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<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: Stomach pain HPI: Patient is a 35 year old male presenting with stomach pain that is getting worse. States that his pain is located in the epigastric region and it comes and goes. Describes it as a burning/gnawing pain and rates it as a 5/10. States that he has been feeling nauseous but denies vomiting. States that Tums helped at first with the pain but has not been helping recently. States that nothing makes the pain worse and there is no association between the pain and meals. States that his stools have appeared darker occasionally. States that he has been stressed out after splitting with his wife one year ago. Admits to feeling tired the past few weeks. Denies headache, chest pain, diarrhea/constipation. ROS: Negative unless stated above Meds: Motrin once/week Allergies: Denies PMH: Denies Surgical: Denies FH: Uncle with bleeding ulcer SH: Smoked 1/2 pack per day since 15. Occasional alcohol use.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle with bleeding ulcer, pain is located in the epigastric region, stools have appeared darker, Motrin, burning/gnawing, getting worse, Occasional alcohol use, male, comes and goes, Tums has not been helping, nauseous, 35 year old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Chad Hamilton is a 35yo male with no significant PMH who is here for evaluation of stomach pain. For the last two months he has been experiencing 1 to 2 hr episodes of epigastric stomach pain twice a day. He experiences nausea along with the pain. There is no associations with mealtime or with type of food eaten. The pain is burning/gnawing in nature and is a severity of 5/10. It sometimes wakes him up at night. He is also experiencing bloating with meals and has noted darker than normal stool. He has tried taking Tums but not found it to be very helpful. Denies travel or sick contacts. He reports considerable stress as he is undergoing a divorce. Review of systems: Negative except as in HPI Allergies: NKDA Meds: Motrin 400mg once a week PMH: None PSH: None Family History: Uncle with "Bleeding ulcer" SH: Smokes cigarettes 1 ppd for 20 years ETOH: 1-2 beers a week. Quit recently. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle with "Bleeding ulcer, epigastric stomach pain, darker than normal stool, Motrin, burning/gnawing, bloating with meals, twice a day, 1-2 beers a week, male, last two months, wakes him up at night, tried taking Tums but not found it to be very helpful, nausea, 35yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Patient is a 35 year old M who presents c/o episodes of 5/10 gnawing epigastric pain since 2 months ago. Patient states he also feels nauseous when the pain occurs but has no vomited. Patient states he initially had 1 episode of this pain per week, but now it occurs twice per day. He states tums helped the pain but it no longer helps. The pain is unrelated to food intake. He also sometimes wakes up with this pain during the night. The pain comes on gradually, lasts for 1-2 hours. Patient notes his stools have been darker lately. He also has less appetite. Develops gastric bloating with food. ROS: negative except as above allergies: NKDA Medications: motrin (400 mg as needed for "aches") and tums as needed PMH: "Aches and pains" from construction work PSH: None SH: Patient drank 1-2 beers/week up until 2 weeks ago. He does not smoke cigarettes or use illicit drugs. He has not had sex for 1 year. FH: bleeding ulcer in uncle. Extract phrases from this text which may help understand the patient's medical condition.[/INST]bleeding ulcer in uncle, epigastric pain, stools have been darker, motrin, gnawing, bloating with food, initially had 1 episode of this pain per week, but now it occurs twice per day, 1-2 beers/week, M, since 2 months ago, wakes up with this pain during the night, tums helped the pain but it no longer helps, nauseous, 35 year old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo M with CC of "my stomach is bothering me". - Stomach pain that started 2 months ago 1X per week is not occuring multiple times a day and at night - Pain lasts 1-2 hours and is described as burning and knawing, rated 5/10 - Pain is above his umbilicus and does not radiate - Two weeks of intermittent black stools - No aversion to food - Tums no longer alleviate pain and he takes ibuprofen for back pain and spasms ROS has nausea but no vomitting, fever, chills, night sweats, wt loss, no aversion to food, he does complain of back spasms PMH None PSH None Alleriges NKDA Family history fathers brother had a stomach ulcer SH construction worker for 10 years and has 1/2-1 pack of cigarettes a day for 20 years, few beers a week but stopped since stomach pain, no illiciut drug use. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fathers brother had a stomach ulcer, Pain is above his umbilicus, black stools, takes ibuprofen, burning and knawing, few beers a week, M, started 2 months ago, Tums no longer alleviate pain, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35 yo M c/o epigastric pain for 2 months burning, has become constant and rates it 5/10. Tums helped earlier but no relief now, Food has no relationship to pain.He has nausea, dark colored stools, stress of getting a divorce, belching and feeling of bloating. Denies chest pain, vomiting, headache , dizziness, LOC, SOB+. ROS: none except above PMH: has had back ache for some time PSH: none FH: Father has a bleeding ulcer SH: construction worker, not sexually active,smokes 1/2 to 1 ppd since the age of 15 yrs, stopped taking alcohol, no illicit drugs NKDA Medicines: tums, Motrin Diet: junk food low fiber diet. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Father has a bleeding ulcer, epigastric pain, dark colored stools, Motrin, burning, feeling of bloating, has become constant, M, for 2 month, for 2 months, Tums helped earlier but no relief now, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: - 35 yo M with worsening mid epigastric pain for the past 2 months - Never had this before - Describes as a gnawing, burning sensation - Had it once a week, but not 2-3 times a week, with episodes lasting 1-2 hours - Associated with bloating - Partially relieved by Tums before PMH: Back paind and spasms PSH: None Meds: Motrin once a week Allergies: none FH: Uncle has a bleeding PUD SH: Filed for divorce in the last year. Works in contstruction. 1/2-1 PPD for 20 year smoker. Drinks beer occasionally but stopped more recently. