peptic ulcer disease

Instructions

CHIEF COMPLAINT: Burning pain, and discomfort in the belly, vomiting, and lack of appetite      PROVOCATION: Discomfort, and burning pain starts while eating food (any kind of food)      QUALITY: Burning pain      REGION: In the stomach from the belly to the breast bone      RELIEF: The burning sensation is relief when taken antacid for a few minutes to a couple  of hours    RADIATION: There is no radiation    SEVERITY: Severe 6 out of 10 in a scale from 1 to 10    TIME: Starts at different time while eatingPAST MEDICAL HISTORY:    Started smoking in 1980    Excessive alcohol use in 2000    Emotional stress in 2010MEDICATION:MEDICATION APPLICATION TO DISEASE:    Omeprazole (Prilosec), Iansoprazole (Prevacid), Rabeprazole (Aciphex),    Esomeprazole (Nexium), Pantoprazole (Protonix)CORRECT DOSAGES:    Omeprazole 20 mg orally once a daily for 4 weeks    Iansoprazole 30 mg orally bid for 10 to 14 days    Rabeprazole - 20 mg once daily, provider will provide information      Esomeprazole 20 ng to 40 mg taken once per day, for 4 to 8 weeks      Pantoprazole 40 mg taken once daily, with or without food for 8 weeksOTHER MEDICATIONS ASSOCIATED WITH PROPER DOSAGES      Clariithromycin 500 mg bid, Amoxicillin 1 g bid (both for twice a day for 10 days)ALLERGIES    MEDICATION ALLERGIES - Penicillin and cephalosporin    ENVIRONMENTAL ALLERGIES - Dust    FOOD ALLERGIES peanutsame exact outline just on peptic ulcer disease topic and can include any additional information on PUD.

Answer

Peptic Ulcer DiseaseChief Complaint: Abdominal discomfort, epigastric pain, vomiting and gnawing.Provocation: The pain in the epigastric region begins a few minutes after food taken at any time of the day. Quality: The pain is sharp and cramping with a burning sensation.Region: In the epigastric region. The pain sometimes is felt from the stomach rising up to the breast bone.Relief: The pain is relieved by antacids especially when taken immediately after meals. The relief lasts from minutes to a few hours. The pain is also eased by omeprazole with relief lasting for up to 12 hours after a single dose. Radiation: The pain does not radiate in any direction.Severity: the pain is moderate 5 out of 10 in a scale of 1 to 10.Time: Starts a few minutes, less than 10 minutes, after eating.Past Medi...
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