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    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 eating

    PAST MEDICAL HISTORY:

        Started smoking in 1980

        Excessive alcohol use in 2000

        Emotional stress in 2010

    MEDICATION:

    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 weeks

    OTHER 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 peanut

    same exact outline just on peptic ulcer disease topic and can include any additional information on PUD.

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