Patient is a 21 y/o male with GERD without esophagitis, who came to discuss test results, abdominal US was within normal limits, he indicates was seen by G
November 3, 2024
 Patient is a 21 y/o male with GERD without esophagitis, who came to discuss test results, abdominal US was within normal limits, he indicates was seen by Gastroenterologist, who ordered H pylori test which was negative, he also ordered Omeprazole 40gm PO Sucralfate for 3 months, and will consider endoscopy if symptoms to not improve. Lifestyle modification and dietary changes was recommended, patient education provided. We will follow up as needed. Patient report has been experiencing  A burning sensation in the abdomen often after eating, which sometimes get worse at night or when lying down.Â
Diagnosis: K21.9
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