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Gastroesophageal reflux disease
A 28-year-old man presents with a history of indigestion and heartburn that has occurred several times a week for the past 2 years. He also complains of a 1-month history of a nonproductive cough, particularly at night. He has smoked 1 pack of cigarettes a day for the last 10 years, and he drinks a 6-pack of beer on weekends. He takes ibuprofen twice daily for a burning sensation in his throat.
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Dyspepsia guidelines reaffirm that drugs work
The American Gastroenterological Association (AGA) issued newly revised guidelines for the evaluation and treatment of dyspepsia late last year. Pharmacotherapy with proton pump inhibitors remains the primary treatment modality, but the AGA has backed off from earlier recommendations for endoscopic examination of patients in early middle age.
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Pediatric Practice: Heading off the dangers of acute gastroenteritis
Acute gastroenteritis has many possible causes but two main treatments--oral rehydration and early refeeding. Despite their proven effectiveness in preventing life-threatening dehydration from diarrhea, they are still underused.
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Esophageal impedance monitoring: What a new test tells us about infants who reflux
Initial clinical studies of a tool that measures impedance in the esophagus provide new insight into acid reflux disease. The offices of pediatric gastroenterologists are filled with infants whose pediatricians have diagnosed gastroesophageal reflux disease. Infants with arching, crying, spitting, and food refusal are being diagnosed with GERD.
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