Patient was educated on complications of gastroesophageal reflux disease as follows:

  1. Noncompliance with GERD relief measures suggested can result in unresolved episodes of GERD for prolonged periods of time, which can cause a lot of complications.
  2. Prolonged attacks of GERD with acid injury to the esophageal mucosa can lead to esophageal narrowing and development of stricture.
  3. Severe exacerbation of uncontrolled episodes of GERD can result in severe dry cough with choking and shortness of breath.
  4. Narrowing of esophagus can bring on dysphagia, which is difficulty swallowing.
  5. Prolonged acid injury to the esophageal mucosa can result in rupture of the mucosa and bleeding, which can present as blood in the vomit or stool.
  6. Long term indigestion secondary to the uncontrolled GERD can result in symptoms of malnutrition and weight loss.
  7. Poorly controlled acid reflux over a period can cause permanent changes in the mucosa of the esophagus that are carcinogenic.