What exactly is refractory gastroesophageal reflux disease?

Reflux. Refractory gerd means reflux disease not responding to standard treatment and conservative measures.
Agree. Agree with dr. Vijay laxmi misra. When describing refractory gastroesophageal reflux disease, generally speaking of patients still suffering symptoms of acid reflux despite standard medication therapies with appropriate lifestyle changes.

Related Questions

Can I die from gastroesophageal reflux disease?

Unlikely. While there are potentially life threatening complications from gerd, these are very rare, and include aspirating stomach fluid in the lungs and the development on cancer. These complications would only occur if there is some sort of underlying neurological or respiratory disease, an longstanding gerd (>10 years). To put it in perspective, you stand a greater chance of dying in a car accident. Read more...
Unlikely. Long term effects of untreated or inadequately treated gerd can include narrowing, scarring, and increased risk for esophageal cancer. Esophageal cancer is a bad disease, kills people. Most people with gerd don't get that. Read more...
Yes. Chronic reflux is the main cause of esophageal adenocarcinoma. It is the fastest growing cancer in the U.S. Hiatal hernias tend to make reflux worse. The important thing is to have an endoscopy to get checked. Read more...

What are the tests for gastroesophageal reflux disease?

Several. Upper endoscopy, upper GI and manometry. Bravo probe if not clear cut symptoms and findings on egd. Read more...
Sx & response to Rx. Most commonly diagnosed by clinical history with typical symptoms and relief with medication. Endoscopy and ph monitoring may aid in the diagnosis but are by no means necessary. Read more...
Testing. I believe that symptoms are a good blue to gerd but i think that egd, and posibly oh probe are the best way to characterize the degree of reflux and severity of damages. I would add to that an UGI and gastric emptying. The symptoms of gerd can be due to several conditions. If one just uses symptoms as the diagnostic tool, i would not treat medically for longer than 4 weeks. It can be serious. Read more...
Clinical history . Symptoms with a repose to treatment is way most people are diagnose with gerd. If there are questions about the diagnosis invasive testing such as endoscopy, hr-mano, ph can be considered. Read more...

Help! What is actually gastroesophageal reflux disease?

Acid in Esophagus. Gastric=stomach & upper 2/3 lined with cells which secrete hydrochloric acid (inhibits bacterial growth) under brain control. With healthy subconscious control of esophagus, bottom of esophagus only relaxes as solid/liquid is pushed down. If stomach contents repeatedly pushed back up, esp. When lots of acid present, then esophagus damaged over time; can eventually promote esophagus cancer. Read more...

Gastroesophageal reflux disease diagnosed. What can't I eat?

Prevent GERD. Avoid foods & behavior that delay stomach emptying &/or relax the lower esophageal sphincter--spicy, greasy food, mints, alcohol, tobacco, chocolate, tomato-based products, caffeinated & fizzy drinks, eating before bedtime. Lose weight. Elevate head of bed on blocks. Use otc acid blockers for relief (h2's: tagamet, zantac, (ranitidine) pepcid; ppi's: prilosec, prevacid, zegerid). See a GI doctor if persistent. Read more...
See below. You should avoid late meals, heavy meals, fatty foods, peppermint, chocolate, caffeine, nicotine, alcohol, spicy foods, tomato sauce and/or any other foods you find worsen your symptoms. Weight loss if helpful if you are overweight. Read more...
See below. You should avoid late meals, heavy meals, fatty foods, peppermint, chocolate, caffeine, nicotine, alcohol, spicy foods, tomato sauce and/or any other foods you find worsen your symptoms. Weight loss if helpful if you are overweight. Read more...
See below. You should avoid late meals, heavy meals, fatty foods, peppermint, chocolate, caffeine, nicotine, alcohol, spicy foods, tomato sauce and/or any other foods you find worsen your symptoms. Weight loss if helpful if you are overweight. Read more...
See below. You should avoid late meals, heavy meals, fatty foods, peppermint, chocolate, caffeine, nicotine, alcohol, spicy foods, tomato sauce and/or any other foods you find worsen your symptoms. Weight loss if helpful if you are overweight. Read more...

What are some good foods to eat for gastroesophageal reflux disease?

Avoid acidic foods. Vegetables are always a great choice. Reflux can get worse with acidic foods as well as rich, fatty foods. Spicy foods, tomato based foods, alcohol and caffiene can make things worse. Read more...
Low fat, smaller. In general, low fat, smaller meals are recommended for gerd. You should also avoid caffeine, tomato sauce, chocolate, spicy foods, alcohol, salads and celery. You shouldn't eat late meals (within 3 hrs before bedtime). Read more...