Clinic for gastroesophageal reflux disease management

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Reference no: EM133718991

Question

A 64-year-old, Latin female patient was referred to your Clinic for gastroesophageal reflux disease (GERD) management after cardiac issues were ruled out. She has difficulty sleeping because of a burning feeling in chest at night which wakes her up. She notices more severe symptoms on the weekends. She is married and lives with her husband (a retired engineer) of 40 years. She and her husband have two sons, aged 37 and 35. She served in the Army for six years. She works as a legal assistant for law firm. She Smokes 5 cigarettes per day ( down from 1 ppd 2 years ago) and has 2-3 drinks on weekends, especially beer with dinner from the food trucks. What typical and atypical symptoms of GERD does the patient have? Which of the patient's lifestyle and medications can make the GERD symptoms worse? Which of the patient's medications decrease lower esophageal sphincter pressure? What is the drug of choice for the patient's acid suppression therapy, and how long should the patient be treated?

Reference no: EM133718991

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