Showing Page:
Acid Reflux Disease
Student Name
Institution Affiliation
Instructor's Name
Showing Page:
Additional information to obtain from Marty
Additional information to obtain from Marty would be to seek whether he has some
prevailing symptoms. These symptoms could be a burning sensation or discomfort which may
extend from the stomach to the abdomen, chest, or even the throat, causing a bitter-tasting acid
that backs up into the throat or mouth (Stuart, 2020). The doctors could use other symptoms
such as heartburn and regurgitation to diagnose severe acid reflux. They could also do some on
Marty to determine the severity of his condition. These tests include:
Esophageal manometry examines the functionality and mobility of the
esophagus and lower esophageal sphincter.
An esophagram (barium swallow) can detect ulcers or esophageal constriction.
To make structures start showing up on an X-ray, Marty should first swallow a
Endoscopy will examine his esophagus and stomach for any issues. Insertion of
a long, flexible, illuminated tube with a camera down the throat helps the
examination. The doctor will spray an anesthesia at the back of his throat and
provide a sedative to keep him more comfortable.
pH monitors help in detecting the acid in the esophagus. The doctor implants
equipment into the esophagus and keeps it in place for 1 to 2 days to test the
acid concentration in the esophagus.
Medications to consider for Marty's symptoms
A combination of lifestyle adjustments and over-the-counter drugs is all he needs to manage
acid reflux clinical manifestations in many situations. Antacids including Rolaids,
Riopan, Alka-Seltzer, Mylanta, or Maalox can help to neutralize stomach acid (Stuart, 2020).
It is preferable to take antacids that have both aluminum hydroxide and magnesium in them. If
Showing Page:
the antacids will not be helpful to Marty, there is a need to subject him to other prescribed
medications. Some of these suggested medications may include the following:
Gaviscon and other foaming agents coat the stomach to prevent reflux.
H2 blockers such as Tagamet and Pepcid reduce acid production.
Prokinetics (Urecholine, Reglan) can reinforce the LES, speed up stomach emptying,
and minimize acid reflux.
Proton pump inhibitors also lower the quantity of acid produced by the stomach.
Assessment of Severe Acid Reflux
Subjecting Marty to various physical examinations will help to assess severe acid reflux
(Stuart, 2020). These examinations involve the following:
Esophagogastroduodenoscopy- enables visibility of the mucosa to detect peptic
esophagitis, peptic ulcer disease, strictures, and Helicobacter pylori infection in
patients who are refractory to medical therapy.
Manometry- helps examine lower esophageal sphincter (LES) function
and esophageal motility.
Esophagography- under fluoroscopic control, esophagography can disclose the
stability of esophageal peristalsis
Gastric scintiscan- A gastric scintiscan investigation can evaluate stomach emptying
and show reflux by utilizing milk or formula containing a small quantity of
technetium sulfur colloid.
Histologic findings- Basal cell hyperplasia, mucosal eosinophils, and expanded
papillae are histologic markers of peptic esophagitis.
Upper GI imaging series- Contrast imaging assesses the physiology of the upper
gastrointestinal system; however, it is neither diagnostic nor precise for
gastroesophageal reflux.
Showing Page:
Intraluminal esophageal electrical impedance (EEI)- effectively diagnose nonacid
and acid reflux by monitoring retrograde circulation in the esophagus.
Guidelines to effectively treat acid reflux
According to Stuart, some guidelines could play a significant role in treating Marty's
acid reflux condition. The guidelines include:
Marty should change the kinds of foods he consumes and consume smaller
portions more frequently during the day.
If Marty is a smoker, he should quit smoking
Place blocks beneath his bed's headboard to elevate it at least four to six
Feed for at least two to three hours before actually lying down.
Marty should not wear tight clothing
If he is overweight, he should do exercise and change his diet to lose weight
Showing Page:
Stuart, A. (2020). What Is Acid Reflux Disease?

Unformatted Attachment Preview

Name: Description: ...
User generated content is uploaded by users for the purposes of learning and should be used following Studypool's honor code & terms of service.