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Answer :
Final answer:
Several factors, such as smoking and being overweight, can contribute to GERD. Nutritional counseling should focus on reducing reflux by avoiding trigger foods and following a GERD-friendly diet. If the student doesn't want medication, lifestyle changes can help manage GERD symptoms, but long-term complications can occur if it's not effectively managed.
Explanation:
Additionally, being overweight is often associated with GERD, so losing weight may also bring improvement. Other lifestyle changes that can help reduce GERD symptoms include eating smaller meals, avoiding fatty foods, and refraining from taking certain medications on an empty stomach.
Given the student's loss of appetite and sternal chest pain after meals, it is important to provide nutritional counseling that focuses on reducing reflux. This may include recommending a diet that avoids trigger foods and emphasizes foods that are less likely to cause acid reflux. The student should also be advised to eat smaller, more frequent meals and to avoid eating late at night.
If the student does not want to take medication, the best advice would be to focus on lifestyle changes that can help manage GERD symptoms. These changes can include losing weight, quitting smoking, and following a GERD-friendly diet. It is important to emphasize the potential benefits they can gain from these lifestyle changes, even without medication.
Long-term complications of GERD can include esophageal inflammation, erosion of the esophageal lining, and the development of esophageal strictures. In severe cases, Barrett's esophagus, a precancerous condition, may also occur. It is important to manage GERD effectively to prevent these complications from occurring.
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