Gastroesophageal Reflux Disease (GERD)

Previous | Next

This module has been archived and is no longer being updated.

The goal of this unit is to provide you with the evidence-based knowledge required to counsel patients on the use of both natural and pharmaceutical products to treat the common symptoms of gastroesophageal reflux disease (GERD), namely heartburn and regurgitation.

GERD is the most common gastrointestinal complaint seen in primary care practices, accounts for over 20% of referrals to gastroenterologists from primary care, and accounts for over $11 billion annually in direct and indirect costs. Population data has demonstrated the prevalence of heartburn and regurgitation to be 42% and 28% respectively, and up to 40% of American adults experience heartburn on a monthly basis. Patients who have GERD generally report reduced work productivity, decreased psychological well-being and decreased health-related quality of life lower than in patients who have untreated angina pectoris, chronic heart failure or diabetes mellitus.

Non-judicious use of anti-secretory therapy with histamine-2 receptor antagonists (H2RAs) and proton pump inhibitors (PPIs) is costly and may present various risks to our patients. Concerning adverse risks have significant implications with regard to negative effects on vitamin and mineral malabsorption as well as to increases in the risk of pulmonary and enteric infections. Natural products can serve as reasonable and safe therapy in the treatment of uncomplicated GERD.

Enjoy!

Joel J. Heidelbaugh, M.D., FAAFP, FACG

Clinical Professor, Departments of Family Medicine and Urology

This module is also for U-M Department of Family Medicine Residents on the FMCE2 rotation.

Disclaimer: The University of Michigan Health System Web site does not provide specific medical advice and does not endorse any medical or professional service obtained through information provided on this site or any links to this site.

Use of the UMHS web site does not replace medical consultation with a qualified health or medical professional to meet the health and medical needs of you or others.

While the content of the UMHS web site is frequently updated, medical information changes rapidly and therefore, some information may be out of date, and/or contain inaccuracies or typographical errors.

Note: This module was originally developed by U-M Department of Family Medicine faculty member, Joel J. Heidelbaugh, M.D., in 2008. It is also maintained by Dr. Heidelbaugh. Last updated: February 2014.

Previous | Next