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle has a bleeding PUD, epigastric pain, Motrin, gnawing, burning, bloating, worsening, Had it once a week, but not 2-3 times a week, Drinks beer occasionally, M, past 2 months, Partially relieved by Tums before, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr Hamilton a 35 yo male, presenting with burning non radiating midepigastric pain three days ago of 5/10 intensity .He tried some antacids which used to help but no longer efective.His pain was associated with hiccup for last months together with nausea bloating ,and his stool getting darker .No vomitting , diarrhea, chest pain , SOB , cough, fever or other constitutional symptoms. ROS: normal except for above PMH: low back pains treated with motrins for a year. PSH : none SH:construction worker, smoker since was 15 , 0.5-1 , Etoh: quitted recently beacuase of bloating , not sexually active ,no hx of STDs FH: Uncle with bleeding stomach ulcer.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle with bleeding stomach ulcer, midepigastric pain, stool getting darker, motrins, burning, bloating, bloating, Etoh: quitted recently, Mr, male, antacids no longer efective, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35M w/ no PMHx/PSHx now p/w 2 months of episodic epigastric pain associated with nausea - Denies vomiting - Episodes increasing in frequency lately and epigastric pain now 5/10 - Episodes wake patient up at night and last 1-2 hours - Previously sx improved with food and TUMS, but not recently - Episodes are sporadic with no obvious triggers or palliating factors - Noticed stools are darker in past 2 weeks ROS: Denies vision changes, numbness/tinginling, chest pain, SOB, urinary or bowel changes, denies recent travel or sick contacts. Negative except as per HPI FHx: Uncle with bleeding ulcer Occupation: Construction worker for high-rise buildings Current smoker since age 15, 0.5-1 pk/day. Denies rec drug use. Not sexually active. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle with bleeding ulcer, epigastric pain, epigastric pain, stools are darker, increasing in frequency, M, w 2 months, Episodes wake patient up at night, episodic, last 1-2 hours, sporadic, Previously sx improved with TUMS, nausea, 35</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Hamilton is a 35 yo male who presents with 2 months of upper abd pain that has been worsening. The pain is burning and nawing, does not radiate , and is a 5/10 severity. The pain comes and goes with no specific associations. Initially tums made the pain a little better but doesn't work any more, nothing makes the pain worse. He also complains of bloating, nausea, no vomiting, and darkening of his stools without diarrhea. No urinary symptoms, no fever/chills. ROS negative except as above PMHx backaches Medications motrin 400mg per week. FHx: paternal uncle with "bleeding ulcer" NKDA patient usually has a few alcoholic beverages a week but has recently stopped due to the abd pain and bloating smokes 1 PPD for past 20 years no other drug use not sexually active. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with "bleeding ulcer", upper abd pain, darkening of his stools, motrin, burning and nawing, bloating, bloating, worsening, few alcoholic beverages a week, Mr., male, with 2 months, comes and goes, "tums doesnt work any more", nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI 35 YO M IN OFFICE C/O BURNING EPIGASTRIC PAIN IN THE MIDDEL OF HIS CHEST THAT STARTED 2 MONTHS AGO. THE PAIN WAS ONCE A WEEK IN THE BEGINNING BUT NOW IT IS TWICE A DAY. IT IS 5/10 IN SEVERITY.NOTHING AGRRAV/ALLEV THE PAIN. HE NOTICED HIS STOOL IS DARKER THAN USUALL RECENTLY . NO BLOOD IN IT. HE HAS NAUSEA WHEN HE FEELS THE PAIN BUT NO VOMITING.AT FIRST TUMS HELPED HIM BUT NO IT ISN'T. THERE IS NO RELATION OF PAIN TO FOOD. DENIES ANY CHANGE IN URINARY OR BOWEL HABIT, NO FEVER , NO COUGH. ROS NONE EXCEPT AS ABOVE PMH BACK PAIN MANAGED CONSERVATIVLY, MEDS MORTIN AND TUMS. PSH/HOSP/TRAUMA NONE FH UNCLE HAD BLEDDING PUD SH CONSTRUCTORE WORKER, DRINKS OCC, SMOKES 0.5-1 PPD FOR SEVEERAL YEARS. Extract phrases from this text which may help understand the patient's medical condition.[/INST]UNCLE HAD BLEDDING PUD, EPIGASTRIC PAIN, STOOL IS DARKER, MORTIN, BURNING, NOW IT IS TWICE A DAY, DRINKS OCC, M, STARTED 2 MONTHS AGO, NO BLOOD IN IT, "AT FIRST TUMS HELPED HIM BUT NO IT ISNT", NAUSEA, 35 YO</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo M c/o 2 month history of epigastric pain with a background history of smoking. Pain is burning, does not radiate, nausea, intermittent, severity of 5/10, but no vomiting or diarrhea. Toms helped relieve pain at beginning, but no longer helps. Pain occasionally wakes patient up from sleep. Pain onset unrelated to food consumption.No change to bowel movements or urination, except stool is darker than usual with no blood. Bloating present, but no appetite changes or weight loss. Pain no exacerbated by postural changes. ROS: negative except as above. PMH/PSH: back pain (construction worker) Medications: Toms, Motrin. Allergies: NKDA. FH: paternal uncle had bleeding ulcer. SH: smokes 1/2-1 PPD for 20 years. No illicit drugs. Drinks few beers a week, but not for past couple of weeks. Lives alone, not sexually active. Works as construction worker. Eats fast food or food from food truck. Regular exercise except past couple of weeks.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]paternal uncle had bleeding ulcer, epigastric pain, stool is darker, Motrin, burning, Bloating, few beers a week, M, 2 month history, wakes patient up from sleep, intermittent, Toms helped relieve pain at beginning, but no longer helps, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo M c/o pain in the middle of the stomach for a few months. It comes and goes, lasts for 1-2 hours, burning pain, no radiation PS 5/10, alleviated with Tums at first, but nor anymore, no aggravating factors, not related to meals. He sometimes feel nauseated, but not vomitted. No fever, no nightsweats, no change in his bowel movement, appetite, weight, urination. However, he reports black stool without blood sometimes. He also feels fatigue and tired. ROS: normal except above PMH: back pain with muscle aches Allergies: NKDA Meds: Motrin for back pain once a week FH: Uncle has bleeding ulcer SH: smoking for 20 years 1/2-1 PPD, no EtOH, illicit drug use. He is not sexually active. