Differential diagnosis of GERD

It was widely accepted that the prevalence of GERD is lower in Oriental countries compared to Western countries. But the incidence of GERD has recently increased in Japan. The most commonly recognized manifestation of GERD is heartburn or a substernal burning sensation in the chest. Most patients wi...

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Bibliographic Details
Published inNihon rinshō Vol. 62; no. 8; p. 1492
Main Authors Manabe, Noriaki, Tanaka, Shinji, Sasaki, Atsunori, Hata, Jiro, Haruma, Ken, Chayama, Kazuaki
Format Journal Article
LanguageJapanese
Published Japan 01.08.2004
Subjects
Asthma - etiology
Chest Pain - etiology
Collagen Diseases - complications
Collagen Diseases - diagnosis
Cough - etiology
Diagnosis, Differential
Gastroesophageal Reflux - complications
Gastroesophageal Reflux - diagnosis
Hoarseness - etiology
Humans
Laryngeal Neoplasms - etiology
Polyps
Vocal Cords
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Summary:It was widely accepted that the prevalence of GERD is lower in Oriental countries compared to Western countries. But the incidence of GERD has recently increased in Japan. The most commonly recognized manifestation of GERD is heartburn or a substernal burning sensation in the chest. Most patients with reflux esophagitis complain of typical symptoms such as heartburn, regurgitation or dysphagia. However, some patients complain of atypical symptoms such as hoarse voice, chronic cough, adult-onset asthma or vocal cord polyps. It is not always easy to diagnose atypical symptomatic patients as GERD. If patients who complain of these atypical symptoms have not improved with common medical treatment, GERD should be the consideration in its differential diagnosis.
ISSN:0047-1852