GORD Flashcards
What cell type is the lining of the oesophagus
Squamous
How many adults are affected by GORD (%)
25%
What is a genetic cause of GORD
Lower Angle Oesophageal sphincter
What are the 2 types of hernias that can cause GORD
which is the most common
Sliding hernia (95%) ++ Rolling Hernia
In a sliding Hernia, what happens to the LOS
LOS protrudes/slides along stomach and goes above the diaphragm
in a rolling hernia, what happens to the LOS
LOS rolls along the stomach whilst stomach goes above the diaphragm
Heart burn is typically worse in what position
when lying down
What are 3 other signs other than heart burn in GORDD
dysphagia
Nocturnal Asthma
Laryngitis
what day-day consumptions can increase risk factor for heart burn (3)
Smoking // Alcohol // Caffeine
What 3 type of drugs can increase risk factor of having GORD
Antimuscarinics
Tricyclic anti-depressants
Calcium channel blockers
What is something you can tell the px to help them relieve symptoms at home in bed
Raise head with an additional pillow
What are the 3 drug treatments for GORD
Antacids ==> Gaviscon (sodium alginate)
H2 Receptor Antagonist ==> Ranitidine
PPI ==> Omeprazole
What is the name of the surgery that involves creating a sphincter at the bottom of the oesophagus to prevent acid reflux in GORD
Nissens Fundoplication
What is something to be aware of in GORD
ALARMS Symptoms
Anaemia Loss of weight Anorexia Recent onset of symptoms Melaena Swallowing difficulties
