GORD Notes

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chapten6

Giastreo 9otestira dioroen

Giutto OLAophagea) Re Dieasei


<tomach upast
oiseaseio cDhich
qutri'c aed(stomachaid noee
ap intD the aLLophagus aLnin)
ireetafe the
Sphintr
ope

LOwe
|ORsphanea
Spirte

(Helthy) (Gyartn'e Reflu


Ihe phinte opene clesee
autonatécally
’ pH of stonach aid ic J5 to 35
gn the stomch enera meesa
oteet
the sto0neeh egenst kl& othecd
Bicee arbonate

that nectraize Sto hachacd


when he awd teoche te
the the
bpening of cphin tee t
Sore to the wak.

6 LES ( Lowr o0phane


Sphint
)Xceeine abdominal pres wne praanci
foods ine spicy & fried fosde
some drugs lixe antasthmatc.
anthypantesiue, antialeage, ant
dep ant d pain kel|e Ts etc
5) 14ata Hter nia
Her na ( Stomach hernia
y A Conditeon io chi ch part of stomach
the oiaphr ag
mscle chest Cauit.
Hernia -
Abulging or t i e thenah
an bnorma apening
hena
A heria 3ntestene
happeng nthe a a

weakened esce or
’mot people get hernia as thir
&thei meesc le weaen
’Hercnia both
male female 9nteyna hernia
male
9ngina henia
happns cohen 9nteas ne tal|s, &
lie leon nea to the t e ntiley
’ 399uina henia is he Commonest
henia
tyee
heona
( cnduiduee ohich
ex(esei ne
partecpate
ttes
physla) acttity afteo Surgeas
qais ueight, pregnant
patheaeneee's
CeAophageal hpe len titiu
othen

9fla mmatton de to

change in cerophagee Kermitew'ty


lwear ness / relaxed Louwes
a oesop hageeB sphinctet

GeRD
clinia manisetaos
Heartbrn het an
Sensation of eemp io the throat
Bad breatb
Non- phatmcolegie oaragemert
) To aeiol foodu that inreese
Ohich audty tooda on bevarage
En rca<ax the LES C chochelate
pppe ment, Catfeine lcoha), should
be aweided

2) Avai cling meas that slow dean


perstate meve nent
0imitine the faodi tht taxe
keng Fme diqet on
meak
Avaiding
aying
Not iostanly Daying clas
aften eating
eight ontnel
phanmacolega managemeat
OAnto ced - Aluainium heydaoxice
magneim hadroxice
Sodium bicanbonate
magnesiun Carbonte
ta Recep tor Blocxer
(Hesta nine receptort) imetcine
Banetdi ne
famotc'ne
3proton Pmp nhcbetory OmepraZele
reduce the cto mach aed
made by alande in the Rabeprazala
eining of stomach Pastopzazale
blocns gastic H,k-AT Pase LansozaaZale
in
Seeeteonagtrue aud
hib iting qastr'c a d Ssmspaazele
9t reducer the
reJaxaton ot Les,

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