Outcome Evaluation

• Monitor for symptom relief and the presence of complicated symptoms, such as difficulty swallowing, painful swallowing, or unexplained weight loss.

• Record the frequency and severity of symptoms by interviewing the patient after 4 to 8 weeks of acid-suppressing therapy. Continued symptoms may indicate the need for long-term maintenance therapy.

• Monitor for adverse drug reactions, drug-drug interactions, and compliance with the therapeutic regimen initially and any time there is a change in symptoms or medications.

• Educate patients about symptoms that suggest the presence of complications requiring immediate medical attention, such as dysphagia or odynophagia.

• Refer patients who present with atypical symptoms such as cough, nonallergic asthma, or chest pain to their physician for further diagnostic evaluation.

• Review patient profiles for drugs that may aggravate GERD.

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