J.G. is a 42-year-old white man presenting with a 2-month history of intermittent midepigastric pain. The pain sometimes wakes him up at night and seems to get better after he eats a meal. J.G. informs you that his doctor told him that he had an infection in his stomach 6 months ago. He never followed up and has been taking over-the-counter Zantac 75 for 2 weeks without relief. He takes no other medications. He is concerned because the pain is continuing. He has no other significant history except he is a 20 pack-year smoker and he drinks 5 cups of coffee a day. He eats late at night and goes to bed about 30 minutes after dinner. He is allergic to penicillin.
Diagnosis: Peptic Ulcer Disease: Answer the following questions in full sentences using APA citations.
List specific goals for treatment for J.G.
What drug therapy would you prescribe for J.G.? Why?
Discuss specific patient education based on the prescribed therapy.
List one or two adverse reactions for the selected agent that would cause you to change therapy.
What would be the choice for second-line therapy?
What lifestyle changes would you recommend to J.G.?
J.G. might need several treatment therapies because his epigastric pain stems from various factors. For example, J.G. should stop overeating frequently and eat early to ensure he does not sleep immediately after a meal. Moreover, J.G. has to make a series of changes to his lifestyle if he wishes to manage this condition. Aside from avoiding foods that cause gas, he also needs to quit using gastric irritants such as cigarettes and caffeine.