For this one, your answer is C. Refined Sugars :)
If a patient with symptoms of GERD states that he has been self-treating at home with over-the-counter (otc) ranitidine daily, the next appropriate treatment would be option(b) i.e, Proton pump inhibitor (omeprazole) for 12 weeks.
When stomach acid continually rushes back into the tube between your mouth and stomach, it causes gastroesophageal reflux disease (GERD) (esophagus). Your esophageal lining may become irritated by this backwash (acid reflux). Many people occasionally have acid reflux.
A digestive disorder is GERD. It is brought on by stomach acid refluxing up into your food pipe (esophagus). The most typical GERD symptom is heartburn. Being overweight, overeating, consuming caffeine and alcohol, as well as eating chocolate and spicy foods, are some lifestyle choices that may contribute to GERD.
Stomach acid is blocked and its production is decreased as a result of the Proton pump inhibitor. This allows for the healing of any damaged esophageal tissue. PPIs can aid in preventing heartburn, which frequently accompanies GERD.
To know more about GERD refer to: brainly.com/question/5131555
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For the person infected, they may not be able to carry out things they normally do in their day to day life. For family or near by friends, this could cause a big impact on them as they may need to start helping with jobs (e.g. buying food, administering medicine etc).
If the disease is infectious, there is also risk of spreading the disease to people who make contact. It depends on the type of disease as to how it is spread, but this can cause close people to become ill.
When diseased, some people can become seriously poorly. This puts stress onto family and others as they care/love for the person infected. If this stress is not handled properly, it can develop into sleep deprivation, anxiety, depression etc.