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Acid reflux is a GERD can cause typical (esophageal) or atypical (extraesophageal)
symptoms. nexium. Typical symptoms include the following: Heartburn: This is
the most common symptom. It is felt as a retrosternal sensation of burning or
discomfort that occurs usually after eating or when lying down or bending over.
Regurgitation: This is effortless return of gastric and/or esophageal contents
into the pharynx. It can induce respiratory complications if gastric contents
spill into the tracheobronchial tree. Dysphagia: This occurs in approximately
one third of patients due to a mechanical stricture or a functional problem
(nonobstructive dysphagia secondary to abnormal esophageal nexium peristalsis).
Patients feel that food is stuck, particularly in the retrosternal area. Atypical
symptoms include the following: Cough and/or wheezing: nexium These are respiratory
symptoms resulting from aspiration of gastric contents into the acid reflux
tracheobronchial tree or from the vagal reflex arc producing bronchoconstriction.
Approximately 50% of patients who have GERD-induced asthma do not experience
heartburn. Hoarseness: nexium This results from irritation of the vocal cords
by gastric refluxate. It often is experienced in the morning. Chest pain: Reflux
is the most common cause of noncardiac chest pain and accounts for approximately
50% of cases. Patients can present to the emergency department with pain resembling
myocardial acid reflux infarction. Reflux should be ruled out (if necessary
using esophageal manometry and 24-h pH testing) once a cardiac cause has been
excluded. Alternatively, a therapeutic trial of high-dose proton pump inhibitor
therapy can be tried. emedicine
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