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle has bleeding ulcer, pain in the middle of the stomach, black stool, Motrin, burning, M, for a few months, stool without blood, comes and goes, lasts for 1-2 hours, alleviated with Tums at first, but nor anymore, nauseated, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr Hailton, a 35 year old male comes for evaluatiuon of an epigastric tenderness. Patientr had had this pain for 2 months now, its intermittent, ocuring 2 times daily and last about 2 hours when it happens. Pain resolves spontaneously. Pain is rated 5/ 10 in severity, non-radiating and progressively getting worse. Patient has had darlk stools recently. patient uses motrin very often for body pains. ROS: no fever, chills, vomiting, urinary symptoms, no receent travels Pmhx: None Allergies: NKA Meds:, Motrin PRN for pain, TUMS FHX: Pternal uncle with Bleeding gastric ulcer Social HX: lIVES ALONE, CONSTRUCTION WORKER, drinks ocasionally, smokes 1/2 to 1 PPD. No illicit drug use. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with Bleeding gastric ulcer, epigastric tenderness, darlk stools, uses motrin, Motrin, ocuring 2 times daily, progressively getting worse, drinks ocasionally, Mr, male, for 2 months, intermittent, 35 year old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 M who presents with 2 months of progressive epigastric abdominal pain. Pain initially occurred a few times per week but has progressed to occurring 2x/day. Pain is not associated with eating or hunger. Initally better with Tums but now nothing makes the pain better. No aggrevating factors. Burning and gnawing in quality. 5/10 in severity. No radiation. Has associated nausea and bloating after meals. For the past week, patient has noticed stool is darker in color. No recent illness ROS: + nausea; denies: difficulty swallowing, heartburn, sour taste, vomiting, diarrhea, constipation, weightloss, fevers, chills, rashes PMH: none PSH: none FH: uncle with bleeding ulcer Med: motrin 400mg 1x/wk, Tums All: none Social: EtOH 1-2 beer/wk - stopped 3 wks ago due to lack of appetite, Tob: 1/2-1ppd x 20 yrs, not ready to quit, Drugs: none, Work: construction, not sexually active. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with bleeding ulcer, epigastric abdominal pain, stool is darker, motrin, Burning and gnawing, bloating after meals, progressive, progressed to occurring 2x/day, 1-2 beer/wk, M, with 2 months, Initally better with Tums but now nothing makes the pain better, nausea, nausea, 35</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Hamilton is a 35yo M who presents to the clinic complaining of stomach problems. He states that he has had a burning pain in his upper mid epigastric area that transiently began 2 months ago but is now recurring daily. He initially was using TUMS for relief but now states that it is no longer effective. The pain does not radiate and has occasionally awoken him from sleep. He endorses nausea and some darkening of his stools. ROS: negative for vomitting, diarrhea, constipation, cough, or SOB Meds: TUMS and motrin FH: uncle diagnosed w/ bleeding ulcer Social hx: eats mostly from food trucks (e.g. burritos), smokes 1/2-1 ppd of cigarettes since age 15 no interest in quitting today, used to drink a few beers/wk. but that made his pain worse, works in construction no prior surgeries or hospitalizations. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle diagnosed w/ bleeding ulcer, pain in his upper mid epigastric area, darkening of his stools, motrin, burning, now recurring daily, few beers/wk, Mr., M, began 2 months ago, pain has occasionally awoken him from sleep, TUMS is no longer effective, nausea, 35yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: A 35 yo M presented with abdominal pain for 2 months - began 2 months, getting worse, intermittent (2-3/day), sometimes at night, no previous episode - burning pain, no radiation, 5/10, no trauma - alleviated by tums; no aggravative factor - has nausea, dark brown stool (no blood/melena) - no fever, vomiting ROS negative except above MEds Motrin, Tums; Allergies NKDA PMH/PSH none SH smoking 20 py, EtOH occasionally, no illicit drugs; work as high elevator constructor; no sexually active FH Ulcer had bleeding peptic ulcer. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Ulcer had bleeding peptic ulcer, dark brown stool, Motrin, burning, getting worse, 2-3/day, EtOH occasionally, M, for 2 months, began 2 months, sometimes at night, no blood/melena, intermittent, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Chad Hamilton is a 25 yo gentleman presenting with two months of epigastric pain. Pain is intermittent, rated at 5/10 occurring 2 times daily and lasting 1-2 hours. Patient reports that originally it was occurring once a week and relieved with Tums, he reports that antacids are no longer helping. Patient reports nothing that alleviates or worsens his pain. There is no radiation of the pain, although he generally has some back pain, he treats with motrin. Nausea, no vomiting, no fevers or chills. He has had decreased appetite. He has had some darker brown stools, no gross blood, no change in consistency. No change in urination. No CP and no SOB. ROS: otherwise -, PMH/ PSH: back pain Meds: Motrin and Tums PRN, NKDA SH: Works in construction,not sexually active,15py smoking pre-contemplation stage of change,was drinking a couple beers weekly,none for 2 weeks, no drugs. FH: Uncle bleeding pep ulcer.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle bleeding pep ulcer, epigastric pain, darker brown stools, motrin, Motrin, 2 times daily, couple beers weekly, Mr., gentleman, with two months, no gross blood, intermittent, antacids are no longer helping, originally relieved with Tums, Nausea</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: A 35 YO M C/O EPIGASRIC PAIN X 1 MO , GRADUAL , GETTING WORSE , OCCUR 2 TIMES /DAY AND WAKES HIM UP FROM SLEEP 3 TIMES / WK , AFFECTING HIS DAILY ACTIVITIES. GNOWING IN NATURE , LOCALIZED , 5/10 IN SEVERITY , NOT RELATED TO FOOD ,, AND TUMS ARE NOT WORKING FOR IT ANYMORE. HE FEELS NAUSEATED BUT NEVER VOMIT , HE HAS BLOATING AND AVOIDS FOOD BECAUE OF THAT BLOATING BUT DENIES WEIGHT CHANGES . HE ALSO DENIES CHANGES IN HIS BOWL HABITS .HE HAS NO FEVER OR JANDICE . HE IS RECENTLY STRESSED BECAUSE HE RECENTLY DIVORCED WITH HIS WIFE.HE DENIES DYSPHAGEA, ODYNOPHAGEA OR BAD TASTE IN HIS MOUTH ROS:NO DIZZINESS, NO PALPITATIONS PMH : BACK ACHES AS HE'S A CONSTRUCTIOM WORKER PSH : NONE ALLERGIES : NONE MEDS : MOTLIN ONCE / WK , TUMS ( STOPPED WORKING) FH : UNCLE HAS BLEEDING PEPTIC ULCER SH : SMOKER 1/2- 1 PPD/ 20 YRS , QUIT DRINKING (USED TO DRINK 3 BEERS/WK ) , NO ILLICIT DRUGS , NO SPECIAL DIET , NOT SEXUALLY ACTIVE AS HE'S DIVORC. Extract phrases from this text which may help understand the patient's medical condition.