A 75-year-old man, Mr. Brown, is recently widowed and states that he has been eating to deal with grief as well as loneliness

A 75-year-old man, Mr. Brown, is recently widowed and states that he has been eating to deal with grief as well as loneliness and has gained about 25 pounds over the past 4 months. He has developed severe heartburn and is now in your office for assessment after being referred by his physician. Mr. Brown states he has been “eating Tums like candy” and reports the following as his typical daily intake: Breakfast: 16 oz. coffee with creamer, 2 microwaveable sausage biscuits Lunch: Frito pie with onions or pizza, orange juice and then takes a nap Supper: Usually goes out for fried chicken fingers or bacon cheeseburger with fries, 2 beers Evening snack: Just before bed he will fix some microwave jalapeno poppers and another beer or 2 to help him sleep Throughout the day: Cheese and crackers or chips as a snack whenever he gets bored or wants something. 1-2 more cups of regular coffee before lunch, but switches to decaffeinated tea for 1-2 cups after lunch. He will often times smoke a cigar when he is feeling anxious. Select the possible contributors to this client’s heartburn:

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