Typical Symptoms of GERD/Esophagitis/Gastritis

Negative Imaging for other pathology

Other etiologies (ACS etc) Ruled out as clinically indicated 

Treatment in ED without complete resolutions of symptoms. 

Vague, poorly described abdominal pain

Diagnosis not clear

Unstable vitals

Alternative diagnoses (ACS, Pancreatitis, Other abdominal pathology) not ruled out. 

Symptoms improved or improving

Normal Vital Signs

Ambulatory at at baseline level of function

Follow up plan established

Unstable vital signs or worsening clinical condition

 Significant lab or imaging abnormalities

 Patient unable to tolerate PO or ambulate