Scratchpad
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<p><strong>Diagnosis:</strong> Vomiting and Abdominal Pain</p>
<p><strong>Medications:</strong></p>
<ul>
<li><strong>Omeprazole:</strong> 40mg by mouth (PO) once daily for 14 days.</li>
<li><strong>Zofran (Ondansetron):</strong> 4mg by mouth (PO) every 4 hours as needed for nausea and vomiting.</li>
<li><strong>Reglan (Metoclopramide):</strong> 10mg by mouth (PO) up to three times a day (TID) as needed for nausea and vomiting. You can use either Zofran or Reglan based on what provides better relief.</li>
</ul>
<p><strong>Care Instructions:</strong></p>
<ul>
<li>Take the omeprazole as prescribed to help reduce stomach acid and relieve your abdominal pain. It may take a few days to feel the full effects.</li>
<li>Stay hydrated by sipping clear fluids (such as water, electrolyte solutions, or broth) to prevent dehydration from vomiting.</li>
<li>Stick to bland, easy-to-digest foods (such as crackers, toast, or bananas) as your symptoms improve.</li>
</ul>
<p><strong>Follow-Up:</strong></p>
<ul>
<li>Follow up with your primary care physician (PCP) in 3-5 days to evaluate your symptoms and ensure you're improving.</li>
</ul>
<p><strong>Reasons to Return to the Emergency Department:</strong></p>
<ul>
<li>Return if you experience severe or worsening abdominal pain, persistent vomiting, blood in your vomit, or if you are unable to keep fluids down.</li>
</ul>
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