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How to guide patients away from fad diets and toward healthy eating
Low-carb, low-fat, and low-calorie diets permeate the popular media,but which diet your patients choose is not as important as the need for them to follow a nutritional plan that results in weight loss.
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Gastroesophageal reflux disease
A 28-year-old man presents with a history of indigestion and heartburn that has occurred several times a week for the past 2 years. He also complains of a 1-month history of a nonproductive cough, particularly at night. He has smoked 1 pack of cigarettes a day for the last 10 years, and he drinks a 6-pack of beer on weekends. He takes ibuprofen twice daily for a burning sensation in his throat.
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Dyspepsia guidelines reaffirm that drugs work
The American Gastroenterological Association (AGA) issued newly revised guidelines for the evaluation and treatment of dyspepsia late last year. Pharmacotherapy with proton pump inhibitors remains the primary treatment modality, but the AGA has backed off from earlier recommendations for endoscopic examination of patients in early middle age.
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Pediatric Practice: Heading off the dangers of acute gastroenteritis
Acute gastroenteritis has many possible causes but two main treatments--oral rehydration and early refeeding. Despite their proven effectiveness in preventing life-threatening dehydration from diarrhea, they are still underused.
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