Private General Practice

conservative management – General Practice notebook

“Conservative management Last reviewed 01/2018 Medical management is targeted at reducing the symptoms of GERD with drugs that inhibit gastric acid secretion. Proton pump inhibitors (PPIs) Histamine 2 receptor antagonists antacids metoclopramide or domperidone  – is not recommended (1) Drug management of reflux oesophagitis is described in the menu option. Although evidence supporting the effectiveness of lifestyle modification is weak, these should be recommended according to patients’ circumstances weight loss avoidance of “trigger” foods eat frequent small meals, and not to eat just before bedtime not to lie down after eating a meal and advice to sleep with their head elevated, e.g. by extra pillows. elevating the head of the bed by 6-8 inches (15-20 cm) and avoidance of food three hours before bedtime is especially helpful for patients who are prone to symptoms at night (1) patients should be dissuaded from smoking.” https://gpnotebook.com/en-gb/simplepage.cfm?ID=1026883600&linkID=56421#:~:text=Conservative%20management,dissuaded%20from%20smoking.


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