GERD

Question 1

What are some non pharmacological advice would you give a patient who is experiencing GERD

Answer 1

Avoid food that lowers your Lower Esophageal Sphincter eg : chocolate
Mint and fatty food

Avoid food that are direct irritant or those which will stimulate acid secretion eg citrus juice , coffee , spicy food.

Reduce your size of meal

Eat 3 hours before going to bed

Avoid laying down immediately after meals

Lose weight

Elevate the head with pillow

Do not smoke and limit alcohol intake

Question 2

OTC antacid used to treat GERD

Answer 2

Maalax
DICA
Anti gas’s liquid

All have MgOH , AlOH , Simeticone

Tums - CaCO3

Bismuth subsalicylate 525 mg /15 ml and tablet

Question 3

Name 2 natural products that can be used to treat GERD

Answer 3

Bethaine HCL - cause increase in Stomoch acid - to break down large protein

Digestive enzymes supplements

Question 4

What are some caution advice that can be given to patient who taking antacids

Answer 4

Antacid that has CaCarbonate like tums my cause constipation

Over use of CaCO3 while on HTCZ or Chlorothizide or Indapamide or calcium supplements or Ca2+ rich food , may cause Alkali Syndrome

An increase in Ca 2+ May decrease the effect of Ca channel blockers HNT drugs

Caution the use of MgOH , and CaCO3 if you have any kidney problems

Question 5

What are some caution advice that is given when talking Asparin or Bismuth subsalicylate

Answer 5

Do not give it to children who are recovering from flu or chicken box or anytyoe of viral illness because this can cause

Reye Syndrome

Pepto Bismal ma cause black stool and black tongue

Question 6

What advice would you give to a patient taking tetracycline and Aluminium OH provide such as MAALAX * or RELCER GEL

Answer 6

Aluminum hydroxide can cause a decrease in the absorption of Tetracycline resulting in a reduced serum concentration and potentially a decrease in efficacy.

Need to space

Question 7

How would you council a patient who is planning to take antacid

Answer 7

Ensure your not allergic to any ingredients

See a doctor if you have severe stomach pain
Don’t take antacids for more than 2 weeks unless your doc direct u to

Do not give antacid to children less than 6 years old

Question 8

Nugel - O

Answer 8

Has

Al Oh
Mg Oh
Simethicone
Oxetacaine