A 50 years old business man was very stressed because he has to break bad news to his employees, in the meeting he suddenly complained
A 50 years old business man was very stressed because he has to break bad news to his employees, in the meeting he suddenly complained of severe abdominal pain and he was taken to emergency department. The doctor took history and the patient said that he usually feels burning sensation after meals and always he is complaining of acidity (heart burn). For the last year his family physician started him on medication (Cimetidine) to solve the problem of acidity however he did not feel any better.
a) do you think the diagnosis of his condition?
b) How HCL secretion is controlled?
c) In your words explain why this patient suffered from this problem and which controlling mechanism is involved in his case?
d) other options of medications can be used? And why you think it will be better than Cimetidine?

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