What is the treatment plan for GERD?

The treatment is based on (1) lifestyle modification and (2) control of gastric acid secretion through medical therapy with antacids or PPIs or surgical treatment with corrective antireflux surgery. Approximately 80\% of patients have a recurrent but nonprogressive form of GERD that is controlled with medications.

What can you teach a patient with GERD?

Discharge Instructions for Gastroesophageal Reflux Disease (GERD)

1. Maintain a healthy weight.
2. Avoid lying down after meals.
3. Avoid eating late at night.
4. Elevate the head of your bed by 6 inches.
5. Avoid wearing tight-fitting clothes.
6. Avoid foods that might irritate your stomach, such as the following:

How is GERD managed?

GERD can usually be controlled with medication. But if medications don’t help or you wish to avoid long-term medication use, your doctor might recommend: Fundoplication. The surgeon wraps the top of your stomach around the lower esophageal sphincter, to tighten the muscle and prevent reflux.

How should the nurse educate this patient about GERD and the measures to prevent severe heartburn?

These home care steps can help you handle GERD:

1. Stay at a healthy weight.
2. Don’t lie down after meals.
3. Don’t eat late at night.
4. Raise the head of your bed by 4 to 6 inches.
5. Don’t wear tight-fitting clothes.
6. Don’t eat foods that might bother your stomach, such as:

What is uncomplicated GERD?

Uncomplicated reflux disease comprises the non-erosive form, that is, symptoms that impact negatively on the patient’s quality of life, but which are not associated with endoscopic evidence of mucosal breaks in the esophagus, and erosive reflux esophagitis of varying degrees of severity, e.g. grades A-D in the Los …

What is the first line PPI for GERD?

Table 3

	PPI	Brand name
1	Omeprazole	Prilosec, Prilosec OTC
2	Esomeprazole	Nexium
3	Lansoprazole	Prevacid, Prevacid 24 hr
4	Rabeprazole	AcipHex

How do you maintain GERD?

Lifestyle and home remedies

1. Maintain a healthy weight.
2. Stop smoking.
3. Elevate the head of your bed.
4. Don’t lie down after a meal.
5. Eat food slowly and chew thoroughly.
6. Avoid foods and drinks that trigger reflux.
7. Avoid tight-fitting clothing.

How do you position a client who has GERD?

Prone positioning may be recommended for the patient, at least for the first postprandial hour. Sleeping in the prone position has been demonstrated to decrease the frequency of gastroesophageal reflux.

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