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10239-07_JA2506-Gish.qxd 11/15/06 11:25 AM Page 284 THE APOTHECARY The GERD, the Bad, and the Ugly Diana Gish, CMT, FAAMT astroesophageal reflux dis- cate the need for a biopsy, instru- Protonix, Prevacid, and Prilosec. Gease (GERD) affects approxi- ments can be inserted through The latter four are proton-pump mately 420 million people world- this flexible, thin endoscope, and inhibitors and belong to the fam- ily of -zoles (esomeprazole, wide. Its symptoms include mild a tissue sample can be obtained. pantoprazole, lansoprazole, and to severe characteristics of heart- The Bernstein test, esophageal omeprazole). burn, acid indigestion, or stinging manometry, and pH monitoring Antagonists of the histamine- chest pain. To diagnose GERD, are additional minimally invasive 2 receptor (H2 blockers) belong physicians may order a barium tests used to determine and quan- to the family of “dines”: Pepcid swallow, also known as upper tify the acid and the muscle (famotidine), Tagamet (cimeti- gastrointestinal series. strength or the weakness of the dine), Zantac (ranitidine), and Most people do not eagerly esophagus. Axid (nizatidine) can be pur- wait in line to drink thickened chased over the counter. barium. Barium is a metallic sub- GERD GRIEF Stronger doses are obtained stance found in fluorescent lights,
Journal of the American Association for Medical Transcription – Wolters Kluwer Health
Published: Dec 1, 2006
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