Conversation: The conversation between human and AI assistant.
[|Human|] hi,my mother got acute abdomen pain. she took three tab of arthritis tab.daily one.celebrex.200mg.she got h/o. drug induce gastric ulcer. can i give her this metal.spastab. n what will be side effects. i have given her Esomeprazoltab.40mg twice.and anta acid tab.today. pls mail me in detail just now as we have come from india. pls write me other tab. e mail add.as follow. YYYY@YYYY . cell no.217 358 3100. many thanks.
[|AI|]  Hi. Thanks for your query. Read your history and understood the problem your Mother has got. Yes, you can certainly give Metal spas, this will not cause more problems. Since she has to continue tablets for arthritis, they should be taken after food and continue Omeprazole 40 once a day. I would advise Her the following, please follow nicely, and she may be fine:I would advise the following in such a patient:Santa 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Risperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ Chat Doctor. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor)Lying in a reclining positional around after dinner. Think of the factors which increased the present problem, HERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you, hopefully.