Answer: C - A low serum albumin level is not seen in esophageal reflux. Low serum albumin levels often accompany ascites in liver disease, may indicate the protein-calorie malnutrition of kwashiorkor, and are commonly seen in nephritic syndrome, in which large amounts of protein are lost in the urine.
Serum albumin is a protein made by the liver that helps maintain the balance of fluids in the body. A low serum albumin level means that there is less than the normal amount of albumin in the blood.
Low serum albumin levels can be caused by a variousactors, including liver disease, malnutrition, inflammation, and kidney disease. It can also be a sign of certain medical conditions, such as inflammatory bowel disease, cancer, or heart failure.
Symptoms of low serum albumin levels can include swelling in the ankles, feet, and abdomen, fatigue, muscle weakness, and difficulty fighting infections.