DDW: Psych disorders make GERD hard to Dx by symptoms alone

DDW: psych disorders make GERD hard to dx by symptoms alone

(HealthDay)—For patients with minor psychiatric disorders (MPD), symptoms of gastroesophageal reflux disease (GERD) are unreliable for establishing the presence of GERD, according to a study presented at the 2018 Digestive Disease Week, held from June 2 to 5 in Washington, D.C.

Rafael Laurino Neto, M.D., from the Federal University of Sao Paulo in Brazil, and colleagues conducted a prospective study involving 222 patients with suspected GERD to examine the influence of MPD in the diagnosis of GERD (57 percent GERD+ and 43 percent GERD−). All patients underwent pH monitoring and MPD evaluation based on the Hospital Anxiety and Depression Scale (HADS), focusing on anxiety and depression.

The researchers found that the mean DeMeester score was 44 ± 33 for GERD+ and 7 ± 4 for GERD−. For GERD+ and GERD−, the mean HADS scores for anxiety (8 for both; P = 0.2) and depression (5 and 6, respectively; P = 0.3) did not differ significantly. There was no correlation for DeMeester score with total HADS score, or the or depression domains (P = 0.9, 0.7, and 1, respectively). There was no correlation for HADS and GERD diagnosis in subanalysis including only patients with extra-esophageal symptoms.

"Almost half of the with MPD and a clinical diagnosis of GERD have a normal esophageal acid exposure by pH monitoring," the authors write. "As symptoms are unreliable for establishing the presence of GERD, objective evidence of the presence of pathologic reflux should be present before initiating treatment."

More information: Abstract No. 659
More Information

Copyright © 2018 HealthDay. All rights reserved.

Citation: DDW: Psych disorders make GERD hard to Dx by symptoms alone (2018, June 5) retrieved 30 March 2023 from https://medicalxpress.com/news/2018-06-ddw-psych-disorders-gerd-hard.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Explore further

HRQoL down for GERD with laryngopharyngeal reflux


Feedback to editors