65 yr old patient with complaint or acid in mouth after eating, chronic cough and regurgitation...
65 yr old patient with complaint or acid in mouth after eating, chronic cough and regurgitation of food. What diagnosis, treatment and differential diagnosis to be considered?
Homework Answers
ANSWER.
* Diagnosis ; GERD (Gastro esophageal reflux disease).
It occurs due to failure of lower esohageal sphincter to
close properly after entry of food from the esophagus to the
stomach.
It results in regurgitation of food,complaints of acid in the mouth
and chronic cough.
* Treatments.
* Antacids
* It helps to neutralize acids in the stomach.
* Eg; Gelusil,Milk of magnesia etc.
* Proton pump inhibitors and H2 receptor blockers.
* Decreases the acid production in the stomach.
* Eg ; Omeprazole,Ranitidine,Cimetidine etc.
* Prokinetics.
* It speed up the gastric emptying process of digestion.
* Eg ; Benzamide,Cisapride,Mosapride etc.
* Surgical management.
* Fundoplication.
* Endoscopic sewing.
* Differential diagnoses.
* Hiatal hernia.
* Esophagitis.
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