in lifestyle disordersRole of diet in lifestyle disorders
Role of diet in lifestyle disordersSanjiv Haribhakti
 
Role of exercise in lifestyle - Gisurgery
Role of exercise in lifestyle - GisurgeryRole of exercise in lifestyle - Gisurgery
Role of exercise in lifestyle - GisurgerySanjiv Haribhakti
 
CBD Stone / Choledocolithiasis
CBD Stone / CholedocolithiasisCBD Stone / Choledocolithiasis
CBD Stone / CholedocolithiasisSanjiv Haribhakti
 
Core exercises: Beyond your average abs routine
Core exercises: Beyond your average abs routineCore exercises: Beyond your average abs routine
Core exercises: Beyond your average abs routineSanjiv Haribhakti
 
Osteoporosis - Preventive Measures
Osteoporosis - Preventive MeasuresOsteoporosis - Preventive Measures
Osteoporosis - Preventive MeasuresSanjiv Haribhakti
 
POSTURE AND PAIN - Gisurgery.info
POSTURE AND PAIN - Gisurgery.infoPOSTURE AND PAIN - Gisurgery.info
POSTURE AND PAIN - Gisurgery.infoSanjiv Haribhakti
 
Muscles of the Vertebral Column
Muscles of the Vertebral ColumnMuscles of the Vertebral Column
Muscles of the Vertebral ColumnSanjiv Haribhakti
 
Food Group Pyramid - Health Tips
Food Group Pyramid - Health TipsFood Group Pyramid - Health Tips
Food Group Pyramid - Health TipsSanjiv Haribhakti
 
Hypertension - Classification of HTN
Hypertension - Classification of HTNHypertension - Classification of HTN
Hypertension - Classification of HTNSanjiv Haribhakti
 
Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...
Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...
Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...Sanjiv Haribhakti
 
Overweight And Obesity : Proven Health Risks, We All Should Know
Overweight And Obesity : Proven Health Risks, We All Should KnowOverweight And Obesity : Proven Health Risks, We All Should Know
Overweight And Obesity : Proven Health Risks, We All Should KnowSanjiv Haribhakti
 

Más de Sanjiv Haribhakti (19)

Component separation technique for a very large abdominal wall hernia
Component separation technique for a very large abdominal wall herniaComponent separation technique for a very large abdominal wall hernia
Component separation technique for a very large abdominal wall hernia
 
Obesity and Bariatric Surgery by Dr. Sanjiv Haribhakti
Obesity and Bariatric Surgery by Dr. Sanjiv HaribhaktiObesity and Bariatric Surgery by Dr. Sanjiv Haribhakti
Obesity and Bariatric Surgery by Dr. Sanjiv Haribhakti
 
Lifestyle Disorders
Lifestyle DisordersLifestyle Disorders
Lifestyle Disorders
 
Role of diet in lifestyle disorders
Role of diet in lifestyle disordersRole of diet in lifestyle disorders
Role of diet in lifestyle disorders
 
Role of exercise in lifestyle - Gisurgery
Role of exercise in lifestyle - GisurgeryRole of exercise in lifestyle - Gisurgery
Role of exercise in lifestyle - Gisurgery
 
Intestinal Obstruction
Intestinal ObstructionIntestinal Obstruction
Intestinal Obstruction
 
Gallstone Disease
Gallstone DiseaseGallstone Disease
Gallstone Disease
 
CBD Stone / Choledocolithiasis
CBD Stone / CholedocolithiasisCBD Stone / Choledocolithiasis
CBD Stone / Choledocolithiasis
 
Core exercises: Beyond your average abs routine
Core exercises: Beyond your average abs routineCore exercises: Beyond your average abs routine
Core exercises: Beyond your average abs routine
 
Osteoporosis - Preventive Measures
Osteoporosis - Preventive MeasuresOsteoporosis - Preventive Measures
Osteoporosis - Preventive Measures
 
POSTURE AND PAIN - Gisurgery.info
POSTURE AND PAIN - Gisurgery.infoPOSTURE AND PAIN - Gisurgery.info
POSTURE AND PAIN - Gisurgery.info
 
Vertebral Column
Vertebral ColumnVertebral Column
Vertebral Column
 
Muscles of the Vertebral Column
Muscles of the Vertebral ColumnMuscles of the Vertebral Column
Muscles of the Vertebral Column
 
Diabetes Mellitus
Diabetes MellitusDiabetes Mellitus
Diabetes Mellitus
 
Food Group Pyramid - Health Tips
Food Group Pyramid - Health TipsFood Group Pyramid - Health Tips
Food Group Pyramid - Health Tips
 
Hypertension - Classification of HTN
Hypertension - Classification of HTNHypertension - Classification of HTN
Hypertension - Classification of HTN
 
Indigestion
IndigestionIndigestion
Indigestion
 
Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...
Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...
Lifestyle changes can prevent at least 60% of all Cancers - By Dr Sanjiv Hari...
 