[/INST]UNCLE HAS BLEEDING PEPTIC ULCER, EPIGASRIC PAIN, MOTLIN, GNOWING, BLOATING, BLOATING, GETTING WORSE, 2 TIMES /DAY, 3 BEERS/WK, M, WAKES HIM UP FROM SLEEP, TUMS ARE NOT WORKING, TUMS ( STOPPED WORKING, NAUSEATED, 35 YO</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo M c/o stomach pain for 2 months. HPI: The pain gradually started 2 months ago and it is getting worse. It is located in the epigastric area and does not radiate to anywhere. It is a dull and intermittent pain. It last 1-2 hours every time and Tums relieved the pain before. However, Tums did not improve his symptom right now. Nothing makes the pain worse. The severity is 5/10. He also noticed intermittent dark stools in last few weeks and he denies any change in the shape of the stool. He feels tired but denies any change in body weight and appetite. He denies nausea, vomiting or diarreha. ROS: negative except as above PMH: has back and musle pain which was treated wiht OTC NSAIDs Medications: Tums and NSAIDs, and NKDA FH: father and uncle had history of bleeding ulcer SH: construction worker, 0.5 PPD tobacco since 15 years old, EtOH occasionally, no sexually active, eats fast food usually. Extract phrases from this text which may help understand the patient's medical condition.[/INST]father and uncle had history of bleeding ulcer, pain in the epigastric area, dark stools, NSAIDs, NSAIDs, getting worse, EtOH occasionally, M, for 2 months, started 2 months ago, intermittent, Tums did not improve his symptom, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35 YO M CO EPIGASTRIC ABD PAIN, STARTED 2 MO AGO, INTERMITTENT, INCREASED IN FREQUENCY RECENTLY, 5/10 INTENSITY, USED TUMS TO HELP IT BUT STOPPED AS IT DOES NO LONGER HELP, PAIN IS ASSOCIATED WITH NAUSEA BUT NO VOMITING, ALSO ASSOCIATED WITH BLOATING. NO RELATION TO FOOD, NO ABNORMAL TASTE IN THE MOUTH, NO COUGH AT NIGHT, NO CHANGE IN BOWEL HABITS, BUT HE NOTICED THAT THE STOOL IS DRAKER THAN USUAL STARTED 3 WKS AGO, ON AND OFF. NO CHESTPAIN, FEVER, WEIGHT CHANGES, BUT HE EATS LESS THAN USUAL BECAUSE OF THE PAIN. HE ALSO DESCRIBES BACK PAIN AND RELATES THE PAIN TO HIS WORK IN CONSTRUCTIONS. ROS: - EXCEPT AS ABOVE. MEDS: USED TO USE TUMS BUT HE DOES NO LONGER USE IT. NKDA. PMH: BACK PAIN. PSH: NONE. FH: UNCLE HAD BLEEDING PEPTIC ULCER. SH: SMOKES 1/2 TO 1 PPD SINCE AGE 15. DRINKS ETOH BUT CUT DOWN HIS BEERS LATELY. NO ILLICIT DRUGS.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]UNCLE HAD BLEEDING PEPTIC ULCER, EPIGASTRIC ABD PAIN, STOOL IS DRAKER, BLOATING, INCREASED IN FREQUENCY, M, STARTED 2 MO AGO, INTERMITTENT, USED TUMS TO HELP IT BUT STOPPED AS IT DOES NO LONGER HELP, USED TO USE TUMS BUT HE DOES NO LONGER USE IT, NAUSEA, 35 YO</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Chad hailton is a 35M with 2 months of epigastric pain. Pain is burning, non-radiating intermittent lasting for 1-2 hour, rated 5/10 severity. Accompanied by nausea, no vomitting. He has noted bloating sensation after every meal and now eatss maller portions. Has noted darker stool. No hematochezia, vomiting, diarrhea, or change in appetite. Feel tired as pain is waking him up in night No fver, chest pain, or palpitatons. mhx: chronic low back pain. surgeries: none. Med: motrin 2 200 tables once/week. Allergies none; family hx: n/a shx: work as construction worker, No recent travel, 20 pack-year smoking history, 2 alcoholic beverage/week (but stopped drinking 2 weeks ago), not sexually active, no hx of sexually transmitted infection. Diet: eats from food trucks. Extract phrases from this text which may help understand the patient's medical condition.[/INST]epigastric pain, darker stool, motrin, burning, bloating sensation after every meal, 2 alcoholic beverage/week, M, with 2 months, pain is waking him up in night, No hematochezia, intermittent, nausea, 35</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35-year-old male presents with 2 months of epigastric pain which has worsened. Pain is 5/10 in severity, dull knawing pain which strarted gradually. He reports increased frequency of the pain; 2 times per day and each episode lasts about 1 hour. Admits to nausea, no vomiting. Patient reports food avoidance because it makes the pain worse though appetite is otherwise normal. Denies constipation or diarhea or pain any where else in the abdomen. He reports having dark stools for 2 weeks. and admits to feeling fatigued. ROS - denied chest pain, SOB, headache, feverm, chills or weight loss. PMH: aches and pains PSH: none Meds: motrin and tums FH: bleedign ulcer in uncle Social history: 0.5 to 1 ppd for 20 years, few beers per week (now none because makes pain worse), high elevation contruction worker, going through divorce which makes his stressed. Provided counselling on smoking cessation , NKDA, no illicit drug use,. Extract phrases from this text which may help understand the patient's medical condition.[/INST]bleedign ulcer in uncle, epigastric pain, dark stools, motrin, knawing pain, has worsened, increased frequency, 2 times per day, few beers per week, male, with 2 months, nausea, 35-year-old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35-year-old male, has come to the physician's office today because of abdominal pain - occurred 2 mo ago, intermittnetly, twice a day, in upper middle ABD, intensity 5/10, burning and iching - feel bloated after eating, neaseated, stool is darker, reduced appetite - deny vomiting, heart burn, urine changes, fever, constation and diarrhea, weight changes, sleep and mood changes, fresh blood in stool ROS: neg except as above PMH/PSH: none All: NKDA Med: Methotrix FH: NONE SH: 1/2-1ppd for 20 yr, ETOH 1-2 beers a day, reduced recently, no recreatinal drugs, regular GYM exercise, not active sexually. Extract phrases from this text which may help understand the patient's medical condition.[/INST]in upper middle ABD, stool is darker, burning, bloated after eating, twice a day, 1-2 beers a day, male, occurred 2 mo ago, deny fresh blood in stool, intermittnetly, neaseated, 35-year-old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: patient is a 35yo male with intermittant buring stomach pains for the last 2 months assicted with nausa but no vomtting. pain is non radating in the epigartric region. not made worse by food inatke or positon change or time of day. has noticed some darknmesing of stool but do change to bowel habits med: tums/ motrin chronic allergies: none pmh: back pain fmh: unlce bleeding ulcer smh: smokes 1/2ppd, occaional etoh, -drugs ros: no dizzyness, palpitation, sob, chest pain, brusing, hetaturia, hemochezia. Extract phrases from this text which may help understand the patient's medical condition.