Perception of gastroesophageal reflux disease in urban population in Pakistan

Nadim Jafri, Wasim Jafri, Javed Yakoob, Muhammad Islam, Shahid Manzoor, Asif Jalil, Faraz Hashmi

Research output: Contribution to journalArticlepeer-review

34 Citations (Scopus)


Objective: To determine the frequency and health care seeking behavior of patients with gastroesophageal reflux symptoms using American College of Gastroenterology (ACG) questionnaire for gastroesophageal reflux disease (GERD). Design: Cross-sectional study. Place and duration of study: Section of Gastroenterology, Department of Medicine, The Aga Khan University Hospital, Karachi, from April 2002 to November 2003. Patients and methods: A total of 1267 persons above 15 years of age were interviewed using a modified questionnaire for GERD from the American College of Gastroenterology (ACG), which previously validated in our section as a screening tool in an urban population in Pakistan. Results: Nine hundred and sixty-three individuals responded to the questionnaire. Mean age of the surveyed sample was 24 ± 9.3 years. Using the ACG criteria, the overall frequency of gastroesophageal reflux symptoms was 24% (228/963) with 58% (133/228) males and 42% (95/228) females. Symptoms experienced frequently were reflux from the stomach, 58% (133/228), with a bitter, acid taste in the mouth. Seventy-four percent (169/228) experienced this postprandially. Symptoms were associated with spicy fried food in 71% (161/228). Sixty-seven percent (152/228) did not seek health care advice, 32% (74/228) practiced self-medications and 33% (76/228) consulted a physician. Conclusion: Gastroesophageal reflux is a common problem in the urban population of Pakistan.

Original languageEnglish
Pages (from-to)532-534
Number of pages3
JournalJournal of the College of Physicians and Surgeons--Pakistan : JCPSP
Issue number9
Publication statusPublished - Sept 2005


  • GERB reflux
  • Gastroesophageal
  • Health seeking behavior
  • Urban population


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