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Is there frequent regurgitation? If there is frequent regurgitation, the most likely diagnosis is reflux esophagitis and hiatal hernia. Gastritis and a previous gastrectomy will also cause frequent regurgitation.
Is there recurrent nausea or ... DIAGNOSTIC WORKUP
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Is there a history of drug or alcohol ingestion? Alcohol, tobacco, aspirin, other nonsteroidal anti-inflammatory drugs, steroids, caffeine, and antibiotics are just a few of the drugs that may irritate the stomach. ... DIAGNOSTIC WORKUP
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Is there dysphagia? The presence of difficulty swallowing should suggest carcinoma of the esophagus, esophageal strictures, esophageal diverticulum, achalasia, aortic aneurysm, and other mediastinal masses.
Is there significant ... DIAGNOSTIC WORKUP
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Heartburn is a term commonly used by patients and must be carefully evaluated to ensure accurate understanding of the symptoms. Typically, the term “heartburn” describes a substernal and/or epigastric burning pain associated with a “... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... True heartburn (see also sections on indigestion, page 327 and anorexia, page 60) may be defined as a burning pain in the substernal area or midepigastrium, which is usually increased by swallowing and which is almost invariably due to esophagitis from gastric reflux. There
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... This is a vague term, and if the patient is put on the spot, he or she will usually describe the problem as heartburn, regurgitation of water brash, fullness in the stomach, or frequent belching following meals. Usually the patient"s appetite is not affected nor is there any
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... Dyspepsia refers to an uncomfortable fullness after meals that's associated with nausea, belching, heartburn and, possibly, cramping and abdominal distention. Frequently aggravated by spicy, fatty, or high-fiber foods and by excess caffeine intake, dyspepsia... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Esophageal diverticula are hollow outpouchings of one or more layers of the esophageal wall. They occur in three main areas: just above the upper esophageal sphincter (Zenker’s, or pulsion, diverticulum, the most common type); near the midpoint of... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Dyspepsia refers to an uncomfortable fullness after meals that’s associated with nausea, belching, heartburn and, possibly, cramping and abdominal distention. Frequently aggravated by spicy, fatty, or high-fiber foods and by excessive caffeine intake,... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Differential Overview
Dysphagia
❑ Infectious esophagitis
❑ Reflux stricture
❑ Zenker diverticulum
... Diagnostic Approach ... Clinical Findings
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... An esophageal diverticulum is an epithelial-lined mucosal pouch that protrudes from the esophageal lumen. Esophageal diverticula are classified according to their location: just above the upper esophageal sphincter (Zenker’s, or pulsion, diverticulum is the most common type)... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Dyspepsia refers to an uncomfortable fullness after meals that’s associated with nausea, belching, heartburn and, possibly, cramping and abdominal distention. Frequently aggravated by spicy, fatty, or high-fiber foods and by excess caffeine intake,... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Dyspepsia refers to an uncomfortable fullness after meals that's associated with nausea, belching, heartburn and, possibly, cramping and abdominal distention. Frequently aggravated by spicy, fatty, or high-fiber foods and by excess caffeine intake,... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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True heartburn (see also sections on indigestion, page 271 and anorexia, page 48) may be defined as a burning pain in the substernal area or
midepigastrium, which is usually increased by swallowing and which is almost
invariably due to esophagitis from... Pictures
... READ EXCERPTS »
...
This is a vague term, and if the patient is put on the spot, he or she
will usually describe the problem as heartburn, regurgitation of water
brash, fullness in the stomach, or frequent belching following meals.
Usually the patient’s... Pictures
... READ EXCERPTS »
... James P. Franciosi, MD, MSChris A. Liacouras, MD Eosinophilic Esophagitis - BASICS Eosinophilic Esophagitis - description Eosinophilic esophagitis (EE) is a clinical, pathologic diagnosis characterized ... Eosinophilic Esophagitis - DIAGNOSIS ... Eosinophilic Esophagitis - TREATMENT ... Eosinophilic Esophagitis - bibliography ... Eosinophilic Esophagitis - CODES ... Eosinophilic Esophagitis - FAQ
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Heartburn has millions of Americans running to the shelves of their supermarkets and drugstores to end their discomfort. Most of the time,...
Choosing heartburn medicines is easier if you know how they work against acid. In this program, experts explain the difference among common...
Heartburn can be a nuisance at any time of day, but for many people the greatest frustration happens at night. Not only can heartburn get in the way...
Most of us know what heartburn is like -- in fact, 60 million Americans feel that sharp, burning sensation in their chest at least once a month. But...