Non-Pharmacological approach for the management of gastroesophageal reflux disease.
| Autor: | Randhawa MA; Mohammad Akram Randhawa, MBBS, PhD. Professor, Department of Pharmacology and Therapeutics, Rawalpindi Medical University, Rawalpindi, Pakistan., Khan SA; Sadia Azam Khan, MBBS, MRCGP. Assistant Professor, Head of Department of Family Medicine, Rawalpindi Medical University, Rawalpindi, Pakistan., Naseer A; Aqsa Naseer, MBBS, FCPS. Senior Registrar, Gastroenterology Unit, Department of Medicine, Rawalpindi Medical University, Rawalpindi, Pakistan., Baqai MT; Muhammad Tariq Baqai. MBBS, FRCP. Professor (Retired), Department of Medicine, HBS Medical and Dental College, Islamabad, Pakistan. |
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| Jazyk: | angličtina |
| Zdroj: | Pakistan journal of medical sciences [Pak J Med Sci] 2024 Jan-Feb; Vol. 40 (3Part-II), pp. 549-551. |
| DOI: | 10.12669/pjms.40.3.7291 |
| Abstrakt: | Treatment of Gastro-Esophageal Reflux Disease (GERD) is becoming a challenge. Proton pump inhibitors (PPIs) are commonly prescribed but have many risks, particularly in long-term use. In an earlier pilot study, we have reported benefits of short-term practice of a new life-style, two meals a day with only liquids in between, for management of GERD. Present case report demonstrates benefits of long-term practice of this dietary regimen. A 61 year old patient complaining of night refluxes was diagnosed to have severe GERD with ulcerations at gastroesophageal junction and was advised to take two meals a day with only water, fruit juice, tea, or milk in intervening period. His reflux symptoms improved within fortnight and he remained well for long-time. Endoscopy done after seven years revealed competent and clear gastroesophageal junction. It is concluded that suggested life-style, "Akram's life-style", for GERD is a useful alternate to risky medical and surgical interventions. Competing Interests: Conflicts of interest: None. (Copyright: © Pakistan Journal of Medical Sciences.) |
| Databáze: | MEDLINE |
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