A patient undergoes endoscopy, and a diagnosis of erosive esophagitis is made. The patient does not have health insurance and asks the primary care NP about using OTC antacids such as Tums. The NP should tell the patient that Tums:
a. can help to heal erosions in esophageal tissue.
b. do not help reduce symptoms of erosive esophagitis.
c. neutralize stomach acid as well as proton pump inhibitors (PPIs).
d. help reduce symptoms in conjunction with PPIs.
D
Antacids reduce symptoms but do not have a significant effect on healing of erosions or esophagitis. If the patient has severe symptoms, has found treatment for milder symptoms to be ineffective, or has experienced erosion that is documented by endoscopy, he or she should be started on a PPI.
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