A 32-year-old who emigrated from Mexico and works in a Chinese restaurant has had diarrhea for the past 6 months. He uses a proton pump inhibitor for abdominal symptoms. Do you know what's wrong?
for the past 6 months. Because of the diarrhea and abdominal pain, he recently went to the emergency department , where he underwent a CT of the abdomen and pelvis, which was unremarkable . During the ED visit, he described having three to four loose bowel movements per day , with nausea, burning, and epigastric discomfort. He was discharged with a proton pump inhibitor for his abdominal symptoms. His symptoms improved somewhat onThe patient presents again with similar symptoms.
He emigrated from Mexico 5 years ago and currently works in a Chinese restaurant. The only known family history is diabetes in his father. He does not use alcohol or illicit drugs and quit smoking 3 years earlier. He has no surgical history. He takes a psyllium fiber supplement and bismuth subsalicylate as needed occasionally and does not regularly use nonsteroidal anti-inflammatory drugs.
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