Overweight And Obesity : Proven Health Risks, We All Should Know
Overweight And Obesity : Proven Health Risks, We All Should KnowOverweight And Obesity : Proven Health Risks, We All Should Know
Overweight And Obesity : Proven Health Risks, We All Should Know
 

Último

Call Girl in Indore 8827247818 {Low Price}👉 Nitya Indore Call Girls * ITRG...
Call Girl in Indore 8827247818 {Low Price}👉   Nitya Indore Call Girls  * ITRG...Call Girl in Indore 8827247818 {Low Price}👉   Nitya Indore Call Girls  * ITRG...
Call Girl in Indore 8827247818 {Low Price}👉 Nitya Indore Call Girls * ITRG...mahaiklolahd
 
Independent Call Girls Service Chandigarh Sector 17 | 8868886958 | Call Girl ...
Independent Call Girls Service Chandigarh Sector 17 | 8868886958 | Call Girl ...Independent Call Girls Service Chandigarh Sector 17 | 8868886958 | Call Girl ...
Independent Call Girls Service Chandigarh Sector 17 | 8868886958 | Call Girl ...Sheetaleventcompany
 
Kottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Kottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetKottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Kottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Chandigarh
 
Sexy Call Girl Villupuram Arshi 💚9058824046💚 Villupuram Escort Service
Sexy Call Girl Villupuram Arshi 💚9058824046💚 Villupuram Escort ServiceSexy Call Girl Villupuram Arshi 💚9058824046💚 Villupuram Escort Service
Sexy Call Girl Villupuram Arshi 💚9058824046💚 Villupuram Escort Servicejaanseema653
 
Gorgeous Call Girls In Pune {9xx000xx09} ❤️VVIP ANKITA Call Girl in Pune Maha...
Gorgeous Call Girls In Pune {9xx000xx09} ❤️VVIP ANKITA Call Girl in Pune Maha...Gorgeous Call Girls In Pune {9xx000xx09} ❤️VVIP ANKITA Call Girl in Pune Maha...
Gorgeous Call Girls In Pune {9xx000xx09} ❤️VVIP ANKITA Call Girl in Pune Maha...Sheetaleventcompany
 
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real Meet
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real MeetVip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real Meet
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real MeetAhmedabad Call Girls
 
(Deeksha) 💓 9920725232 💓High Profile Call Girls Navi Mumbai You Can Get The S...
(Deeksha) 💓 9920725232 💓High Profile Call Girls Navi Mumbai You Can Get The S...(Deeksha) 💓 9920725232 💓High Profile Call Girls Navi Mumbai You Can Get The S...
(Deeksha) 💓 9920725232 💓High Profile Call Girls Navi Mumbai You Can Get The S...Ahmedabad Call Girls
 
Sexy Call Girl Kumbakonam Arshi 💚9058824046💚 Kumbakonam Escort Service
Sexy Call Girl Kumbakonam Arshi 💚9058824046💚 Kumbakonam Escort ServiceSexy Call Girl Kumbakonam Arshi 💚9058824046💚 Kumbakonam Escort Service
Sexy Call Girl Kumbakonam Arshi 💚9058824046💚 Kumbakonam Escort Servicejaanseema653
 
visakhapatnam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
visakhapatnam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetvisakhapatnam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
visakhapatnam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Chandigarh
 
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...Ahmedabad Call Girls
 
(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...
(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...
(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...Joya Singh
 
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali Punjab
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali PunjabCall Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali Punjab
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali PunjabSheetaleventcompany
 
💚Chandigarh Call Girls Service 💯Jiya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Jiya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Jiya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Jiya 📲🔝8868886958🔝Call Girls In Chandigarh No...Sheetaleventcompany
 
Call Girl in Indore 8827247818 {Low Price}👉 Meghna Indore Call Girls * DXZ...
Call Girl in Indore 8827247818 {Low Price}👉   Meghna Indore Call Girls  * DXZ...Call Girl in Indore 8827247818 {Low Price}👉   Meghna Indore Call Girls  * DXZ...
Call Girl in Indore 8827247818 {Low Price}👉 Meghna Indore Call Girls * DXZ...mahaiklolahd
 
