Medical Surgical GERD #5

Question

Which pain or discomfort is most associated with gastroesophgeal reflux disease (GERD)? Select all that apply.

Answers

  1. Chest
    • Rationale:

      This answer is correct because pain or discomfort assoicated with GERD includes chest pain and epigastric pain. Other symptoms include dry cough, belching, burning sensation in the chest or heartburn.

  2. Scapula
    • Rationale:

      This answer is not correct because scapular pain is most associated with gallbladder problems, not GERD, pain or discomfort associated with GERD includes chest pain and epigastric pain. Other symptoms include dry cough, belching, burning sensation in the chest or heartburn.

  3. Lower jaw
    • Rationale:

      This answer is not correct because lower jaw pain can be associated with myocardial pain, especially in women. This should be reported and assessed further. Pain or discomfort associated with GERD includes chest pain and epigastric pain. Other symptoms include dry cough, belching, burning sensation in the chest or heartburn.

  4. Substernal
    • Rationale:

      This answer is not correct because substernal pain is most associated with myocardial pain. This should be reported and assessed further. Pain or discomfort associated with GERD includes chest pain and epigastric pain. Other symptoms include dry cough, belching, burning sensation in the chest or heartburn.

  5. Epigastric
    • Rationale:

      This answer is correct because pain or discomfort associated with GERD includes chest pain and epigastric pain. Other symptoms include dry cough, belching, burning sensation in the chest or heartburn.

Overview

Pain or discomfort associated with GERD include chest pain and epigastric pain. Gastroesophageal reflux disease (GERD) is a condition that occurs when a person has reflux of gastric acid.

Explanation

Learning Outcomes

Gastroesophageal reflux disease (GERD) is a condition that occurs when a person has reflux of gastric acid. The persistent regurgitation of and exposure to stomach acid can damage esophageal tissue to the extent it causes Barrett’s esophagus. Cellular changes can occur that can lead to esophageal cancer. Various things contribute to GERD symptoms, including physiological, lifestyle, dietary factors, and medications. Symptoms of GERD include chest pain, dry cough, belching, burning sensation in the chest or heartburn, and discomfort of the epigastric region.

Test Taking Tip

Substernal and chest pain is different. Substernal is most specific and associated with myocardial infarction (MI).

Video Rationale