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Correspondingly, sphincter length, and the length exposed to intra-abdominal pressure; bile acids may also play a role in esophagitis, especially in patients with pre- vious gastric surgery Symptoms and signs include retrosternal and epigastric burning pain that occurs after eating and while sleeping or lying down and is relieved by drinking liquids, taking antacids, or standing or sit- ting up; regurgitation of bitter or sour-tasting fluid; pulmonary symptoms (wheezing, dyspnea) from aspiration Esophagoscopy and biopsy determine presence and degree of esophagitis and Barrett metaplasia; manometry shows decreased mean resting pressure in lower esophageal sphincter; pH moni- toring reveals increased exposure of lower esophagus to acid, cor- relating with symptom onset s Differential Diagnosis Cholelithiasis Diverticulitis Peptic ulcer disease Achalasia Coronary artery disease s Treatment Asymptomatic hiatal hernia requires no treatment Fundoplication: intra-abdominal placement of gastroesophageal junction (GEJ) and buttressing of gastroesophageal sphincter Surgery is indicated for persistent or recurrent symptoms despite good medical therapy; development of strictures Medications: H2-receptor blockers, proton pump inhibitors; recur- rence is usual when drugs are discontinued Prognosis: 90 of patients experience a good result after sur- gery; 8085 of cases of esophagitis heal after treatment with a proton pump inhibitor s Pearl New-onset bronchospasm in an adult may be due to gastroesophageal reflux and minor, repeated pulmonary aspirations.

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The main difference between a man with impotence & a healthy man is about 2-3 years of life!

Don’t rack you brain! Just go and buy the medicine, I tell you!

JUST SUPER, great, awesome))

Sorry for that I interfere ... I have a similar situation. Can be discussed.

It is a pity that now I can not express - hurry to work. But be free - be sure to write what I think.

I agree, a wonderful thing

Sorry, I thought about it and deleted the message

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