[/INST]unlce bleeding ulcer, pain in the epigartric region, darknmesing of stool, motrin, buring, occaional etoh, male, the last 2 months, no hemochezia, intermittant, nausa, 35yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: Mr. Hamilton is a 35 year old male who presents with "stomach problems". This has now been going on approximatley 2 months. The pain is described as gnawing/burning, and comes and goes. The pain does not radiate. He has experienced nausea, but no vomiting or diarrhea. He has noticed dark stools. He has never had this pain before. He has not noticed an association with foods. Tums helped at first, but now don't help. He denies headache, vision changes, cough, shortness of breath, or chest pain. PMH: back pain/spasms PSH: none Rx: Motrin FH: Uncle with "bleeding ulcer" SH: smoked 0.5-1 ppd for 20 years, occasional EtOH until 3 weeks ago, no other drug use, not sexually active, works constuction. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle with "bleeding ulcer", dark stools, Motrin, gnawing/burning, occasional EtOH, Mr., male, approximatley 2 months, comes and goes, Tums helped at first, "Tums now dont help", nausea, 35 year old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 y.o M with 2 month history of abdominal pain in epigastric area. Burning knawing pain that comes and goes. Pain the same over last 2 months. Can occur at any time of day. Used to be relieved by tums but no longer effective. Associated with nausea but no vomiting. Nothing makes it better or worse. Eating makes him feel more bloated. PMH: back pain attributed to heavy lifting FH: uncle has bleeding ulcer SH: construction worker, divorced, tobacco for last 15 years 1/2-1 ppd, occasional alcohol, no recreational drugs Meds: motrin 1/wk for back pain ROS: nausea, darker stools. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle has bleeding ulcer, pain in epigastric area, darker stools, motrin, Burning knawing, Eating makes him feel more bloated, occasional alcohol, M, 2 month history, last 2 months, comes and goes, tums no longer effective, nausea, nausea, 35 y.o</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Patient is a 35 yo M who presents with c/o stomach problems. Patient reports onset 2 months ago that have been worsening. Patient reports non-radiating epigastric pain that occurs 2x a day, 3x per week that last 1-2 hours and has burning and gnawing qualities. Patient reports previous relief with tums, but is no longer working. Patient denies association with food. Patient rates pain 5/10. Patient reports associated bloating and early satiety for 2 months, nausea, and melena. Denies vomiting, hematoschezia, heartburn, cough. Patient PMH notable for lower back pain related to construction work. denies PSHx. Medications include motron (2 tablets of 200mg 1x/week) and tums. NKDA. Patient FH notable for uncle with PUD. Works in construction. Drinks 2-3 drinks/week, reports absinence for 2 weeks due to abd sxs. Smoking 0.5-1PPD since 15. Not interesting in quitting. Denies drug use. Not currently sexually active.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with PUD, epigastric pain, melena, motron, burning and gnawing, bloating, worsening, occurs 2x a day, 2-3 drinks/week, M, onset 2 months ago, Denies hematoschezia, tums no longer working, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo M presents with epigastric pain accompanied by nausea for 2 months. Has progressed and occurs twice a day and 3 nights a week. Pain is waking him up from sleep. Intermittent, burning pain with 5/10 in intensity. No relationship of food to pain. Noticed darker stool the past 2 weeks, on and off. Feeling bloated after eating which is making him eat less. Has a good apetite, no changes in weight. Significant stress, divorce and work related. Pain was alleviated with tums previously not anymore. Denies diarrhea or constipation, fresh blood. No fever or chills. ROS:negative except as above Allergies: nkda Medications: tums, motrin PMH: back ache, spasms SH: construction worker, lives alone, One sexual partner and regular use of condoms. EtOH use of a few beers a week since age 21, cut down since symptoms of bloating. Tobacco use of 1/2-1PPD since age 15. No use of illicit drugs FH: uncle with a bleeding ulcer.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with a bleeding ulcer, epigastric pain, darker stool, motrin, burning, bloated after eating, bloating, Has progressed, occurs twice a day, few beers a week, M, for 2 months, Pain is waking him up from sleep, Denies fresh blood, Intermittent, Pain was alleviated with tums previously not anymore, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35 year old male complains of intermittent, non-radiating, gnawing, burning epigastric pain rated 5/10 for the past 2 months. Associated with nausea, bloating, and a change in stool color from lighter to darker (possible melena). Alleviated by Tums, no aggravating factors. PMH: back pain, muscle spasms from construction work Allergies: denies Medications: Motrin Hospitalizations/Infections/Trauma/Surgeries: denies ROS: denies fever, diarrhea, constipation, urinary changes. Family history: Uncle: bleeding ulcer Social: Occupation: construction worker; Tobacco: 1 PPD for 20 years, occasional EtOH, denies illicit drug use; no pets, travel, or sick contacts Sexual: not active, no history of STI. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle: bleeding ulcer, epigastric pain, stool color from lighter to darker, Motrin, gnawing, burning, bloating, occasional EtOH, male, past 2 months, intermittent, nausea, 35 year old, 5 year old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Pt is a 35M w/ no PMH p/w epigastric pain of 2 months duration. Pain lasts 1-2 hours and is a burning, dull pain. No radiation to the back. Tums used to alleviate the pain, but not anymore. 5/10 pain with episodes, 0/10 currently in office. Also endorses nausea with pain and dark bowel movements of 2 months duration. Denies any chest pain, SOB, changes in bladder function. Pain is not related to food intake. PMH: none PSH: none Meds: 2 200 mg Motrin tabs for pain weekly. Allergies: NKDA FH: Uncle complains of bleeding ulcer occasionally SH: 0.5-1 ppd tobacco since age 15. Cut out alcohol recently since had no desire for it. No illicit drugs. Lives alone. Works in construction.