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Acid Reflux, GERD & Upper GI Health • ICD-10-CM K21.9

GERD

Also known as: Gastroesophageal reflux disease, Esophageal reflux, Esophagus, Esophageal, Esophagitis

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM K21.9 • 4 Linked .gov / PubMed Citations • Governance: Dr. Devon Caldwell, DO, MPH (NPI #1568063758)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

GERD Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is GERD?

What is GERD? Sometimes, after eating a large meal or lying down too soon after eating, you might feel acid coming up into your throat. This is called gastroesophageal reflux (GER). It happens when the muscle at the end of your esophagus (the tube that carries food from your mouth to your stomach) doesn't close properly. Stomach contents can then move back up and irritate the esophagus. Having reflux occasionally is common. But if you have symptoms two or more times a week or if they cause damage to the lining of your esophagus, you may have gastroesophageal reflux disease (GERD).

Pathophysiology, Underlying Causes & Clinical Presentation

Biological expression of GERD (K21.9, GERD & Stomach) reflects gastroduodenal mucosal bicarbonate in GERD (K21.9: barrier disruption). Cross-referenced with NIH MeSH (Gastroesophageal Reflux), longitudinal control is benchmarked via Hemoglobin & Serum in GERD (K21.9: Ferritin).

Common Symptoms & Clinical Signs

  • • Are overweight or have obesity
  • • Smoke or are around secondhand smoke
  • • Presentation of GERD (K21.9): nausea, belching, or in GERD (K21.9: discomfort relieved or)
  • • Secondary GERD clinical sign: post-meal retrosternal heartburn in GERD (K21.9: or sour acid)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

GERD Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code K21.9 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Acid Reflux, GERD & Upper GI Health NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: Hemoglobin & Serum in GERD (K21.9: Ferritin) Ferritin > 50 ng/mL (no occult loss) (K21.9) Clinical Reference Target Range
Diagnostic / Lab Marker: Serum Vitamin B12 in GERD (K21.9: & Magnesium (chronic) B12 > 450 pg/mL; Mg >= 2.0 mg/dL (K21.9) Clinical Reference Target Range
Diagnostic / Lab Marker: H. pylori Stool in GERD (K21.9: Antigen or Urea) Negative (K21.9) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for GERD

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Treatment selection for GERD depends on clinical severity, diagnostic lab results, and medical history. Search any prescribed medication in the DotMD A–Z Medication Index to view FDA DailyMed dosing and CMS NADAC wholesale acquisition pricing.

Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (GERD)

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Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Vonoprazan Improves Nocturnal Gastroesophageal Reflux Symptoms in Nonerosive

Among 772 subjects, the mean percentage of heartburn-free nights at week 4 was 43.3% for placebo vs 59.9% for vonoprazan 10 mg (least squares [LS] mean difference = 16.5%, P < 0.0001) and 56.4% for vonoprazan 20 mg (LS mean...

The American journal of gastroenterology • 2026-08-01 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 41081570 ↗
Zero-PHI Patient Support & Cohort Discussions

GERD Patient Community & “People Like Me” Threads

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