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2. If untreated, what are some of the possible complications of GERD? 3. Discuss the medications that Mrs. Robinson is taking

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2. The complications of GERD are :-

- esophageal stricture

- barettes esophagus

- respiratory diseases like bronchitis , pneumonia , asthma

- dysphagia

- reflux esophagitis

3. The medications taken by Robinson are :-

- levofloxacin ( it is an antibiotic to treat infection )

- lansoprazole ( reduce gastric acid by inhibiting cellular pump necessary for secretion )

- ranitidine ( reduce secretion of acid )

4. Foods and medicine that precipitate GERD are :-

Foods :-

- fatty food

- chocolate

- garlic

- spicy foods

- peppermint

- citurs juice

- tomato products

- tobacco chewing

Drugs :-

- anticholinergic

- dopamine

- calcium channel blockers

- benzodiazepines

- nitrates

- nicotine

- theophylline

- TCA 's

5. Mrs. Robinson's weight causes increased pressure and it results in reflux . Recommendation is to reduce her weight and maintain a normal BMI .

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