Management of Gastrointestinal Disorders and the Pharmacist's Role: Gastroesophageal Reflux Disease: GERD

Gastroesophageal reflux disease (GERD) is a chronic disorder caused by abnormal reflux of stomach contents into the esophagus. This event occurs primarily because of relaxation of the transient lower esophageal sphincter. Non-pharmacological intervention includes behavioral changes and lifestyle modifications Pharmacological interventions, many of which are available without prescription include administration of antacids, H2-receptor antagonists, proton pump inhibitors and alginate-based raft formulations. If these treatment strategies fail, the patient may undergo surgery (fundoplication). Pharmacists can manage mild and, to some extent, moderate symptoms of GERD either by recommending lifestyle changes to the patient or by recommending certain medications depending upon the signs and symptoms of the patients. They can also verify diagnosis, refer on any alarming symptoms, manage appropriate medication plans and address any adverse reactions or interactions.