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[Differential diagnosis of GERD]
Noriaki Manabe1, Shinji Tanaka, Atsunori Sasaki
1Department of Endoscopy, Hiroshima University Hospital.
Nihon Rinsho. Japanese Journal of Clinical Medicine
|September 4, 2004
Summary
The incidence of gastroesophageal reflux disease (GERD) is rising in Japan, challenging previous beliefs about its lower prevalence in Oriental countries. Atypical GERD symptoms like chronic cough may require considering GERD in differential diagnoses when standard treatments fail.
Area of Science:
- Gastroenterology
- Digestive Health
Context:
- Historically, gastroesophageal reflux disease (GERD) prevalence was considered lower in Oriental compared to Western countries.
- Recent data indicate a significant increase in GERD incidence within Japan.
Purpose:
- To highlight the changing epidemiology of GERD in Japan.
- To discuss the diagnostic challenges posed by atypical GERD manifestations.
Summary:
- GERD, commonly presenting as heartburn, also manifests with atypical symptoms including hoarse voice, chronic cough, adult-onset asthma, and vocal cord polyps.
- Diagnosing GERD in patients with atypical symptoms can be difficult.
- Consideration of GERD is crucial in the differential diagnosis for patients with these atypical symptoms unresponsive to standard medical treatment.
Impact:
- This research underscores the need for increased awareness and diagnostic vigilance for GERD, particularly in cases with non-traditional symptoms.
- It suggests a potential shift in GERD prevalence patterns, necessitating updated clinical guidelines and research focus.