Clinical QuickieLiver/GI
GERD / Peptic Ulcer Disease
Not every epigastric symptom is 'just reflux.'
Pattern the symptoms
Postprandial burning/regurgitation suggests reflux; focal epigastric pain, NSAID exposure, or H. pylori risk may shift attention toward ulcer disease.
Screen for alarm features
GI bleeding, progressive dysphagia, persistent vomiting, unintentional weight loss, anemia, or concerning new symptoms change the evaluation.
Medication history matters
NSAIDs, aspirin, bisphosphonates, potassium, iron, and other agents can worsen upper-GI symptoms or mucosal injury.
Treat the mechanism
Acid suppression, H. pylori testing/treatment when indicated, NSAID risk reduction, and lifestyle measures should match the likely syndrome.
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