It s Friday morning and Sal Volpe is sitting in Dr Lorraine s exam room dozing after another night of disrupted sleep When the

Question

It s Friday morning and Sal Volpe is sitting in Dr Lorraine s exam room dozing after another night of disrupted sleep When the doctor knocks and walks in she finds the 66 year old man looking exhausted and uncomfortable Sal gets to the reason for his visit immediately He s been suffering from stomach aches dyspepsia that wake him at night and nag him in between meals during the day He describes his pain as gnawing burning maybe a 4 out of 10 on a pain scale and points to the epigastric region of his abdomen When he eats he tells Dr Lorraine the pain goes away but then he feels bloated and a little nauseated The pain usually returns 2 4 hours later depending on what he eats Sal explains that he has had some pain relief from the over the counter drug Pepcid famotadine

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