Gastroesophageal reflux disease (GERD) is the most common upper gastrointestinal disorder seen in the elderly. The most common cause of reflux episodes is transient LES relaxations, the drop in the lower esophageal sphincter (LES) pressure not accompanied by swallowing. Incompetence of the LES was shown to be more prevalent in the elderly. The most common symptoms of GERD are heartburn and acid regurgitation. Other common symptoms may include water brash, belching, chest pain, nausea, chronic sore throat and cough, hoarseness (scratchy-sounding voice), bitter taste in mouth. In addition to medical treatment (i.e., antacids, H2 receptor blockers, proton pump inhibitors), diet and life style modifications are important preventive measures.
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