guidelines for treatment of gerd
Updated Guidelines for Diagnosis and Treatment of GERD 195 often will have symptomatic relapses and failure of healingof esophagitis on standard dose, or even higher-dose H2RAand/or prokinetic therapy (100). A full dose of H2RA givenonce daily, although effective for peptic ulcer disease, is notappropriate for GERD.hen symptoms persist, continuous therapy isrequired or alarm symptoms or signs develop, the patientshould have additional evaluation and treatment (see abovediagnostic guidelines). Level of Evidence: IV Antacids and antireï¬uxants such as alginic acid are useful inthe treatment of milder forms of GERD.