Tham khảo tài liệu 'toefl cbt book part 43', ngoại ngữ, toefl - ielts - toeic phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | CliffsTeslpJelpnljOEcF L CIBfo rmation please visit Tai Lieu Du Hoc at Man First I d say evaluate his diet. Keep a diary of what he eats and when he has a problem. Woman Excellent suggestion. Of course diet isn t always the cause. Reflux can also be caused by a hiatal hernia or other physical defects. Diet can affect the severity of the problem but controlling it won t help completely. Does anybody know what a hiatal hernia is Man Well I know that a hernia is a break in the lining of some area of the body making an organ or tissue go through where it shouldn t. And a hiatus is a break in something or a space between something. Woman Yes a hiatal hernia is a type of hernia in which the stomach itself moves up through a defective sphincter thus pouring the dangerous acid into the esophagus. So what else should a person do besides change his or her diet Man Get tests. Have one of those scopes where they look inside the esophagus and see what they can see. Woman Yes the doctor must see whether the cause is physical and whether there is already damage. He must assess the total situation. The doctor can then prescribe one of several medications or treatments or if the physical problem is bad enough surgically repair the defect. But the thing to do is seek treatment from a qualified physician and don t wait. 20. Narrator What is the discussion mainly about 21. Narrator How does the woman describe the sphincter 22. Narrator According to the woman when does acid reflux occur 23. Narrator According to the woman why does the reflux cause the burning sensation 24. Narrator According to the woman what results from metaplastic changes 25. Narrator How does the woman describe a hiatal hernia 26. Narrator According to the woman what are two reasons a patient may want to control his or her diet 27. Narrator Which of the following is not a suggested course of action to treat reflux disease 400 For more material and information please visit Tai Lieu Du Hoc at .
