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Webpage visitors can access the hundreds of pages of health and medical information by typing in their text, e.g. symptoms or any search phrases. The National Survey on Drug Use and Health reported that the prevalence of ‘serious psychological illness’ (defined as being diagnosed with a mental, behavioural or emotional disorder utilizing DSM-IV standards within the past 12 months) was 9.2% in the final US inhabitants in 2003.33 In a study which used the PRIME-MD Patient Health Questionnaire, 825 (28%) of 3000 patients from eight geographically and economically diverse US primary care practices qualified for a psychiatric analysis.34 Considerable overlap between GERD and psychological distress has additionally been reported.14-16 Population-based research have recognized psychiatric disease as a threat factor for GERD symptoms.14-16 A case-management research found that patients with psychiatric disease have been 2.7 instances extra prone to report heartburn than nonpsychiatric controls.15 These research didn’t stratify patients based mostly on the presence or absence of EO.

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