since 2018 heart burn occult bl st +ve
us n
h pylo ab +ve 
helicure forseveral months 
at 2019 upper endoscopy duodnal erosions 
ba sever reflux no hh
us 5 m ago gb polyp 7 mm
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NOW ERUCTATION HEART BURN IMPROVED ON PPI AND ORSEN ON STOPPAGE 
ALTERDED DIARRHAA AND CONSTIP
---------------------
US N LIVER
PV 1.1
GB POLYP 8 MM
SPL N
------
DUFAX
NEXI
DOXRAZOL
GANAT
ENTERO
---------------
GASTRIN LEVEL