Case 1

a. What are the therapeutic goals for the treatment of W.J.s GERD?

Alleviate or eliminate the patients symptoms

Decrease the frequency or recurrence and duration of gastroesophageal reflux
Promote healing of the injured mucosa
Prevent the development of complications

b. What lifestyle and dietary changes may potentially reduce W.J.s GERD symptoms?

Weight loss
Elevation of the head of the bed in order to prevent acid reflux when lying down
Consumption of smaller meals and not eating 3 hours prior to sleeping
Quit smooking
Avoidance alcohol and coffee

c. Which OTC treatment options (if any) would you recommend for W.J.?

Antacids
H2 - receptor antagonist
Proton pump inhibition (PPI)

Case 2

a. What diagnostic modalities are available for the evaluation of her GERD?

To find out if you are suffering from GERD, doctors enough to ask the symptoms
experienced and he can determine the diagnosis. Further testing recommended to L.F because
she had pain and difficult to swallowing, and the symptoms do not get over after taking
medication.

Further tests carried out to make sure the symptoms are not due to other diseases such
as irritable bowel syndrome or IBS. There are four further tests to check for GERD, such as
manometry, endoscopy, esophageal acidity monitoring, and barium test .

b. What the treatment options exist for L.F.?

Proton Pump Inhibitors (PPI)

H2-Receptor Antagonists
Antacids

c. Is L.F. a candidate for long-term maintenance therapy?

Yes, because L.F. still experiencing the symptoms of GERD again after she stopped
the treatment.