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GERD (Risk factor (POSITION/ ACTIVITY (Bending, Straining), EXTERNAL…

- - - - Antacid
        
        Uses
        
        first-line therapy for intermittent (less than 2
        times/week) symptoms
      - H2 Antagonist
        
        Reversible
        
        Intermittent mild-moderate GERD symptoms
        
        preventive dosing before meals or exercise
        
        Higher doses required
        
        for more
        severe symptoms f
        
        for maintenance dosing
      - Surgically intervention
        
        Anti-reflux surgery
      - Promotility Agents
        
        Metoclopramide
      - PPI
        
        Irreversible inhibition
        
        longer duration of action than
        H2RAs
        
        Most effective agents
    - - Avoid tight clothing
      - Weight Reduction
      - Diet Modification
      - Avoid eating before bedtime

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