• Back flow of gastric contents into esophagus, incompetent lower esophageal sphincter

Manifestations:

• Pyrosis (Burning)
• Dyspepsia (Indigestion)
• Regurgitation
• Dysphagia
• Odynophagia

Management:

• LOW-FAT diet
• Avoid caffeine, tobacco, beer, milk, carbonated beverages
• Avoid drinking/eating 2hrs before bed
• Maintain normal body weight
• Avoid tight fitting clothes
• Elev. head of bed
• Antacids, H2 Receptors, PPI, Prokinetic agents

Complications:

• Barrett's Esophagus-lining of esophageal mucosa is altered
• EGD performes- reveals red lining not pink
• Biopsies- reveals high grade dysplasia