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle complains of bleeding ulcer, epigastric pain, dark bowel movements, Motrin, burning, M, 2 months duration, Tums used to alleviate the pain, but not anymore, nausea, 35</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35yoM with 2 month hx of worsening stomach pain -initally few times a week to 2x/day of gnawing/burning pain in mid-epigastric area -denies cough, vomiting however endorses darker brown stools as of 2 weeks, never any bright red blood per rectum -initially alleviated with tums, now less effective; nothing made worse -takes ibuprofen 400mg one a week for back pain for 10 years straight -denies any unintentional weight loss/gain pmh: chronic back pain (never diagnoses) famhx: uncle with peptic ulcer disease meds: ibuprofen once a week for 10 year allergies: nkda surg/hosp: none social: works in contruction, takes pain meds for back pain/muscle aches, 20 pack year smoking hx - conteplative quitting stage, no etoh, no illicits/ivdu, lives alone. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with peptic ulcer disease, pain in mid-epigastric area, darker brown stool, takes ibuprofen, ibuprofen, gnawing/burning, worsening, initally few times a week to 2x/day, M, with 2 month hx, never any bright red blood per rectum, tums, now less effective, 35yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35yo male presents due to mid epigastric pain x2mo. The pain comes and goes, but is getting worse. Never had it before, non-radiating, used to be relieved w/ Tums, now it does not, does not get worse w/ anything. Comes randomly, no associated w/ food, has nausea but no vomiting. Gnawing pain that wakes him at night, 5/10 in severity. He has extra bletching, has noticed dark stools of normal caliber, and bloating after food intake. Denies appetite changes, changes in weight, recent travel, HAs, fatigue, sweats/chills, recent infections, changes/problems w/ urinary habits. ROS: negative except as above. PMH: Back pain due to construction work PSH: none FH: uncle has peptic ulcer disease SH: smoking since he was 15yo, 1/2-1 ppd. Used to drink alcohol until this pain stated. No drug use. Construction worker, going through a divorce w/ extra stress, eats fast food or whats near, used to exercise before pain. Meds: Motrin, 7-8 coffee. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle has peptic ulcer disease, epigastric pain, dark stools, Motrin, bloating after food intake, getting worse, Used to drink alcohol, male, x2mo, wakes him at night, comes and goes, used to be relieved w/ Tums, now it does not, nausea, 35yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: A 35 Y M CONSTRUCTION WORKER C/O EPIGASTRIC PAIN X 2M, STRTED GRADULLY,GETTING WORSE,5/10 INTENSITY,BURNING TYPE,ON &OFF,OCCURS EVERYDAY ,LASTS FOR 1 HR,INITIALLY RELIVED WITH TUMS,BUT NOW NOT RELIVING H/O MALENA X 2 WEEKS,NO BLOOD IN IT H/O BLOATING AFTER EATING,NAUSEA,NO VOMTINGS,APPETITE IS DECRESED H/O BACK PAIN X 10 Y,USING MOTRIN FOR PAIN NO H/O CHEST PAIN,SOB,WATER BARSH,CHANGE IN TASTE OF MOUTH,FEVER,WT CHANGES, NO H/O RELATIONSHIP BETWEEN FOOD INTAKE AND PAIN,ASSO WITH SPICY FOOD ROS:AS PER HPI,PMH:AS ABOVE,PSH:NONE,ALLERGIES:NKDA,MEDS:TUMS AND MOTRIN FH:UNCLE HAS PUD SH:SMOKES 1PPD X 15 Y,ETOH OCCATIONALLY,NO ILLICIT DRUGS . Extract phrases from this text which may help understand the patient's medical condition.[/INST]UNCLE HAS PUD, EPIGASTRIC PAIN, MALENA, USING MOTRIN, MOTRIN, BURNING, BLOATING AFTER EATING, GETTING WORSE, OCCURS EVERYDAY, ETOH OCCATIONALLY, M, X 2M, NO BLOOD IN IT, ON &OFF, LASTS FOR 1 HR, INITIALLY RELIVED WITH TUMS, NAUSEA, 35 Y</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Hamilton is a 35 y.o. male with 2 month history of epigastric pain, 6/10, described as burning, gnawing. Pain is not worse at night or atrributable to a specific food. Pain comes and goes and patient does not know what makes it better or worse. Tums helps previously but no longer help. Pt also reports dark stools but no blood in stools. Under a lot of stress with work and splitting up with wife. ROS: denies dyspepsia constipation, diarrhea, chest pain, shortness of breath, hematuria PMH: back pain and muscle spasm PSM: none Meds: motrin, 2 pills once a week Allergies: NKDA Fam Hx: noncontributory Soc Hx: smokes 1/2 pack to one pack per day for 20 years, high stress life with work and currently splitting up with wife, no drug use, alcohol during week but not every day. Extract phrases from this text which may help understand the patient's medical condition.[/INST]epigastric pain, dark stools, motrin, burning, gnawing, alcohol during week but not every day, Mr., male, with 2 month history, no blood in stools, comes and goes, Tums helps previously but no longer help, 35 y.o.</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Chad Hamilton, a 35-year-old male, has come to the physician's office today because of stomach problems. The patient has experienced middle sense of burning and gnawing pain that is localized to the epigastric region for 2 months. He has not experienced any radiation of pain and desribes the severity as 5 out of 10. The pain is on and off and for a few weeks taking tums made the pain better. At this point he has not noticed any exacerbating factors . He has noticed no change in bowel habits, but has been nauseous and eats less because of the pain, the pain also wakes him up at night occasionally. He denies fever/chills, weight loss or any othe constitutional symptoms. ROS: see HPI Past medical history back pain, muscle aches Meds: motrin fam hx: uncle with ulcer allergies: none Social hx: 1/2-1 pack for 20 years. not interested in quitting. Works in construction. No alcohol use or sexually active. eats fast food.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with ulcer, pain that is localized to the epigastric region, motrin, burning and gnawing, male, for 2 months, wakes him up at night, on and off, nauseous, 35-year-old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Chad Hamtilton is a 35 y/o M presenting with abdominal pain. Reports that he started experiencing epigastric pain 2 months ago. Occured 1x/week but now occurs 2-3x/day and alsts 1-2 hrs. The pain is 5/10 and localized to the mid-epigastric region. During these episodes he also has nausea and feels bloated. No emesis, no radiation. Has had darker stools during this time but no frank blood in stool or diarhea. His only other complaint is back pain he has from work that he takes Motrin for. Otherwise in his normal state of health. ROS: As stated in HPI PMH: Back pain with spasms Meds: Motrin 1x/week PRN back pain Allergies: none Surg hx: none Fam hx: Ulcer had a bleeding ulcer Sox hx: Works in construction. EtOH use on average 1-2x/week but less recently, smokes 1/2-1 pack per day tobacco (not interested in stopping at this time). No drug use. No sexually active but uses condoms regularely when he is.