Discharge Instructions for Gastroesophageal Reflux Disease (GERD)
You have been diagnosed with gastroesophageal reflux disease (GERD). This is a backflow of acid from the stomach into the swallowing tube (esophagus).
Home Care
Maintain a healthy weight. Get help to lose any extra pounds.
Avoid lying down after meals.
Avoid eating late at night.
Elevate the head of your bed by 6 inches. You can do this by placing wooden blocks under the head of your bed.
Avoid wearing tight-fitting clothes.
Avoid foods that might irritate your stomach, such as the following:
Alcohol
Fat
Chocolate
Caffeine
Spearmint or peppermint
Talk to your doctor if you are taking any of the following medications. These medications can make GERD symptoms worse:
Begin an exercise program. Ask your doctor how to get started. You can benefit from simple activities, such as walking or gardening.
Break the smoking habit. Enroll in a stop-smoking program to improve your chances of success.
Limit alcohol intake to no more than 2 drinks a day.
Take your medications exactly as directed. Don’t skip doses.
Avoid over-the-counter nonsteroidal anti-inflammatory drugs, such as aspirin and ibuprofen (Advil, Motrin).
If possible, avoid nitrates (heart medications such as nitroglycerin and Isordil).
Follow-Up
Make a follow-up appointment as directed by our staff.
When to Call Your Doctor
Call your doctor immediately if you have any of the following:
Trouble swallowing
Pain when swallowing
Feeling of food caught in your chest or throat
Pain in the neck, chest, or back
Heartburn that causes you to vomit
Vomiting blood
Black or tarry stools (from digested blood)
More saliva (watering of the mouth) than usual
Weight loss of more than 3 to 5 percent of your total body weight in a month
Hoarseness or sore throat that won’t go away
Choking, coughing, or wheezing