{"id":38338,"date":"2024-06-06T11:36:06","date_gmt":"2024-06-06T09:36:06","guid":{"rendered":"https:\/\/petsvetcheck.de\/krankheiten-und-stoerungen\/katze\/gastroesophageal-reflux-ger-acid-reflux\/"},"modified":"2026-07-07T18:42:16","modified_gmt":"2026-07-07T16:42:16","slug":"gastroesophageal-reflux-ger-acid-reflux","status":"publish","type":"krankheit-katze","link":"https:\/\/petsvetcheck.de\/en\/diseases-and-disorders\/cat\/gastroesophageal-reflux-ger-acid-reflux\/","title":{"rendered":"Reflux of gastric juice into the esophagus in cats (gastroesophageal reflux (GER))"},"content":{"rendered":"","protected":false},"featured_media":0,"template":"","krankheitsort":[137,140],"haufigkeit":[136],"organsystem_krankheiten":[230],"class_list":["post-38338","krankheit-katze","type-krankheit-katze","status-publish","hentry","krankheitsort-bauch-becken-en","krankheitsort-brustkorb-en","haufigkeit-b-en","organsystem_krankheiten-gastrointestinal-tract-liver","entry"],"acf":{"synonyme":"","synonyme_en":"Acid Reflux","titel_en":"Gastroesophageal Reflux (GER)","weitere_suchbegriffe":"","triage":"yellow","triage_begruendung":"Reflux of stomach acid irritates the esophagus; adjusting feeding and medication helps.","definition":"Gastroesophageal reflux (GER) in cats is a condition in which stomach acid and other stomach contents flow back into the cat's esophagus. This reflux can lead to irritation and inflammation of the esophageal lining and is often referred to as acid reflux. ","ursachen":"The esophagus is a muscular tube that connects the throat to the stomach. At the lower end of the esophagus is a ring of muscle, the lower esophageal sphincter, which normally opens to allow food into the stomach and then closes to prevent stomach contents from flowing back. In gastroesophageal reflux (GER), this sphincter does not function properly, causing stomach acid and enzymes to enter the esophagus. \n\nThe causes of gastroesophageal reflux (GER) in cats can be varied. A common cause is a malfunction of the lower esophageal sphincter. This can be caused by mechanical problems, neurological disorders or Inflammatory conditions. Another possible cause is increased pressure in the stomach, which can be caused by excessive gas production or delayed gastric emptying. \n\nOther risk factors include certain medications that delay gastric emptying, such as opioids or some anesthetics. Stress and irregular feeding can also promote reflux. In some cases, an anatomical anomaly, such as a hiatal hernia, can promote gastroesophageal reflux (GER). ","auswahl_symptome_rot":[35086,35389,34603,35045,34833],"auswahl_symptome_blau":[34341,34356,34499,35109,35277],"auswahl_symptome_grun":[34573,34834,34480,34577,35444],"erganzungen_zu_symptomen":"The symptoms of gastroesophageal reflux (GER) in cats can be subtle and difficult to recognize. Affected cats may show signs of discomfort or Pain on swallowing, which may be reflected in a reduced food intake. Occasional Vomiting or regurgitation, especially of undigested food or liquids, is also a common symptom. \n\nAnother sign may be excessive Lip licking or swallowing, which indicates irritation of the esophagus. In some cases, chronic Cough or laryngitis may occur because the reflux acid can irritate the airways. Weight loss and a general deterioration of physical condition can also occur if food intake is impaired. ","diagnose":"The diagnosis of gastroesophageal reflux (GER) in cats can be challenging because the symptoms are often non-specific. The veterinarian will first take a thorough medical history and perform a physical examination. Attention will be paid to signs of Pain on swallowing or regurgitation. \n\nTo confirm the diagnosis, imaging techniques such as X-rays or an endoscopy of the esophagus can be used. An endoscopy makes it possible to directly examine the lining of the esophagus and identify any Inflammatory conditions or damage. In some cases, esophageal pH monitoring can also be performed to measure the acidity in the lower part of the esophagus. ","behandlung":"The treatment of gastroesophageal reflux (GER) in cats aims to relieve symptoms and treat the cause of the reflux. One of the first measures is to adjust feeding habits. Smaller, more frequent meals can help reduce pressure in the stomach and minimize reflux. \n\nMedications that reduce stomach acid production, such as H2 receptor antagonists or proton pump inhibitors, can also be used to protect the lining of the esophagus. Prokinetic drugs, which accelerate gastric emptying, can also be helpful in reducing pressure on the lower esophageal sphincter. \n\nIn severe cases, or if an anatomical anomaly is present, surgery may be required to correct the cause of the reflux. The exact treatment strategy depends on the underlying cause and the severity of the condition. ","prognose":"The prognosis for cats with gastroesophageal reflux (GER) depends on the cause and severity of the condition. With early diagnosis and appropriate treatment, many cats can achieve a good quality of life and effectively control their symptoms. In cases where an underlying condition such as a hiatal hernia is present, the prognosis may vary depending on how successful the surgical correction is. \n\nChronic cases that do not respond well to treatment can maintain a good quality of life with long-term support and regular veterinary check-ups. Close collaboration with the veterinarian is crucial to developing the optimal treatment strategy for each individual cat. ","zusammenfassung":"Gastroesophageal reflux (GER) in cats occurs when the lower esophageal sphincter, a ring of muscle at the end of the esophagus, does not function properly. This allows stomach acid and enzymes to enter the esophagus. This can be caused by mechanical problems, neurological disorders, Inflammatory conditions, or increased pressure in the stomach. Risk factors include certain medications, stress, and irregular feeding. Symptoms include regurgitation of food, loss of appetite, and Pain on swallowing. Weight loss is rare. \n\nThe diagnosis is difficult because symptoms are often non-specific. The veterinarian will perform a medical history and examination and may use imaging or an endoscopy. Treatment aims to relieve symptoms and treat the cause, such as by adjusting feeding habits or medications that reduce stomach acid production. In severe cases, surgery may be necessary. \n\nThe prognosis depends on the cause and severity. With early diagnosis and treatment, many cats can achieve a good quality of life. Prevention includes regular, small meals, a balanced diet, and avoiding heavy food or human foods. Regular veterinary examinations are important to detect health problems early. ","ausblick_auf_aktuelle_forschung":"
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The research outlook on gastroesophageal reflux (GER) in cats begins with an important classification: not every backflow of stomach contents is an independent disease in itself. In feline literature, anesthesia-associated reflux has been studied; however, there is significantly less reliable data for cats regarding a chronic course corresponding to human reflux disease. Accordingly, research is currently focused on the question of which reflux episodes remain clinically inconsequential and which lead to esophagitis, strictures, or aspiration complications. One prospective study found reflux episodes in 33.3% of the cats examined during anesthesia, while more recent reviews state the overall published range to be approximately 12\u201333%. <\/p>\n

