Read the medical report and answer the following questions M

Read the medical report, and answer the following questions: Mr. Feingold had epigastric pain, nausea and diarrhea. Explain the meaning of each of these terms. Mr. Feingold took Mylanta and Pepcid for his discomfort. Identify the category of each drug and describe each. Mr. Feingold had an \"occult blood test\" that showed blood in the feces. Explain how this test is done. Mr. Feingold had a colonoscopy. Describe the test, the preparation that is needed, and what parts of the gastrointestinal system the physician can visualize. Mr. Feingold had a biopsy. Explain what this is and how it is done. Medical Report: Consultation: Evaluation of recurrent epigastric pain, nausea and diarrhea. History of Present Illness: Mr. Feingold is a 60-year-old white male who has had severe and recurrent epigastric pain, nausea, and occasional diarrhea for the past 2 years. His symptoms have become more severe in the past six months, resulting in 2 visits to the emergency room. A 20-pound weight loss has occurred over the past six months. He has treated his symptoms with Mylanta and Pepcid, but has not sought medical intervention until the past six months. He has had no reported illnesses throughout his life, with the exception of a left leg fracture at age 20 due to a skiing accident. Results of Physical Examination Abdomen soft and distended. Patient complains of mild pain and tenderness in lower abdomen. An occult blood test is positive for blood in the feces. Colonoscopy reveals growths in the colon. Biopsies reveal Stage III colon cancer. Recommendations: Surgery to remove the tumors, resection of affected colon, and colonoscopy to be followed by chemotherapy for 6 to 8 months.

Solution

Epigastric pain : pain in the upper abdomen below the ribs.

Nausea : vomiting feeling

Diarrhea : passing of watery stool multiple times in a day.

Mylanta : it is antacid and antiflatulent. Used for acid indigestion, heartburn, gas

Pepcid : it is histamine H2 receptor inhibitor which decreases acid production. Used for relief from heartburn, gatric ulcers.

Occult blood test : This test is done to detect clumps of rbc in feces. if there is internal bleeding in the intestines, this test would be positive. A small amount of feces is collected from the patient and smeared on the test strip and H2O2 reagent is applied after few minutes. color change to blue indicates positive.

Colonoscopy : It is a test done to allow the doctor to visualise the inner lining of large intestine to look for ulcers, polyps or tumors. Colon and rectum can be seen by this test. A thin flexible tube with video camera a the tip is inserted through the anal canal and the tube reaches upto the large intestine giving a visual in the monitor. Before the test, the patient is to be prepared. The patient is adviced to intake only liquid foods a day before the test and he has to drink a liquid called enema which cleans the colon and rectum. the person has to defecate multiple times making the colon, rectum free of feces.

Biopsy: While doing colonoscopy, if an abnormal growth is seen in the inner lining of the intestine, with the help of a specialised knife, a small piece of the growth is cut and extracted. It is out in formalin to kill infectious organisms and fix. the biopsy specimen is cut into extremely thin slices and fixed on a slide. Haematoxylin and Eosin staining is done on the slide and it is examined under miccroscope to study the morphology of the cells. it helps in diagnosng cancer.

Read the medical report, and answer the following questions: Mr. Feingold had epigastric pain, nausea and diarrhea. Explain the meaning of each of these terms.

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