Gerd symptoms
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"gastroesophageal reflux disease" AND symptoms
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I hear you! Here's a quick, direct answer on GERD symptoms:
GERD Symptoms
Typical (Classic) Symptoms
- Heartburn (pyrosis) - burning sensation behind the sternum, rising from the epigastrium toward the neck; worse within 60 min of eating, lying down, or bending
- Regurgitation - effortless return of sour/bitter fluid or food into the throat/mouth, without nausea
- Acid brash - excessive salivation triggered by esophageal acid
Atypical (Extraesophageal) Symptoms
- Chronic cough
- Wheezing / shortness of breath
- Hoarseness / voice changes
- Sore throat
- Globus sensation (lump in throat)
- Non-cardiac chest pain
- Laryngitis
- Dental erosions
Less Common Symptoms
- Dysphagia - difficulty swallowing (reported in >30% of GERD patients)
- Water brash - sudden mouth filling with saliva (vagal reflex)
- Odynophagia - painful swallowing (suggests ulcer/deep erosion)
- Belching / bloating
⚠️ Alarm Symptoms (need urgent workup - may indicate complications/cancer)
- Unintended weight loss
- Progressive dysphagia
- Odynophagia
- GI bleeding (black stool, vomiting blood)
- Early satiety / anorexia
Symptoms are typically worse after large meals, fatty/spicy foods, alcohol, caffeine, lying flat, and at night.
- Current Surgical Therapy 14e, Yamada's Textbook of Gastroenterology
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