GASTROESOPHAGEAL Essay Example | Topics and Well Written Essays - 750 words

GASTROESOPHAGEAL - Essay Example The high prevalence GERD in combination with the relatively high cost of medication of acid lowering medication leads to a significant socioeconomic burden to the patient. The symptoms are classified into typical, atypical, and esophageal symptoms. The typical symptoms are the heartburns and regurgitation of acid which have low sensitivity but high specificity for GERD. The atypical symptoms are epigastric pain, nausea, dyspepsia, belching and bloating though they may overlap with other diagnosis of other diseases such as peptic ulcer disease, gastritis, achalasia, gastroparesis and dyspepsia. Lastly, there are the extraesophageal symptoms which include chronic cough, laryngitis, asthma, and dental erosion. It is important for the physician to take into consideration of behavioral and physical factors when making decision about the management of the disease for the patient with symptoms of persistent reflux (Kahrilas, 2012). The following lifestyle habits may lead to GERD and increase its risk. Theses includes obesity, smoking, exercising or strenuous activities immediately after eating, Lying down staring or bending over after eating. In addition, the consumption of the following beverages may lead to the increased risk of GERD; namely, excessive consumption of alcohol, products that are caffeinated, citrus fruits, chocolate, fried foods, foods made with tomatoes such as chili, spaghetti sauce, and pizza and finally the spicy foods. Eating a heavy meal and then lie on the back or bend over from the waist. The respiratory disease may also be a risk factor of GERD. Finally, the hormone replacement therapy may lead to high risk of GERD as it may occur in the postmenopausal women. The risk increases with the larger doses of estrogen and longer duration of the therapy. Pregnant women are also vulnerable to GERD in their third trimesteras the growing uterus exerts

Analysis essay Example | Topics and Well Written Essays - 1000 words - 8

Analysis - Essay Example From â€Å"as I perchance hereafter shall think meet/ to put a disposition on† (Act 1 Scene 5, Act 2 Scene 1). When Ophelia tells his father Polonius that there are some strange characteristics seen in Hamlet, we can see that Hamlet is not willing to let people know what is actually going on. In addition, when there is a group of people coming to perform in the palace, Hamlet comes up with a bright idea on how best to illustrate and expose his father’s murder and the responsible party. He directs a play that shows how the king died to see the king’s brother rise to kingship. This play is able to perfectly prove that Claudius is indeed the King’s murderer. â€Å"There is a play tonight before the king: which I told thee of my father’s death† (Act 3 Scene 2). From that, we can see that Hamlet really wants to know who the murderer of his father really is. Thirdly, when Polonius is talking to Hamlet, and use word to baffle frustrate. â€Å"My lo rd, the queen would speak with you, and presently/ do you see yonder clouds that’s almost in shape of a camel† (Act 3 Scene 3). However,  even though he tries to approach the issue with utmost moderation, "Hamlet" somehow fails and shows rash and impulsive behavior instead. It is amazing agility but little or no premeditation when he stabs Polonius through the curtain, he does not even take time to check to see who really is behind the curtain. He seems to step easily into the role of a madman, which is not his normal behavior, to disturb other characters with his wild speech and pointed innuendo.   After reading the whole play, it is Hamlet who one sympathizes with. Even though he is smart, he is controlled by fate to do some things that he does not intend to do, and a sense of powerlessness to resist his actions. In the play, Hamlet always reflects the spirit of such a tragedy. â€Å"To be, or not to be: this is the question: Whether it is nobler in the mind of suffer. The slings and arrows of outrageous fortune,