Background: Gastroesophageal reflux disease is a common disorder affecting a large section of the community .In addition, the numerous complications of chronic GERD especially Barrett’s oesophagus necessitate adequate diagnosis and treatment of this common entity. Methods: A prospective study was conducted on the patients visiting the medicine OPD/Gastro-enterology clinic at AIIMS, Patna. with symptoms suggestive of GERD. The clinical symptoms, possible risk factors and endoscopic findings were studied and analysed. Conclusion: Symptomatic GERD may not be associated with endoscopic evidence of oesophagitis and reinforced the fact that NERD is a common entity, which forms a considerable proportion of patients seeking medical attention for reflux symptoms. However since the patients with Barret’s oesophagus are at a higher risk of developing adenocarcinoma, it is suggested that all patients with reflux symptoms should be subjected to UGI endoscopy and biopsy