Begin 4-6 week course of Carafate or Zantac. If no better, schedule UGI or endoscopy. Counsel patient regarding conservative anti-reflux measures. Begin H2-blocker and begin Reglan. A 38 year old white female presents with a complaint of chronic crampy abdominal pain relieved with bowel movements.
Patient reports alternating diarrheal stools and constipation.
There has been no weight loss or blood in her stools. Colonoscopy with serial biopsy of large bowel. Dietary modifications and stress management counseling. Benign prostatic hypertrophy 7. A 20 year old healthy appearing male with several recent sexual contacts presents to your office with complaint of burning discomfort with urination and penile discharge.