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Dr Pai Belleville Il  Form

Dr Pai Belleville Il Form

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now we're gonna get to the guts right talk about GI and then we'll start kind of a tour of the system we'll start with things like that you see all the time gastroesophageal reflux disease it's not just a lowering of the GE sphincter pressure it's multifactorial and probably at least one in ten of you have some heartburn or will have heartburn and depending on how much you indulge tonight and so you can see things like medications can do it so a lot of your cardiac meds calcium channel blocker morphine all of those can cause that and when we look at this we get some complications as a result of that chronic reflux disease can increase some cellular change you can get Barrett's esophagus leading to a low rate of adenocarcinoma the esophagus you can get strictures you can get erosions and bleeding you can get extra GI manifestations so worsening of asthma or aspiration pneumonia and even something as mundane as dental erosions and cavities

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