PPIs
Optimizing PPIs for GERD
As a GI pharmacist, you play a key role in optimizing proton pump inhibitors (PPIs) for gastroesophageal reflux disease (GERD) . PPIs are still the mainstay for severe or frequent GERD symptoms, such as heartburn or regurgitation 2 or more times/week. Recommend starting with a standard-dose PPI (omeprazole 20 mg, etc) once daily 30 to 60 min …
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Respiratory and Allergy
The link between asthma and GERD
Is there a link between asthma and GERD ? Gastroesophageal reflux (GERD) is common among patients with asthma but often causes mild or no symptoms. Some asthma patients are given a PPI , even if they don't have typical GERD symptoms such as heartburn ... That's because even patients without overt GERD symp…
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Pregnancy and Breastfeeding
Dyspepsia and gastro-esophageal reflux during pregnancy
Overview ㅡ Dyspepsia is a term used to describe a number of symptoms associated with the upper gastrointestinal tract that may include upper abdominal pain or discomfort, a feeling of upper abdominal 'fullness' or 'heaviness', reflux, heartburn, belching, nausea, and vomiting... Causes. Dyspepsia in pregnancy is commonly due to gastro-esophage…
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Stress Ulcer
Management of gastroesophageal reflux disease
OVERVIEW ㅡ Gastroesophageal reflux disease (GERD) is a common chronic, relapsing condition that is associated with a risk of significant morbidity and the possibility of mortality from complications. Patients have heartburn, the hallmark of acid regurgitation, at least once a month. Many patients self-diagnose and self-treat, and do not seek medical attention for th…
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PPIs
Approach to gastritis
Introduction ㅡ Gastritis is the acute or chronic inflammation of the gastric mucosa. The acute form is the most common stomach disorder. Gastritis may occur with other serious conditions, such as atrophy of the stomach. Table (1). Causes of gastritis Comment …
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