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    A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

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    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:

      • Calcium channel blockers

      • Theophylline

      • Anticholinergic medications such as oxybutynin and benzatropine

    • 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