Curbside Consultation in GERD: 49 Clinical Questions

Philip O. Katz, MD

Question 18: Is The Diagnostic Approach To Gerd Patients Different Than Patients With Typical Symptoms Of Heartburn And Regurgitation? (continued)

Although the relationship between GERD and the above mentioned pulmonary and laryngeal symptoms has been well documented, the diagnosis of GERD remains difficult in the individual patient. Specifically, many of the signs and symptoms of laryngopharyngeal reflux (LPR) overlap with other diseases and may be seen in normal controls. Asthma, chronic cough, and idiopathic pulmonary fibrosis (IPF) are common clinical entities as is GERD in the general population. Therefore, a multipronged approach including a thorough history, therapeutic trial of antisecretory therapy, endoscopy, and prolonged…