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GERD :P

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QuestionAnswer
GERD Reflux of gastric secretions from the stomach to the esophagus.
Predisposing factors Hiatal hernia, weak lower LES, alcohol, decreased gastric emptying and decreased clearance.
Etiology Acidic gastric secretions reflux causes irritation and inflammation.
S & SX: Heartburn. This occurs more than once a week or at night. Regurgitation is common. It is described as bitter and sour liquid coming into the mouth. GI symptoms include: bloating, N & V.
Complications: Esophagitis, Barret's esophagus, respiratory irritation/problems and dental problems.
DX: Barium studies; biopsy; esophageal pressure measures & pH monitoring.
Care: Lifestyle changes Avoid foods that trigger it. Stop smoking.
Care: Nutrition therapy Decrease high fat intake, avoid milk at night, avoid foods/fluids with caffiene and late night snacking.
Drugs: H2 receptor blockers, Antacids, proton pump inhibitors, sucralfate and prokinetic drugs.
Prevention: Avoid factors that trigger it. For example, stop smoking & avoid acid producing foods. Elevate the HOB @ 30 degrees. Do not lie down after 2 to 3 hours after eating. Drug therapy: evaluate the effectiveness and observe for side effects.
Created by: libbygal_77
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