Which drug therapy is more effective for GERD?

PPIs are the most powerful medications available for treating GERD. These agents should be used only when this condition has been objectively documented. They have few adverse effects. However, data have shown that PPIs can interfere with calcium homeostasis and aggravate cardiac conduction defects.

How do you permanently treat GERD naturally?

Lifestyle and home remedies

  1. Maintain a healthy weight.
  2. Stop smoking.
  3. Elevate the head of your bed.
  4. Don’t lie down after a meal.
  5. Eat food slowly and chew thoroughly.
  6. Avoid foods and drinks that trigger reflux.
  7. Avoid tight-fitting clothing.

What are ACG guidelines for diagnosis and treatment of Gerd?

The ACG guidelines define GERD as “symptoms or mucosal damage produced by the abnormal reflux of gastric contents into the esophagus.” The authors emphasize that the guidelines apply to adult patients and represent the preferred, but not the only, approach; treatment should be individualized according to the patient and circumstances.

When to use empiric acid suppression therapy for GERD?

Empiric acid suppression therapy for four to eight weeks should be tried in patients who have typical GERD symptoms without atypical manifestations and without warning signs or symptoms suggestive of complicated disease 13, 14 ( Table 2). 14 [Reference 13—evidence level A, meta-analysis of randomized controlled trials (RCTs)]

How to treat gastroesophageal reflux disease ( GERD )?

Gastroesophageal reflux disease (GERD) is mainly a clinical diagnosis based on typical symptoms of heartburn and acid regurgitation. Current guidelines indicate that patients with typical symptoms should first try a proton pump inhibitor (PPI).

Which is the first line of treatment for mCRPC?

Docetaxel Abiraterone Enzalutamide Radium-223 Trials Gillessen S et al, Eur Urol 2017 ADT + DocetaxelADT Docetaxel Cabazitaxel Abiraterone Enzalutamide Radium-223 Trials First-line mCRPC Therapy after ADT plus doc etaxel Gillessen S et al, Eur Urol 2017 First-line mCRPC after ADT + Docetaxel