Complications are related to the direct local effects of gastric acid on the esophageal mucosa. Diagnostic studies are performed to determine the cause of the GERD, like barium swallow and esoghagoscopy.
Collaborative care is a four-phase management approach.
Nutritional therapy consist of a diet high in protein and low in fats. Chocolate , peppermint, coffee, and tea should be avoided. Late meals should also be avoided. Small frequent meals are recommended. Weight reduction is recommended for obese people.