CO 
HX OF PU LAST ENDOSCOPY YEAR AGO GERD HH
COMPLAINT IN EPIGASTRIC PAIN REFERRED TO BACK 
ABD DISTENSION NOW GE  SINCE 10 DAYS 
BUT USUALLY CONSTIPATION 
TTT : CONTROLOC GANATON USPATALIN
???ibs
HX OF H PYL TTT
SMOOKER
----------------------------------
US
LIVER N 
PV 1.4 
GB N
SPLEEN 11.2 
RENAL GRAVELS 
------------------------
VONSECA
GANATON
NEOCARB
ENTERO
AMIPRIDE
--------------
CALP