The next major step is therefore more precise risk stratification. Studies are needed that collectively evaluate fasting management, anesthesia regimens, airway protection, hiatal diseases, chronic Vomiting, and esophageal motility. Equally important are more sensitive diagnostic procedures such as combined pH-impedance measurement and standardized endoscopic follow-up assessments, because clinical symptoms can be non-specific and severe consequential damage sometimes only becomes visible after a delay. <\/p>\n

Therapeutically, the focus is shifting away from non-specific prophylaxis toward targeted application. Current evidence-based feline literature and the ACVIM consensus paper emphasize that prophylactic acid suppression for reflux prevention under anesthesia is generally not recommended; while omeprazole does increase the pH value, it does not reliably prevent reflux episodes. Future research must therefore clarify which cats actually benefit from preventive or post-reflux-related therapeutic strategies. <\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n

<\/div>","zusatzlicher_inhalt_im_hauptteil_katze":"To prevent gastroesophageal reflux (GER) in cats, it is important to pay attention to feeding habits. Feeding small, frequent meals can help regulate stomach contents and reduce the risk of reflux. Avoid allowing your cat to engage in strenuous activities immediately after feeding, as this can destabilize stomach contents. \n\nMake sure your cat's diet is balanced and appropriate for their age and health needs. Food with a high fat content can weaken the esophageal sphincter between the stomach and esophagus, which can lead to reflux. Talk to your veterinarian about the best food choices for your cat. \n\nAvoid giving your cat human food or unhealthy snacks that could irritate the gastrointestinal tract. Also, make sure your cat does not become overweight, as extra weight can increase pressure on the stomach. \n\nRegular veterinary examinations are important to detect potential health problems early. If your cat is taking medication, discuss with your veterinarian whether it could affect the gastrointestinal tract and whether adjustments are necessary. ","haufig_gestellte_fragen_faqs":"","literaturangaben":"","symptome_ausgeblendet":"","erganzungen":"An interesting overview of gastrointestinal problems in cats, supplemented by information on the intestinal microbiome and the importance of probiotics, can be found here: https:\/\/petsvetcheck.de\/fachbeitrag\/magen-darm-probleme-bei-katzen\/<\/a>","faq":[{"frage":"1. What is gastroesophageal reflux (GER) in cats?","antwort":"Gastroesophageal reflux (GER) is the backflow of stomach acid and stomach contents into the esophagus, which can cause Inflammatory conditions of the esophageal mucosa (esophagitis)."},{"frage":"2. What symptoms do affected cats show?","antwort":"Regurgitation of undigested food shortly after eating, difficulty swallowing, excessive swallowing or Licking, loss of appetite, and occasionally blood in the regurgitated material."},{"frage":"3. What are common causes?","antwort":"Anesthesia (common cause postoperative), hiatal hernia, increased intragastric pressure, certain medications, Overweight, and unfavorable feeding habits."},{"frage":"4. How is it diagnosed?","antwort":"Endoscopy shows redness, erosions, or ulcers of the esophageal mucosa. Fluoroscopy with contrast medium and pH manometry can be used as supplementary tools. "},{"frage":"5. How is it treated?","antwort":"Proton pump inhibitors (omeprazole), H2 blockers, mucosal protectants (sucralfate), prokinetics (metoclopramide), and small, frequent meals."},{"frage":"6. Can reflux lead to esophagitis?","antwort":"Yes, repeated contact of the esophageal mucosa with stomach acid can lead to chronic esophagitis and scar strictures."},{"frage":"7. Which nutritional measures help?","antwort":"Small, frequent meals, an elevated feeding area after anesthesia, low-fat easily digestible food, and no meals directly before sleeping."},{"frage":"8. Is the condition common in cats?","antwort":"GER occurs particularly frequently after anesthesia. The exact prevalence in cats is not fully documented. "},{"frage":"9. Can untreated reflux cause long-term damage?","antwort":"Chronic untreated esophagitis can lead to esophageal strictures, which make swallowing permanently difficult."},{"frage":"10. What is the prognosis?","antwort":"With timely treatment and elimination of the underlying cause, the prognosis is good. Chronic strictures have a more guarded prognosis. 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