GI Disorders

Question 1

What are the clinical manifestations of GERD

Answer 1

pyrosis and regurgitation

bloat, belch, nausea

epigastric pain

sore throat /hoarse/chronic cough/ halitosis

Question 2

what is Pyrosis

Answer 2

heartburn

Question 3

What 3 things worsens GERD

Answer 3

meals
trigger foods
lying down

Question 4

What is the stomach content that moves into the esophagus during GERD called

Answer 4

chyme

Question 5

What maintains a pressure barrier between the stomach and the esophagus

Answer 5

lower esophageal sphincter (LES)

Question 6

What supports the LES? (2)

Answer 6

tone of diaphragm
esophageal hiatus

Question 7

Decreased LES tone results in ___________ reflux

Answer 7

increased

Question 8

What are triggers that decrease LES tone
(5 things) (4 meds)

Answer 8

caffeine
onions, garlic
alcohol, tobacco
mint
fatty meats

MEDs: antihistamines, oral contraceptives, CCBs, anticholinergics

Question 9

What are 4 things when indicated that you can do to increase LES tone

Answer 9

avoid trigger foods
consider meds SE
Avoid tight clothes
Weight loss