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Ulcer had a bleeding ulcer, epigastric pain, pain mid-epigastric, darker stools, takes Motrin, Motrin, feels bloated, now occurs 2-3x/day, EtOH 1-2x/week, Mr., M, 2 months ago, no frank blood in stool, nausea, 35 y/o</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Patient is a 35 y/o M with no PMH presents with epigastric pain for 2 months. The pain is described as burning pain, no radiation, 5/10, partially relieved with Toms but not helping recently, associated with nausea, bloasting and stomach fullness. Denies food regurgitation, vomiting, diarrhea, constipation, weakness , numbness, fever, headache, chest pain, SOB. Pt has been using Motrin excessicvely for back aches and muscle pain. He works in construction. He also takes 5-6 cups of coffee every day. ROS: -ve except HPI Allergy : NONE Meds: Motrin, toms PMH: NONE PSH: None FH: uncle had PUD SH: Drinks alcohol, few beers a week but has decreased intake, Smoking 1/2-1 packs per day since age 15, no illicit drug use, exercises regularly. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle had PUD, epigastric pain, using Motrin, Motrin, burning, bloasting, stomach fullness, few beers a week, M, for 2 months, relieved with Toms but not helping recently, nausea, 35 y/o</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 Yo M c/o epigastric pain since 2 months ago, scale 5/10, progressive, intemittent pain, use to occure every week for 1-2 hours but now it occurs 2-3 times per day. it is a burning pain, does not radiates anywhere, TUMs used to make it slightly better but not anymore and nothing aggravates the pain, he has cut down on his eating due to bloating after eating. his diet is mostly Fast food. he lifts heavy stuff at work and because of muscle aches he has been taking Motrin once a week for 9 years. he recently has night time awakening due to the pian, positve for nausea but no vomiting. he feels tired. no diaphoresis, no weight loss. no Hx of similar episode in the past . pain is not related to any specific food. ROS: negative excpet as above allergies: nkda medication: motrin , TUMS PMH/SH ; none smoking 05-1 PPD since he was 15, oocasional ETOH, no illcit drugs not sexually active FH: probable PUD in uncle. Extract phrases from this text which may help understand the patient's medical condition.[/INST]PUD in uncle, epigastric pain, taking Motrin, motrin, burning, bloating after eating, progressive, occurs 2-3 times per day, oocasional ETOH, M, since 2 months ago, night time awakening, intemittent, TUMs used to make it slightly better but not anymore, nausea, 35 Yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Hamilton is a 35 yo male with no PMH who reports 2 months of intermittent, worsening epigastric "burning" and "gnawing" pain. Pt also endorses "darkened stool" for the last 2 weeks as well. The epigastric pain has increased in frequency over last few weeks, not associated with food or activity, and was originally partially relieved by tums and motrin, but these no longer help. Pain does not radiate and pt rates it as a 5/10. Pt also endorses nasua and bloating. Pt denies weight loss, fevers, night sweats, sick contacts, or recent travel. The darkened stools began 2 weeks ago. No changes in stool consistency or frequency. Denies hematochezia ROS - wnl except as above PMH - none PFHx - uncle with peptic ulcer PHosp - none Social - 1/2-1 ppd for 20 years, drank 1-3 12 oz beers weekly prior to symptoms, currently does not drink, no illicit drugs, construction worker, no stress at home or work allergies - none meds - tums, motrin. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with peptic ulce, epigastric pain, epigastric pain, darkened stool, darkened stools, motrin, burning" and "gnawing, worsening, increased in frequency, drank 1-3 12 oz beers weekly, Mr., male, reports 2 months, Denies hematochezia, intermittent, originally partially relieved by tums, tums no longer help, nasua, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr Hamilton is a 35M w/ PMHx of bain pain and muscle spasms who presents w/ 2 month epigastric pain - described as burning sensation lasting 1-2 hrs, accompanied by nausea and wakes him from sleep at night - no vomiting, no related to foods, no recent weight loss, pain does not radiate, no cough or chest pain - eats mostly fast food, drinks coffee and water - tried tums for relief, but no longer effective - also reports occassional dark stools, but no blood per rectum, no diarrhea ROS: negative except as above PMHx: back pain, muscle spasms; PSHx: none Meds: motrin 2 pills/wk for body aches; All: NKDA FHx: uncle w/ bleeding ulcer SocHx: currently divorcing wife, works in high-elevation construction, smoked 1/2pack -1pack/d since age 15, not interested in quitting, no recr drug use, no history of STIs, normally drinks beer occassionally, but stopped since onset of symptoms PsychHx: never seen psychiatrist. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle w/ bleeding ulcer, epigastric pain, dark stools, motrin, burning, drinks beer occassionally, Mr, M, w/ 2 month, wakes him from sleep at night, no blood per rectum, tums no longer effective, nausea, 35</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo M presents wtih stomach problems. Pt states a burning gnawing epigastric pain comes and goes and lasts for about 1-2 hours in duration. He states the pain does not radiate anywhere but he noticed an increased in frequency over 2 months now feeling symptoms 2 times a day instead of every week initially. Pt states tumes initally helped alleviate the pain but now nothing helps and nothing makes it worse. Pt states the pain is 5/10 in severity and noticed feeling nausea, burping more, pain that wakes him up at night, dark stools for 2 weeks and decreased appetitie with abdominal bloating and increased saitey with small portions of food. ROS: negative for fever,night sweats, chest pain, sob, hematura diarrhea,constipation allergies: none pmh: none psh: none Meds: motrin PRN FH: uncle bleeding ulcer SH: construction, stress with recent divorce, 20 smoking pack year hx, stopped EtOH 3 weeks ago (prior 2 beers/wk) deneis drug use. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle bleeding ulcer, epigastric pain, dark stools, motrin, burning gnawing, abdominal bloating, increased in frequency, symptoms 2 times a day, 2 beers/wk, M, over 2 months, pain that wakes him up at night, comes and goes, tumes initally helped alleviate the pain but now nothing helps, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yr old male , previously healthy , coming with history of Burning central abdominal pain for 2 months . Non radiating and associated with decreased intake , but didn't affect the appetitie or wt . There's ALSO BLOATING SENSATION AND increased burping . There's hsitory of caffiene intake No fever , nausea or vomiting , diarrhea ROS body aches and back aches related to his work PMH and PSH : unremarkable Family Hx : Both parents are healthy . Social Hx : construction worker . Going through a divorce with good social support . Diet is Unhealthy , mainly junk foods Drinking only on weekends , but cut down on drinking since his current problem Smokes since he was 15 yr old , half to 1 pack per day. