Which of the following increase the risk of developing Clostridium Difficile. (Select All that Apply.)

A. Bulimia involves episodes of binge eating followed by purging and can lead to a range of gastrointestinal issues, including esophageal damage and electrolyte imbalances. However, it is not a direct risk factor for the development of peptic ulcers. While it can affect the digestive system, it does not inherently increase the risk of ulcers.
B. Green tea is generally considered to have health benefits and is not typically associated with an increased risk of peptic ulcers. In some cases, it may even provide protective effects against gastric ulcers due to its antioxidant properties.
C. Moderate alcohol consumption can have varying effects on gastric mucosa. While excessive alcohol consumption is a risk factor for developing ulcers, moderate consumption, such as a glass of wine with dinner, is not typically considered a significant risk factor.
D. This is a well-established risk factor for peptic ulcer disease. Nonsteroidal anti-inflammatory drugs (NSAIDs) can irritate the gastric lining and inhibit the production of protective mucus, leading to an increased risk of developing ulcers.

A. While a lower sodium diet is generally beneficial for overall health, it is not specifically linked to managing GERD symptoms. This choice may be included in broader health advice but isn't a primary recommendation for GERD.
B. Staying upright helps prevent the backflow of stomach contents into the esophagus, reducing the risk of reflux. This advice helps the digestive process and minimizes symptoms.
C. This is highly recommended for individuals with GERD. Elevating the head of the bed can help prevent nighttime reflux by using gravity to keep stomach contents from rising into the esophagus during sleep. This practice is effective in managing symptoms.
D. A high-fiber diet can be beneficial for overall digestive health and may help with GERD symptoms. Low-fat diets are also recommended since high-fat foods can exacerbate reflux by relaxing the lower esophageal sphincter. This is a good recommendation to include in the teaching plan.
E. This recommendation is not always necessary. While some individuals may find that large meals trigger their GERD symptoms, avoiding snacks isn't universally required. In fact, small, healthy snacks may be tolerated well and can prevent hunger-related reflux symptoms.