the nurse is performing an admission assessment on a client diagnosed with gerd. which signs and symptoms would indicate gerd?
GERD (Gastroesophageal Reflux Disease) is a chronic condition characterized by the reflux of stomach acid into the esophagus, leading to various signs and symptoms. During the admission assessment, the nurse should look for the following signs and symptoms that may indicate GERD:
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Heartburn: This is the most common symptom of GERD. It is a burning sensation or discomfort in the chest, usually after eating or at night. The sensation may worsen when lying down or bending over.
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Regurgitation: This refers to the backflow of stomach acid or food into the mouth or throat. It can cause a sour or bitter taste in the mouth.
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Dysphagia: Difficulty swallowing or a sensation of food getting stuck in the throat or chest can be a sign of GERD. This may be accompanied by pain or discomfort while swallowing.
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Odynophagia: Painful swallowing is another symptom of GERD. It can occur when stomach acid irritates the lining of the esophagus, causing discomfort or a burning sensation during swallowing.
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Chest pain: GERD-related chest pain is often mistaken for a heart attack. The pain may be sharp, squeezing, or burning, and it typically occurs after meals or when lying down.
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Chronic cough: A persistent cough that is not related to a respiratory condition, such as a cold or flu, may be a symptom of GERD. The cough is typically worse at night or after eating.
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Hoarseness or voice changes: Stomach acid that reaches the throat can irritate the vocal cords, leading to hoarseness or changes in the voice.
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Excessive saliva: Some individuals with GERD may experience increased saliva production or a feeling of a lump in the throat.
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Bad breath: The regurgitation of stomach acid and food can cause persistent bad breath, also known as halitosis.
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Sleep disturbances: GERD can disrupt sleep due to symptoms such as heartburn, coughing, or discomfort when lying down.
It’s important to note that these signs and symptoms may vary among individuals, and not everyone with GERD will experience all of them. The nurse should assess the client thoroughly and consider their medical history to make an accurate diagnosis and develop an appropriate care plan.