Correlate the symptoms and endoscopic findings of gerd with severity of obstructive airway disease as assessed by spirometric parameters

Abstract

GERD is found to be one of the risk factors for various pulmonary disorders, like Obstructive Airway Disease, Obstructive Sleep , Interstitial Lung Diseases either directly or as a confounding factor. This study focuses to study the prevalence and types of pulmonary disability in patients with GERD in a tertiary care hospital and to correlate the Symptoms and Endoscopic findings of GERD with severity of Obstructive Airway Disease as assessed by Parameters. disease (GERD) is a complaint in which the esophagus develops inflamed since of of acid from the stomach that exceeds the normal limit causing symptoms with or without injury. This research focuses on the Bronchial Asthma and COPD were predominant Respiratory impairment in patients of GERD with prevalence of 52.67% and 47.33% respectively in our study. 150 subjects of proven GERD patients were evaluated for the prevalence and types of Respiratory disability by detailed history, clinical examination, Chest x-ray, PeakExpiratory Flow Rate (PEFR) and . There was a male preponderance of 63% in our study. Majority (69.4%) of patients were under the age group of 18-30 years and 48% of the subjects were overweight. Respiratory Symptoms were Breathlessness 78%, Cough 69%, Wheeze65%. Nocturnal symptoms of GERD were reported in 59%., Predominant GERD SymptomsEpigastric Chest pain 81% followed by Regurgitation 77%, Heart burn 76.67% and Belching68%. findings revealed 89% were diagnosed with Lax LES, AntralGastritis was observed in 87%of the patients, 67% of subjects had and 35% of patients were diagnosed to have Hiatus Hernia. of 67% subjects who had , 29% had GRADE A followed by Grade B and C which is 26% and 15% respectively.