Transcript

Doctor: Good morning Rohan, I'm doctor Meena Sharma I understood you have been having some chest discomfort Patient: Yeah! It started a few days ago It's like a dull pain, right here in the middle of my chest Mostly after meals or when I walk fast Doctor: Any nausea, sweating or shortness of breath when that happens? Patient: No sweating but yeah… Sometimes I feel a little breathless Not every time though Family Member: Hi doctor I'm his elder brother, Amit आप जुड़े हैं जो जुड़े रॉकर निके इसवाम के साथ पर पढ़ा गया। वह पूरे नियट में आद गए जब वह जब वह आप उसे बाद करने के लिए चाहिए नहीं। मैं अपने दाव़िक के लिए आप वो आप ने पर बाद करते हैं। या प्रोटोन अलल कर देखते हैं गरिएंग आपको आपको अक्षिंद पीट गरूर असिदिटी और अनशाल बेटा ब्लोकर करने के भारा मेरे लिए एक दुपनी हैं क्यूंका कैफीन और करिवां के बाद मेरे लिए डेखने करते हैं तो अगर आत्मा नहीं लगता है, तो जिस धले नहीं लगता है। वो वो जानना जाना है, पर वो एक शुरू आठा होगा जब जब ज़ाद आपको प्रभां कर लगा है। मैं एक अगेल बाद को पूरा चेहारत कर लगता हूँ। Doctor: Hi Rohan, welcome back. I have reviewed your ECG and blood test. Everything is within normal range. Patient: That's good. Phew! I was getting anxious. Doctor: You can relax, but your endoscopy showed mild erosive gastritis. Nothing serious, but it explains the pain. Patient: So, it's not heart related? Doctor: No, it's slightly acid related. Irregular eating, stress, too much coffee, a perfect recipe. Patient: Makes sense. My brother is basically on my case now, for every meal. Doctor: Good, you need that. Continue the medication for 3 weeks and stick to a strict meal schedule. Avoid spicy foods and reduce screen time before meals. It helps digestion too. Patient: Noted. Can I go back to the gym? Doctor: Yes, light cardio is okay. Avoid ab crunches or heavy lifting until the gastritis helps. Doctor: Arjun, I need a quick opinion on a patient, Rohan, age 28, came in with chest pain that we have now traced back to gastritis. Doctor: Alright, what were the findings? Endoscopy showed mild erosive gastritis, no bleeding or ulcer, ECG and blood work were normal, pain was mostly post-meal, relieved by antacids. Doctor: Okay, NSAID used H. pylori? Doctor: No, NSAID H. pylori is pending, he has got poor eating habits, drinks a lot of coffee, his brother mentioned he often skips lunch. Doctor: Sounds lifestyle induced. If H. pylori is positive, we can start eradications, otherwise PPI plus discipline should do it. Doctor: Exactly, I have started pentaprozole and put him on a diet schedule. He is responding well already. Doctor: Good, let's wait for H. pylori results before escalating.