Question

CF is a 48-year-old man who presents for evaluation of heartburn. He denies current tobacco use but has a history of one ppd for 15 years. He consumes a glass of wine nightly, more on the weekends. He has a sedentary job.

He reports a burning feeling in his chest after eating. It is worse when he eats spicy foods or tomato sauce. He is sometimes awakened at night with these symptoms. He has tried over-the-counter antacids and histamine H2 receptor antagonists (H2RAs) with partial relief. He is on no medications regularly. His examination today is normal. An upper gastrointestinal (GI) x-ray series reveals gastroesophageal reflux.

1. What lifestyle modifications do you recommend for CF?

Answer 1

Ans)GERD (Gastroesophageal Reflux Disease):

- most common upper GI disorder
- occurs in middle-aged and older adults
Occurs as a result of reflux (backward flow) of GI contents into esophagus

GERD Risk Factors:

- Obesity, pregnancy, ascites, nicotine, alcohol, high intake of fatty foods, caffeine, chocolate, citrus foods.

Lifestyle Modification for CF:

- Education for weightloss

- Smoking cessation

- Smaller meals

- Elevate bed 6-8inches

- Avoid alcohol

- Avoid meals 2-3hrs before bed