Question

A 56-year-old man on several medications is taking over-the-counter antacids for relief of indigestion. He tells the nurse that he drinks at least one bottle of the antacid a week and has done so for over a month because "it works for me." The nurse's main concern is that:

Answer 1

The nurse is concerned that the frequent use of antacids may be masking an underlying disorder such as GERD or ulcers, which could require medical attention and possibly different treatments such as lifestyle changes or prescription medications.

Step-by-step explanation:

The nurse's main concern for a 56-year-old man taking over-the-counter antacids for frequent indigestion is the potential for an underlying disorder such as Gastroesophageal Reflux Disease (GERD) or an ulcer. Excessive use of antacids can mask symptoms that require medical treatment, and overuse can lead to side effects such as constipation or diarrhea, and in certain cases, alter the blood pH or increase the risk of kidney stones. Seeing a healthcare provider can help identify any underlying conditions and provide appropriate treatment, which in some cases may be as simple as lifestyle modifications or the prescription of different medications, such as H₂-receptor antagonists or proton pump inhibitors.

Antacids contain alkaline ions that chemically neutralize stomach gastric acid, but they are not suitable for treating more serious conditions that frequent indigestion may indicate. Additionally, antacids do not kill the bacteria Helicobacter pylori, which causes most ulcers. Therefore, it is important to consult a healthcare professional if symptoms of indigestion are frequent or chronic, as they may advise treatment options beyond antacids.