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.
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a decreased sensitivity or hurt levels
The main takeaway of Juliet’s monologue in this scene is that the only thing that keeps her and Romeo apart is their last names. She argues that names mean nothing because it is not actually a part of a person. She says that it is just another way to keep her and Romeo apart. “What’s in a name? That which we call a rose, by any other word would smell as sweet?” Juliet is saying that names are only used to describe something and she asks why is it that if we call a rose something else, it would take away from the beauty of both the flower and the word. When she says this, the main theme is only names separate them, but they are both of affluent families, so why would she be seen as lesser if she took on the Montague name and shed the Capulet name? But the only problem is that she basically tells Romeo that if he cuts his ties to his family and his name, that he can have her. I guess the most basic theme to draw from this is that “Love is selfish” because she is asking Romeo to change HIS name because she can keep her name and riches.
Seniors age 65 and older should get at least 2.5 hours of moderate aerobic exercise (such as brisk walking) every week. That averages out to about 30 minutes on most days of the week. Or you should get 1 hour and 15 minutes of vigorous exercise (such as jogging) each week.
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the answer is C. Phalloplasty
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