The following information was published by the University of Virginia School of Medicine* for physician continuing medical education:
-Symptoms related to GERD represent one of the most common and often confusing health problems seen in primary care
-An association with GERD has been noted in up to 50% of patients with noncardiac chest pain, 78% with chronic hoarseness and 82% with asthma.
-The frequency of GERD has increased in recent years...
-Extraesophageal manifestations of GERD can occur without the typical symptom of heartburn. In this situation, symptoms often do not improve with the dose and duration of...therapy typically given for heartburn. Many physicians don't realize that higher doses and longer duration of therapy are needed.
*Decision Points In Managing GERD: A Self-Assement Program: The Clinical Presentations of GERD. 2003