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Compare and contrast Crohns disease with Ulcerative Colitis.

Condition Pathophysiolog y Manifestation s Complication Medications Treatment s


Causes- weakened lower esophageal sphincter Contributing factors- caffeine, alcohol, certain meds, and mints, carbonated beverages. DIAGNOSIS endoscopy or barium swallow to evaluate damage to the esophageal mucosa. Ambulatory 12- to 36-hour esophageal pH monitoring is used to evaluate the degree of acid reflux. Bilirubin monitoring (Bilitec) is used to measure bile reflux patterns.

pyrosis (burning sensation in the esophagus), dyspepsia (indigestion), regurgitation, dysphagia or odynophagia (pain on swallowing), hypersalivation, and esophagitis. The symptoms may mimic those of a heart attack.

longstanding untreated GERD may lead to Barretts esophagus An esophagogastroduodenoscop y (EGD) is performed. This usually reveals an esophageal lining that is red rather than pink. Biopsies are performed, and high-grade dysplasia

If reflux persists, antacids or H2 receptor antagonists, such as famotidine (Pepcid), nizatidine (Axid), or ranitidine (Zantac), may be prescribed. Proton pump inhibitors (medications that decrease the release of gastric acid, such as lansoprazole [Prevacid], rabeprazole [AcipHex], esomeprazole [Nexium], omeprazole [Prilosec], and pantoprazole [Protonix]) may be used; however, these products may increase intragastric bacterial growth and the risk of infection. In addition, the patient may receive prokinetic agents, which accelerate gastric emptying. These agents include bethanechol (Urecholine), domperidone (Motilium), and metoclopramid e (Reglan). Because metoclopramid

The patient is instructed to eat a low-fat diet; to avoid caffeine, tobacco, beer, milk, foods containing peppermint or spearmint, and carbonated beverages; to avoid eating or drinking 2 hours before bedtime; to maintain normal body weight; to avoid tightfitting clothes;to elevate the head of the bed on 6- to 8-inch

e can have extrapyramidal side effects that are increased in certain neuromuscular disorders, such as Parkinsons disease,

Peptic ulcer disease PUD

A peptic ulcer may be referred to as a gastric, duodenal, or esophageal ulcer, depending on its location. A peptic ulcer is an excavation (hollowed-out area) that forms in the mucosal wall of the stomach, in the pylorus (the opening between the stomach and duodenum), in the duodenum (the first part of the small intestine), or in the esophagus.

Gastric Cancer

Irritable bowel syndrome IBS Diverticuliti s

Ulcerative Colitus

Crohns Disease

Colorectal Cancer