Discussion Post: Gastroesophageal Reflux Disease and Peptic Ulcer Disease
J.G. is a 42-year-old white man presenting with a 2-month history of intermittent midepigastric pain. The pain sometimes wakes him up at night and seems to get better after he eats a meal. J.G. informs you that his doctor told him that he had an infection in his stomach 6 months ago. He never followed up and has been taking over-the-counter Zantac 75 for 2 weeks without relief. He takes no other medications. He is concerned because the pain is continuing. He has no other significant history except he is a 20 pack-year smoker and he drinks 5 cups of coffee a day. He eats late at night and goes to bed about 30 minutes after dinner. He is allergic to penicillin.
Diagnosis: Peptic Ulcer Disease: Answer the following questions.
o List specific goals for treatment for J.G.
o What drug therapy would you prescribe for J.G.? Why?
o Discuss specific patient education based on the prescribed therapy.
o List one or two adverse reactions for the selected agent that would cause you to change therapy.
o What would be the choice for second-line therapy?
o What lifestyle changes would you recommend to J.G.?
The response should include a reference list. Using one-inch margins, Times New Roman 12 pnt font, double-space and APA style of writing and citations.