Sexy Call Girl Palani Arshi 💚9058824046💚 Palani Escort Service
Sexy Call Girl Palani Arshi 💚9058824046💚 Palani Escort ServiceSexy Call Girl Palani Arshi 💚9058824046💚 Palani Escort Service
Sexy Call Girl Palani Arshi 💚9058824046💚 Palani Escort Servicejaanseema653
 
2024 PCP #IMPerative Updates in Rheumatology
2024 PCP #IMPerative Updates in Rheumatology2024 PCP #IMPerative Updates in Rheumatology
2024 PCP #IMPerative Updates in RheumatologySidney Erwin Manahan
 
Dehradun Call Girls 8854095900 Call Girl in Dehradun Uttrakhand
Dehradun Call Girls 8854095900 Call Girl in Dehradun  UttrakhandDehradun Call Girls 8854095900 Call Girl in Dehradun  Uttrakhand
Dehradun Call Girls 8854095900 Call Girl in Dehradun Uttrakhandindiancallgirl4rent
 
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...Sheetaleventcompany
 
❤️Ludhiana Call Girls ☎️98157-77685☎️ Call Girl service in Ludhiana☎️Ludhiana...
❤️Ludhiana Call Girls ☎️98157-77685☎️ Call Girl service in Ludhiana☎️Ludhiana...❤️Ludhiana Call Girls ☎️98157-77685☎️ Call Girl service in Ludhiana☎️Ludhiana...
❤️Ludhiana Call Girls ☎️98157-77685☎️ Call Girl service in Ludhiana☎️Ludhiana...dilpreetentertainmen
 

Último (20)

Punjab Call Girls Contact Number +919053,900,678 Punjab Call Girls
Punjab Call Girls Contact Number +919053,900,678 Punjab Call GirlsPunjab Call Girls Contact Number +919053,900,678 Punjab Call Girls
Punjab Call Girls Contact Number +919053,900,678 Punjab Call Girls
 
Call Girl in Indore 8827247818 {Low Price}👉 Nitya Indore Call Girls * ITRG...
Call Girl in Indore 8827247818 {Low Price}👉   Nitya Indore Call Girls  * ITRG...Call Girl in Indore 8827247818 {Low Price}👉   Nitya Indore Call Girls  * ITRG...
Call Girl in Indore 8827247818 {Low Price}👉 Nitya Indore Call Girls * ITRG...
 
Independent Call Girls Service Chandigarh Sector 17 | 8868886958 | Call Girl ...
Independent Call Girls Service Chandigarh Sector 17 | 8868886958 | Call Girl ...Independent Call Girls Service Chandigarh Sector 17 | 8868886958 | Call Girl ...
Independent Call Girls Service Chandigarh Sector 17 | 8868886958 | Call Girl ...
 
Kottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Kottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetKottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Kottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Sexy Call Girl Villupuram Arshi 💚9058824046💚 Villupuram Escort Service
Sexy Call Girl Villupuram Arshi 💚9058824046💚 Villupuram Escort ServiceSexy Call Girl Villupuram Arshi 💚9058824046💚 Villupuram Escort Service
Sexy Call Girl Villupuram Arshi 💚9058824046💚 Villupuram Escort Service
 
Gorgeous Call Girls In Pune {9xx000xx09} ❤️VVIP ANKITA Call Girl in Pune Maha...
Gorgeous Call Girls In Pune {9xx000xx09} ❤️VVIP ANKITA Call Girl in Pune Maha...Gorgeous Call Girls In Pune {9xx000xx09} ❤️VVIP ANKITA Call Girl in Pune Maha...
Gorgeous Call Girls In Pune {9xx000xx09} ❤️VVIP ANKITA Call Girl in Pune Maha...
 
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real Meet
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real MeetVip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real Meet
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real Meet
 
(Deeksha) 💓 9920725232 💓High Profile Call Girls Navi Mumbai You Can Get The S...
(Deeksha) 💓 9920725232 💓High Profile Call Girls Navi Mumbai You Can Get The S...(Deeksha) 💓 9920725232 💓High Profile Call Girls Navi Mumbai You Can Get The S...
(Deeksha) 💓 9920725232 💓High Profile Call Girls Navi Mumbai You Can Get The S...
 
Sexy Call Girl Kumbakonam Arshi 💚9058824046💚 Kumbakonam Escort Service
Sexy Call Girl Kumbakonam Arshi 💚9058824046💚 Kumbakonam Escort ServiceSexy Call Girl Kumbakonam Arshi 💚9058824046💚 Kumbakonam Escort Service
Sexy Call Girl Kumbakonam Arshi 💚9058824046💚 Kumbakonam Escort Service
 
visakhapatnam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
visakhapatnam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetvisakhapatnam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
visakhapatnam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
 
(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...
(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...
(Big Boobs Indian Girls) 💓 9257276172 💓High Profile Call Girls Jaipur You Can...
 
