Hello, James. What symptoms have you been dealing with?, I’ve been getting heartburn and sometimes I have trouble swallowing., Have you experienced heartburn or acid reflux in the past few months?, Yes, almost daily now., How long have you had difficulty swallowing?, About two months, especially with meat and bread., Have you passed any blood in your stool?, No, I haven’t noticed anything unusual., Have you felt more tired than usual lately?, Yes, I thought it was just work stress., Your iron levels are low, which suggests you might be losing blood slowly. Have you undergone any recent tests or procedures?, No, this is my first time seeing a doctor for it., Have you been eating smaller portions to avoid discomfort?, Yes, sometimes I avoid eating altogether., You may have esophagitis or possibly Barrett’s esophagus. I recommend an upper endoscopy to evaluate further.

CASE STUDY 2, JAMES

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