Chat with us, powered by LiveChat How do antacid medication work in patients with gastroesophageal reflux? | WriteDen

How do antacid medication work in patients with gastroesophageal reflux?

Order Instructions

Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition

Esophageal Reflux

Case Studies

A 45-year-old woman complained of heartburn and frequent regurgitation of “sour” material into her mouth. Often while sleeping, she would be awakened by a severe cough. The results of her physical examination were negative.

Studies

Results

Routine laboratory studies

Negative

Barium swallow (BS), p. 941

Hiatal hernia

Esophageal function studies (EFS), p. 624

Lower esophageal sphincter (LES) pressure

4 mm Hg (normal: 10–20 mm Hg)

Acid reflux

Positive in all positions (normal: negative)

Acid clearing

Cleared to pH 5 after 20 swallows (normal: <10 swallows)

Swallowing waves

Normal amplitude and normal progression

Bernstein test

Positive for pain (normal: negative)

Esophagogastroduodenoscopy (EGD), p. 547

Reddened, hyperemic, esophageal mucosa

Gastric scan, p. 743

Reflux of gastric contents to the lungs

Swallowing function, p. 1014

No aspiration during swallowing

Diagnostic Analysis

The barium swallow indicated a hiatal hernia. Although many patients with a hiatal hernia have no reflux, this patient’s symptoms of reflux necessitated esophageal function studies. She was found to have a hypotensive LES pressure along with severe acid reflux into her esophagus. The abnormal acid clearing and the positive Bernstein test result indicated esophagitis caused by severe reflux. The esophagitis was directly visualized during esophagoscopy. Her coughing and shortness of breath at night were caused by aspiration of gastric contents while sleeping. This was demonstrated by the gastric nuclear scan. When awake, she did not aspirate, as evident during the swallowing function study. The patient was prescribed esomeprazole (Nexium). She was told to avoid the use of tobacco and caffeine. Her diet was limited to small, frequent, bland feedings. She was instructed to sleep with the head of her bed elevated at night. Because she had only minimal relief of her symptoms after 6 weeks of medical management, she underwent a laparoscopic surgical antireflux procedure. She had no further symptoms.

Critical Thinking Questions

1. Why would the patient be instructed to avoid tobacco and caffeine?

2. Why did the physician recommend 6 weeks of medical management?

3. How do antacid medication work in patients with gastroesophageal reflux?

4. What would you approach the situation, if your patient decided not to take the medication and asked you for an alternative medicine approach?

HOW OUR WEBSITE WORKS

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of 
HIGH QUALITY & PLAGIARISM FREE.

Step 1

To make an Order you only need to click ORDER NOW and we will direct you to our Order Page at WriteDen. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
 Deadline range from 6 hours to 30 days.

Step 2

Once done with writing your paper we will upload it to your account on our website and also forward a copy to your email.

Step 3
Upon receiving your paper, review it and if any changes are needed contact us immediately. We offer unlimited revisions at no extra cost.

Is it Safe to use our services?
We never resell papers on this site. Meaning after your purchase you will get an original copy of your assignment and you have all the rights to use the paper.

Discounts

Our price ranges from $8-$14 per page. If you are short of Budget, contact our Live Support for a Discount Code. All new clients are eligible for 20% off in their first Order. Our payment method is safe and secure.

Please note we do not have prewritten answers. We need some time to prepare a perfect essay for you.