clinical course
Last reviewed 01/2018
GORD typically follows a chronic relapsing and remitting course. Studies show that many patients take medication continually or intermittently for ten years or more.
Untreated, fewer than 20% of patients will become symptom free.
The presence of oesophagitis may be intermittent and may be independent of symptoms.
Typical symptoms include (1) :
- heartburn
- acid regurgitation
Atypical symptoms include (1) :
- dysphagia
- globus sensation
- non-cardiac chest pain
- dyspepsia or abdominal pain
Possible extra-oesophageal clinical features include (1) :
- hoarseness
- sore throat
- sinusitis
- otitis media
- chronic cough
- laryngitis
- polyps on the vocal cords
- dental erosions
- non-atopic asthma
- recurrent aspiration
- pulmonary fibrosis
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