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Medications for decreasing acidity are used for peptic ulcer, gastroesophageal reflux disease (gerd), and many forms of gastritis Treatment is typically with a proton pump inhibitor plus 2 antibiotics and. Some medications are used in regimens for treating helicobacter pylori infection
Incompetence of the lower esophageal sphincter allows reflux of gastric contents into the esophagus, causing burning pain Diagnosis is by urea breath test, stool antigen test, and testing of endoscopic biopsy samples Prolonged reflux may lead to esophagitis, stricture, and rarely metaplasia or cancer
Diagnosis is clinical, sometimes with endoscopy, with or without acid testing
Treatment involves lifestyle modification, acid suppression using proton pump inhibitors, and sometimes. Gastroesophageal reflux is the movement of gastric contents into the esophagus It may be physiologic or pathologic When pathologic, it is also known as gastroesophageal reflux disease (gerd)
Gerd is reflux that causes complications in infants such as irritability, upper gastrointestinal bleeding, respiratory problems, and poor growth Diagnosis is often made clinically and could include a. The principal indications are to document excessive acid or nonacid reflux to correlate symptoms with reflux episodes to identify candidates for antireflux surgery to evaluate the effectiveness of medical or surgical. The physical examination might begin with inspection of the oropharynx to assess hydration, ulcers, or possible inflammation
Inspection of the abdomen with the patient supine may show a convex appearance when bowel obstruction, ascites, or, rarely, a large mass is present
Auscultation to assess bowel sounds and determine presence of bruits should follow This test is used to evaluate patients with dysphagia, heartburn, regurgitation, or chest pain It measures the pressure in the upper and lower esophageal sphincters, determines the effectiveness and coordination of propulsive movements, and detects abnormal contractions Esophageal manometry can be used to diagnose esophageal motility disorders such as achalasia, distal spasm, systemic.
Diagnosis is by endoscopy with biopsy Treatment includes proton pump inhibitors, topical corticosteroids, a biologic, dietary changes, and sometimes esophageal dilation. Symptoms of peptic ulcer disease depend on ulcer location and patient age Many patients, particularly older patients, have few or no symptoms
Pain is most common, often localized to the epigastrium and relieved by food or antacids.
Infection may be asymptomatic or result in varying degrees of dyspepsia
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