GERD Management Plan: A Comprehensive Guide

Your Path to Managing Gastroesophageal Reflux Disease

Gastroenterology

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Last updated: Mar 24, 2025

Understanding Your Condition

Gastroesophageal Reflux Disease (GERD) is a chronic condition where stomach acid frequently flows back into the esophagus. This management plan will help you control symptoms and prevent complications.

Lifestyle Modifications

Dietary Changes

  • Avoid trigger foods:
    • Citrus fruits and juices
    • Tomato-based products
    • Chocolate
    • Mint
    • Spicy, fatty, or fried foods
  • Eat smaller meals more frequently
  • Avoid eating 2-3 hours before bedtime

Position and Posture

  • Elevate head of bed 6-8 inches
  • Maintain upright position after meals
  • Avoid lying down for 3 hours after eating

Lifestyle Habits

  • Maintain healthy weight
  • Quit smoking
  • Limit alcohol consumption
  • Wear loose-fitting clothes

Medication Schedule

Daily Medications

  1. Proton Pump Inhibitor (PPI)

    • Take ___ minutes before first meal
    • Dosage: ___mg
  2. H2 Blocker (if prescribed)

    • Take at bedtime
    • Dosage: ___mg

As-Needed Medications

  • Antacids for breakthrough symptoms
  • Maximum doses per day: ___

Monitoring and Follow-up

Symptom Diary

  • Record frequency of symptoms
  • Note trigger foods/activities
  • Track medication effectiveness

Warning Signs

Contact your healthcare provider if you experience:

  • Difficulty swallowing
  • Persistent chest pain
  • Unexplained weight loss
  • Chronic cough or hoarseness

Next Appointments

  • Regular follow-up: Every ___ months
  • Endoscopy (if scheduled): ___
  • Next visit date: ___

Emergency Plan

Seek immediate medical attention if you experience:

  • Severe chest pain
  • Difficulty breathing
  • Vomiting blood
  • Black/tarry stools

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