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학습 자료 둘러보기 →The most characteristic symptom is heartburn, a retrosternal burning sensation. It is critically linked to position, worsening when lying down or bending over due to the loss of gravitational advantage and a weakened anti-reflux barrier.
This occurs because the lower esophageal sphincter (LES) and crural diaphragm become separated, rendering the gastroesophageal junction incompetent. The symptom frequently disrupts sleep when the client is supine.
Do not confuse with cardiac chest pain. A thorough history of positional triggers is essential. Advise patients to avoid eating within 3 hours of bedtime and to elevate the head of the bed on 6- to 8-inch blocks to use gravity as a barrier against nocturnal reflux.
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