I love how the TTS AI voices struggle with saying "GERD".

This episode breaks reflux down to what actually matters at the bedside: clarifying what patients mean by “heartburn,” screening for true alarm features (dysphagia, bleeding/anemia, weight loss), and understanding when an 8-week PPI trial is appropriate.

We walk through the modern workup - PPI washout before endoscopy, which endoscopic findings lock in a GERD diagnosis, and when to use ambulatory pH monitoring to distinguish GERD from NERD and guide long-term therapy.

We also cover how to counsel patients on PPI safety, when de-prescribing or on-demand therapy makes sense, the role of alginates as a mechanical barrier to reflux, and which patients with hiatal hernia or regurgitation should actually be considered for anti-reflux surgery.

Source:

https://thecurbsiders.com/curbsiders-podcast/501-gerd-vs-nerd-reflux-updates-with-dr-james-callaway