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gastroesophageal reflux disease (GERD)
a disease where stomach contents return to the esophagus because of
relaxation of the lower esophageal sphincter or gastroparesis, which leads to increased abdominal pressure
manifestations of GERD
heartburn, dyspepsia
risk factors of GERD
Infancy (positional and reduced sphincter tone), increased intra-abdominal pressure (obesity, pregnancy), smoking, diet (fats, coffee, alcohol), lupus
peptic ulcer disease
a breakdown in the protective mucosal lining of the lower esophagus, stomach or duodenum; ulcers can be single or multiple, acute or chronic, and superficial (more properly called “erosions”) or deep; manifestations include epigastric pain, nausea and vomiting
hematemesis
vomiting of blood, bright red or “coffee ground”
melena
black foul-smelling stools