A 35 years old lady presented with retrosternal burning pain, epigastric pain and regurgitation for 6 years. The most preferred treatment option is:
Retrosternal Burning pain Epigastric pain Regurgitation TRIAD - GERD Dx- 24 hrs pH monitoring DEMEESTER'S Score (< 14.7 Normal) GERD > 14.7 Sx Mx - Life expectancy > 10 years |Laparoscopic Nissen's fundoplication (Gold standard treatment of GERD) other t/t options- Lifestyle modifications: Cessation of smoking Decrease caffeine intake Avoid large meals just before lying down Drugs for symptomatic improvement - Double dose of proton pump inhibitor
Lifestyle modification
Double dose of PPI
Laparoscopic Nissen's fundoplication
Dietary modification
Esophagus