Rowan is a 65-year old man in reasonably good health. He is 68 inches tall and w

Question

Rowan is a 65-year old man in reasonably good health. He is 68 inches tall and weighs 190 pounds. He takes a daily multivitamin supplement and over-the-counter antacids for heartburn. His usual diet includes lean meat, chicken, fish, and fresh vegetables and fruit in season from his garden. He now reports having severe heartburn after a family reunion picnic over the Labor Day weekend and over the past two days has experienced diarrhea and painful stomach cramps.

a.                  Based on his history, name at least two reasonable explanations for Rowan's sudden onset of diarrhea and cramps

b.        What may explain Rowan's symptoms of heartburn?

c.        If food poisoning is suspected, how might this be related to Rowan's regular use of antacids?

What immediate treatment would you suggest for his current symptoms?

                       e.        What information and advice would you offer Rowan to help him avoid this type of discomfort in the future?

                       f.         At what point would you advise him to seek medical care?

4.        Tammy E. is a 40 year old Event Coordinator. Her job is very stressful and Tammy is a light smoker of about 10 cigarettes per day. Tammy has complained about a dull upper abdominal pain and indigestion for several weeks. She has been using over-the counter antacids in an effort to control her symptoms. Tammy sought medical attention when she began to experience vomiting which appeared red. Laboratory testing reveals that Tammy is iron deficient. Her physician suspects she has a peptic ulcer and schedules her for an endoscopy (where a hollow tube equipped with a lens called an endoscope is passed down the throat and into the esophagus, stomach and small intestine. Using the endoscope, the doctor looks for ulcers).

a.                  What is the most usual cause of peptic ulcers? Considering this cause, what is the usual course of treatment?

b.                 Because of the stress associated with her job, Tammy often stops for happy hour at a local restaurant for drinks after work. What recommendations do you have regarding Tammy's stress management practices?

c.                  Do you think Tammy's iron deficiency might be related to a peptic ulcer? Why or why not?

Explanation / Answer

a) food poisoning and progression of the disease i.e most probably gastritis

b)Gastritis

Esophagitis

Hiatal hernia

Acid reflux

Food intolerance

Peptic ulcers

C) Using of antacids would lead to poor acid production which in turn would weaken the protective action of getting rid of general bacteria

D) Broad spectrum antibiotics

E) Properly cooked food

And stop using antacids excessively

F)In case of repetitive incidences

4.Tammy suffers from H.pylori infection which he got due to increased risk being a smoker . Iron deficiency confirms this diagnosis

a)most usual cause of peptic ulcer is H.pylori

b)alcohol intake worsens peptic ulcer and may lead to perforation

It should be strictly avoided

Do yoga for stress management

c)H.pylori ulcers are frequently related with Pernicious anemia which is an iron deficiency anemia caused due to deficiency of intrinsic factor

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