Clinical Presentation of GERD

• Heartburn is the hallmark symptom of GERD and is described as a substernal sensation of warmth or burning rising up from the abdomen that may radiate to the neck. It may be waxing and waning in character.

• Regurgitation is common.

• Symptoms may be worse after a fatty meal, when bending over, or when lying in a recumbent position.1

• Hypersalivation and belching. Atypical Symptoms

• Asthma, chronic cough, hoarseness, pharyngitis, chest pain, and dental erosions.

• It is important to distinguish GERD symptoms from those of other diseases, especially when chest pain or pulmonary symptoms are present.

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