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Pantoprazole, sold under the brand name Protonix, among others, is a medication used for the treatment of stomach ulcers, short-term treatment of erosive esophagitis due to gastroesophageal reflux disease (GERD), maintenance of healing of erosive esophagitis, and pathological hypersecretory conditions including Zollinger–Ellison syndrome.
Clarithromycin may cause gastrointestinal adverse effects including vomiting, nausea, taste alteration and abdominal pain. [39] This medication can also cause liver toxicity. [39] Symptoms of liver damage include anorexia, dark urine, jaundice, tender abdomen and pruritus. [39] To assess the liver function, ALT/AST should be closely monitored. [39]
Decreasing the acid in the stomach can aid the healing of duodenal ulcers and reduce the pain from indigestion and heartburn. However, stomach acids are needed to digest proteins, vitamin B 12, calcium, and other nutrients, and too little stomach acid causes the condition hypochlorhydria. [citation needed]
Hepatotoxicity (from hepatic toxicity) implies chemical-driven liver damage. Drug-induced liver injury (DILI) is a cause of acute and chronic liver disease caused specifically by medications and the most common reason for a drug to be withdrawn from the market after approval.
Common causes include infection with Helicobacter pylori and non-steroidal anti-inflammatory drugs (NSAIDs). [1] Other, less common causes include tobacco smoking, stress as a result of other serious health conditions, Behçet's disease, Zollinger–Ellison syndrome, Crohn's disease, and liver cirrhosis.
Endoscopic image of peptic stricture, or narrowing of the esophagus near the junction with the stomach: This is a complication of chronic gastroesophageal reflux disease and can be a cause of dysphagia or difficulty swallowing. The diagnosis of GERD is usually made when typical symptoms are present. [42]
The causes for portal hypertension are classified as originating in the portal venous system before it reaches the liver (prehepatic causes), within the liver (intrahepatic) or between the liver and the heart (post-hepatic). The most common cause is cirrhosis (chronic liver failure). Other causes include: [1] [10] [11] Prehepatic causes
Other symptoms can develop based on the cause. For example, if portal vein thrombosis develops due to liver cirrhosis , bleeding or other signs of liver disease may be present. If portal vein thrombosis develops due to pylephlebitis , signs of infection such as fever, chills, or night sweats may be present.
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