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Gastroesophageal reflux disease in Child
Other Resources UpToDate PubMed

Gastroesophageal reflux disease in Child

Contributors: Michael W. Winter MD, Eric Ingerowski MD, FAAP
Other Resources UpToDate PubMed

Synopsis

Gastroesophageal reflux disease (GERD) is a common condition that develops when stomach contents (ie, food and acid) flow back into the esophagus or mouth. It may be symptomatic or asymptomatic (silent reflux). Symptoms most commonly include heartburn, regurgitation, chronic cough, and sore throat. Development of GERD is associated with obesity. Other risk factors include cigarette smoking, NSAID use, female sex, and low socioeconomic status.

For patients presenting with typical symptoms of regurgitation or heartburn, a diagnosis of GERD can be made presumptively and treated empirically. If dysphagia, atypical chest pain, chronic cough, odynophagia, or emesis is reported, further investigation is required before empiric treatment is recommended, as an underlying motility disorder, structural abnormality, or malignancy may be present.

Codes

ICD10CM:
K21.00 – Gastro-esophageal reflux disease with esophagitis, without bleeding
K21.9 – Gastro-esophageal reflux disease without esophagitis

SNOMEDCT:
235595009 – Gastroesophageal reflux disease

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Reviewed:10/01/2018
Last Updated:10/10/2022
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Gastroesophageal reflux disease in Child
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A medical illustration showing key findings of Gastroesophageal reflux disease : Epigastric pain, Hoarseness, Globus sensation, Dysphagia, Dyspepsia, Dry cough
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