Snapshot A 45-year-old man with hypertension and obesity presents with complaints of heartburn and regurgitation with a sour taste that is aggravated by drinking coffee and eating spicy foods. He also endorses intermittent night time coughing when he eats a late dinner with occasional sore throat and hoarseness. He has tried an antacid with slight improvement but his symptoms are still bothersome. Introduction Clinical definition login to view 1 more bullet Associated conditions login to view 3 more bullets Epidemiology Demographics login to view 2 more bullets Risk factors login to view 5 more bullets ETIOLOGY Pathogenesis login to view 3 more bullets Presentation Symptoms login to view 11 more bullets Physical exam login to view 3 more bullets imaging Esophagogastroduodenoscopy (EGD) with biopsy login to view 2 more bullets Studies Diagnostic testing login to view 10 more bullets Differential Angina pectoralis login to view 2 more bullets Chemical esophagitis login to view 2 more bullets Peptic ulcer disease login to view 2 more bullets Treatment Management approach login to view 5 more bullets All patients login to view 5 more bullets Mild to intermittent symptoms login to view 2 more bullets Moderate to severe symptoms login to view 3 more bullets Surgical login to view 2 more bullets Complications Barrett esophagus Esophageal cancer Esophageal ulcer with bleeding or perforation Peptic stricture Pulmonary aspiration