Please enable JavaScript.
Coggle requires JavaScript to display documents.
Precipitating factor - Coggle Diagram
Precipitating factor
Drink a cup of coffee every morning
abnormal
LES relaxation
Drink soda(coke) twice a week.
Drinking 2 glasses of beer every day.
BMI 30.4 kg/m2 (Obese class I)
increase
intra abdominal pressure
Hiatal Hernia:
Portion of the stomach protrudes above diaphragm
LES misaligned with level of diaphragm contraction
LES seal has decrease structural support
Excessive or Prolonged Transient Lower Esophageal Sphincter Relaxation
HCI in stomach can be pushed up by increase intra-abdominal pressure or position changed(lyingdown)
Repeated damage to esopagus
Normal squamous epithelium replaced with columnar cells
1 more item...
Acid Regurgitation
(water brash)
Aspiration of acid into larynx, lungs
1 more item...
Burning pain = Heartburn
On simvastatin 10 mg (statins)
Large meal, Delayed gastric emptying
Gas build up in stomach
Incraese pressure on the cardial
Pressure receotors indirectly stimulate the vagus nerve
Vagus nerve(CN-X) stimulates LES relaxation