Esophageal Syndromes

Symptoms with or without esophageal injury

・ Common symptoms: heartburn, regurgitation, dysphagia, chest pain

・ Less common symptoms: odynophagia (pain with swallowing), water brash (excessive salivation prompted by acid reflux), subxiphoid pain, nausea.

Extraesophageal Syndromes

Good evidence only when accompanied by an esophageal syndrome

・ Chronic cough

・ Laryngitis (hoarseness, throat clearing), reflux usually a cofactor along with excessive use of the voice, environmental irritants, and smoking

・ Asthma (reflux as cofactor leading to poorly, controlled disease)

・ Erosion of dental enamel

Association not causation established with the GERD

・ Pharyngitis

・ Sinusitis

・ Recurrent Otitis media