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In addition, pregnancy or constipation may worsen GERD by increasing intra-abdominal pressure. Secondary causes of GERD include reflux caused by acid hypersecretory states, connective tissue disorders (scleroderma), gastric outlet obstruction as caused by ulceration and stricture, and delayed gastric emptying due to conditions such as gastric stasis, neuromuscular disease, idiopathic gastroparesis, pyloric dysfunction, duodenal dysmotility, or duodenogastroesophageal bile reflux.
Most patients with complicated GERD have a hiatus hernia, which, by displacing the ‘ LES segment of the distal oesophagus, both reduces LES pressure and impairs acid Clearance.
Leaving the deserts as you approach the tropical regions of the earth you will enter the savanna biome, which is a combination of grassland with scattered or clumped trees. These s
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To study whether bacteria grow best where it is moist or dry Use 2 sterile dishes. Inoculate each one by touching a sterile transmit needle to a bacteria colony rowing in anoth
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