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali Punjab
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali PunjabCall Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali Punjab
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali Punjab
 
💚Chandigarh Call Girls Service 💯Jiya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Jiya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Jiya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Jiya 📲🔝8868886958🔝Call Girls In Chandigarh No...
 
Call Girl in Indore 8827247818 {Low Price}👉 Meghna Indore Call Girls * DXZ...
Call Girl in Indore 8827247818 {Low Price}👉   Meghna Indore Call Girls  * DXZ...Call Girl in Indore 8827247818 {Low Price}👉   Meghna Indore Call Girls  * DXZ...
Call Girl in Indore 8827247818 {Low Price}👉 Meghna Indore Call Girls * DXZ...
 
Sexy Call Girl Palani Arshi 💚9058824046💚 Palani Escort Service
Sexy Call Girl Palani Arshi 💚9058824046💚 Palani Escort ServiceSexy Call Girl Palani Arshi 💚9058824046💚 Palani Escort Service
Sexy Call Girl Palani Arshi 💚9058824046💚 Palani Escort Service
 
2024 PCP #IMPerative Updates in Rheumatology
2024 PCP #IMPerative Updates in Rheumatology2024 PCP #IMPerative Updates in Rheumatology
2024 PCP #IMPerative Updates in Rheumatology
 
Dehradun Call Girls 8854095900 Call Girl in Dehradun Uttrakhand
Dehradun Call Girls 8854095900 Call Girl in Dehradun  UttrakhandDehradun Call Girls 8854095900 Call Girl in Dehradun  Uttrakhand
Dehradun Call Girls 8854095900 Call Girl in Dehradun Uttrakhand
 
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
 
❤️Ludhiana Call Girls ☎️98157-77685☎️ Call Girl service in Ludhiana☎️Ludhiana...
❤️Ludhiana Call Girls ☎️98157-77685☎️ Call Girl service in Ludhiana☎️Ludhiana...❤️Ludhiana Call Girls ☎️98157-77685☎️ Call Girl service in Ludhiana☎️Ludhiana...
❤️Ludhiana Call Girls ☎️98157-77685☎️ Call Girl service in Ludhiana☎️Ludhiana...
 

GERD (Gastro Esophageal Reflux Disease)

  • 1.
  • 2. Backward flow of the stomach or duodenal contents into the esophagus, may occur normally or as a chronic pathologic condition.
  • 3. • Reflux of gastric contents in to the esophagus occurs occasionally in healthy individuals and some even experience classic heartburn symptoms episodically. • However, about 7% to 8% of the population experience daily heartburn resulting from frequent reflux of gastric and sometimes duodenal contents into the esophagus. • The prevalence of esophageal reflux varies with the description of the symptoms, but about 20% to 40% of adults report symptoms of GERD at least one time per week.
  • 4. GERD may develop due to any of the following reasons. • Decreased muscle tone or abnormal relaxation of LES. • Reduce stomach motility allowing food to remain too long in the stomach. • Hiatus hernia.
  • 5. • Acid taste • Increased belching • Hoarseness • Dry Cough • Burning sensation in upper middle of chest • Difficulty swallowing • Bloating
  • 6. • Esophagitis • Bleeding, esophageal erosions and ulcerations, stricture of the intestine. • Barrett’s esophagus • Adenocarcinoma of the esophagus.
  • 7. • To prevent esophageal reflux. • To prevent pain and irritation of the inflamed esophageal mucosa. • To decrease the erosive capacity of gastric secretions.
  • 8. • Nutritional requirements remains the same as per the RDI for most patients, may change during certain complications such as in bleeding, its necessary to increase intake of dietary proteins, iron, B- group vitamins & vitamin C. • GERD has usually developed due to obesity that’s why it is essential to prescribe a weight reduction diet for a patient. • Eat your meal 2-3 hours before bedtime as shortly after having meal acid availability in stomach increases.
  • 9. • Avoid eating specific foods that have been identified as potentially aggravating factors in some patients include raw onions, chocolate, caffeine, peppermint, citrus juices, alcoholic beverages, tomato products and spicy foods. • Large meals and desserts that are high in fat or caloric density stimulate significant amount of gastric secretion and slow gastric emptying, so its advisable to avoid high fat high calorie meals.