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TS is 67 years old with a long history of knee osteoarthritis for which he self-medicates...

TS is 67 years old with a long history of knee osteoarthritis for which he self-medicates regularly with over-the-counter (OTC) naproxen. He is in the clinic today complaining of a swallowing difficulty that has progressively worsened over the past several months. He has otherwise been healthy and has not seen a doctor in many years. TS denies significant past medical history. A review of systems is negative except for arthritic symptoms and swallowing difficulty. He denies noticing blood in his stool and vomiting blood. He denies history of gastroesophageal reflux disease (GERD) and ulcer. He does not drink alcohol, although he drank heavily many years ago. He does not smoke. TS describes the dysphagia this way: “Food gets stuck in my throat, and I can’t get it down.” The feeling occurs only after he has ingested solid food; liquids are not a problem. There is burning chest pain associated with meals. He is scheduled for an upper gastrointestinal endoscopy.

  1. What advice should TS be given regarding his OTC medication at this time?
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Answer #1

* NAPROXEN IS NSAIDS CLASS OF MEDICATION AND OVER THE COUNTER MEDICINE. * IT IS USED TO TREAT ARTHRITIS FOR THE RELIEF OF SWELLING,PAIN AND MUSCLE STIFFNESS. * PROLONGED USE OF NAPROXEN LEADS TO INJURY OF OESOPHAGUS CAUSING GERD. *THE SIDE EFFECTS OF NAPROXEN IS GAS, HEART BURN, NAUSEA AND VOMITING,GI BLEED. * IN THIS PATIENT HAVE THE SYMPTOMS OF GERD ,HEMATEMESIS AND MALENA.IT IS THE SIDE EFFECTS OF NAPROXEN. * PRESENCE OF THIS SIGNS , AVOID TAKING NAPROXEN IT MAY LEADS TO SUDDEN DEATH CAUSED BY EXCESSIVE BLOOD LOSS FROM THE BODY.AVOID THIS TYPE OF MEDICATION WITHOUT PRESCRIPTION AND VISIT YOUR DOCTOR REGULARLY.

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