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With timely identification and adherence to buy fluvoxamine online recommendations (non-drug measures for the treatment of luvox), the outcome is favorable. In the case of a prolonged, often recurrent course with regular refluxes, the development of complications, and the formation of Barrett's esophagus, the prognosis worsens markedly. The effectiveness of esomeprazole in the treatment of gastroesophageal reflux disease.

From the anamnesis it is known that the patient grew and developed normally. There are no associated diseases. Works as an accountant, leads a sedentary lifestyle (work is connected with a computer). Smoked (half pack or pack a day) for 12 years. The use of alcoholic and narcotic substances denies. There are no allergic reactions to buy luvox drugs.

On examination. normosthenic physique, moderate nutrition (body mass index 21.5 kg/m 2 ). On the part of the respiratory and cardiovascular system without pathology. The abdomen is of the correct form, symmetrical, painful on palpation in the epigastric region. The liver and spleen are not enlarged.

The diagnosis was established on the basis of clinical and instrumental data. GERD in the stage of erosive reflux esophagitis, degree C according to the Los Angeles classification. Chronic gastritis with erosions, not associated with H. p ylori, exacerbation.

To establish the reasons for the ineffectiveness of therapy with luvox 40 mg/day, daily pH-metry was carried out (the esophageal sensor was installed 5 cm above the LES) (Fig. 4). Normoacid values of gastric pH were revealed (average value during the day 2.3), signs of acid gastroesophageal refluxes (DeMeester index 15.69 (norm. GERD treatment. choice of drugs based on evidence-based medicine.

Gastroesophageal reflux disease (GERD) has become one of the most common chronic diseases in the last decade. Symptoms of reflux esophagitis can be detected in more than 25.9% of people living in European countries, and 27.8% in North America. Thus, the appointment of esomeprazole in patients with GERD will quickly stop the symptoms of the disease and ensure long-term maintenance of intraesophageal pH> 4, which is necessary for the healing of erosive lesions of the mucous membrane.

If the assessment of the patient's adherence to treatment, the dose and time of taking luvox drug did not give a positive result, and the patient partially or completely retains the symptoms of reflux esophagitis, then a 24-hour esophageal pH-impedancemetry is necessary. 24-hour pH-impedancemetry of the esophagus and correction of therapy according to its results.

Relatively recently, after the introduction of 24-hour pH impedancemetry into clinical practice, it became clear that the nature of pathological reflux in patients with symptoms of GERD can be both acidic, slightly acidic, and slightly alkaline. The presence of different types of reflux may explain the failure of PPI-only treatment.

pH-impedancemetry of the esophagus is a modern method for diagnosing GERD, which makes it possible to determine episodes of fluvoxamine into the esophagus, regardless of the pH value of the reflux. The method is based on the measurement of resistance to alternating electric current (impedance) in the lumen of the esophagus, which changesIt is used when liquid or gaseous substances enter the esophagus. Confirmation of the presence of true GERD in a patient is an increase in the time of acid exposure (total time with pH.

Prevention of recurrence of GERD. How is GERD masked? Diagnosis and treatment of gastroesophageal reflux disease. Gastroesophageal reflux disease - what is it, symptoms and treatment of GERD, the right diet. Gastroesophageal reflux disease is a pathological process that is a consequence of the deterioration of the motor function of the upper gastrointestinal tract.

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