Gastro-oesophageal reflux

Clinical features

Burning stomachache or heartburn, generally relieved by antacids; acid regurgitation (often postural: while sitting forward or lying down). In the absence of dysphagia (oesophageal stenosis), these signs are benign.

Treatment

– First instance, encourage the patient to avoid alcohol and tobacco use.
Give aluminium hydroxide PO1 : 500 mg to 1 g 3 times daily one hour after meals or 500 mg at the time of a painful attack.

– If antacids are insufficient:
omeprazole PO: 20 mg once daily in the morning for 3 days

– In young children: no drug treatment, rest and sleep on an incline (30° to 45°).



Footnotes
Ref Notes
1 Aluminium hydroxide may decrease absorption of drugs taken at the same time, leave an interval of at least 2 hours between taking aluminium hydroxide and other drugs.