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Burning, BLOATING, Drinking only on weekends, male, for 2 months, 35 yr old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Chad Hamilton, a 35-year-old male, has come to the physician's office today because of stomach problems for 2 months. Patient states that he had the pain before, but the pain was more frequent than before. it occurred twice a day/ the pain is 5/10. getting with TUM but it didn't improve the problem recently. the pain is not associate with food or meal. He felt nauseated but didn't vomit. His stool was dark brown w/o blood. He denies diarrhea. He had chronic back pain from his job as a construction worker, and he took mortrin 2*200 mg. He sometimes took it w/o food. Hospitalization Hx: NONE FMHx: bleeding ulcer from parental uncle Social history: Patient is under the process of divorce with his wife and he felt stressed. Not sexually active now. smoking 1/2 pack per day for 20 year, alcohol : 2-3 beers CAGE neg. no drug use Allergy NDKA. Extract phrases from this text which may help understand the patient's medical condition.[/INST]bleeding ulcer from parental uncle, stool was dark brown, mortrin, more frequent, occurred twice a day, 2-3 beers, male, for 2 months, stool w/o blood, "TUM didnt improve the problem", nauseated, 35-year-old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr hamiton is a 35 year old male presenting with abdominal pain that has been occuring for the past 2 months. He states that the pain is waxing and waining and is unrelated to food intake. He describes the pain as a 7/10 and states that it has been increasing in severity over the past 2 months. Pain does not radiate anywhere and is localized to the middle of the abdomen. He states that tums used to make it better but it has no longer been affective. patient is burping throught interview. Patient eats hoggies and burritos on a regular basis. He relates mild nausea and no vomiting. Bowel movements have been regular. ROS: no weight loss, patient also reports lower back pain Allergies: none medications: tums PMH: none PSH: none SH: constrution worker, smoker half/pack a day for 20 years. stopped drinking. poor diet of hoggies and burritos FH: uncle with Peptic ulcer disease. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with Peptic ulcer disease, Pain localized to the middle of the abdomen, increasing in severity, Mr, male, past 2 months, past 2 months, tums used to make it better but it has no longer been affective, nausea, 35 year old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo Chad presents with stomach problems. Started two months ago. Nawing/epigastric pain. Experiencing nause without emesis. It was worsened due to increased frequency. Tums initially helped. Denies diarrhea or constipation. Stools appear darker. Feels tired and pain wakes him up at night. Denies fevers, night sweats or chills. Takes motrin for back pain. PMHx: back pain- takes motrin No other medication No surgeries Family history: uncle with bleeding ulcer Single, works in constuction. 1/2-1 pack smoking history (20 years). Denies being stressed. No new changes in his life. Occassional drinks 2-3 beers a week. no other drug use. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with bleeding ulcer, epigastric pain, Stools appear darker, Takes motrin, takes motrin, Nawing, increased frequency, worsened, 2-3 beers a week, Started two months ago, Tums initially helped, nause, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo M complains of epigastric abdominal pain that started 2 months ago. Pain in nonradiating, intermittent, "gnawing and burning" in nature, with an intensity of 5/10. Initially, pain was relieved by Tums, but does not seem to relieve it now. Sometimes the patient is awaken in the middle of the night with the pain which last 1-2 hours. Pain does not worsen with food intake. Episodes occur 2-3x/day. Denies chest pain, dyspnea, vomitting. ROS: Negative except as above. PMH: None. PSH: None. Allergies; NKDA. FH: Paternal uncle with bleeding ulcer. SH: Contruction worker; smokes half to 1 ppd/day, 2-3 beers/ week. Not sexually active.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with bleeding ulcer, epigastric abdominal pain, gnawing and burning, occur 2-3x/day, 2-3 beers/ week, M, started 2 months ago, awaken in the middle of the night with the pain, intermittent, Tums does not seem to relieve it now, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35 yo M c/o stomach pain -started 2 months ago, epigastric region, nauseated. pain is 5/10, nagging, burning, it comes and go. No assoaciatio with intake of food. _ no fever, headache, travel, SOB. H/O bodyache x 20 years and takes Motrin for it. associated with back pain and muscle cramps. Assoaisted with dark colour stool, decrased appettie, disturbed sleep, and stooped excercise. ROS: no chnge in urinary habits. Meds: Motrin x 20 years, No Rx All: NKDAPMH: None, PSH; none FH: non contributory Occupation: heacy elevation lifting worker SH: Alcohol occasionally, Tobacco x 1 PPD x 10 years. No active sexually due to break up.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]pain epigastric, dark colour stool, Motrin, Motrin, nagging, burning, Alcohol occasionally, M, started 2 months ago, comes and go, nauseated, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo M presents w/ c/o epigastric pain, nonradiationg, burning, intermittent, worseing, at least 2x/day, not associated with food. assoicated with bloating with each meal and nausea with pain, and darker stools. uses nsaids 1x/wk 200 mgx2 pills for aches and pains r/t job. expresses high stress and going through a divorce. denies fatigue, vomiting, recent sickness, fever, hx GERD, bleeding disorders, diarrhea, constipation, or joint pains.ros: denies headaches, changes in vision, chest pain, sob, weakness, nubness or tingling. pmh: back pain fh: uncle bleeding ulcer sh: used to drink a few beers/wk but stopped a few weeks ago, smokes 0.5-1 ppd since age 15, no rec drugs, not sexually active. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle bleeding ulcer, epigastric pain, darker stools, uses nsaids, burning, bloating with each meal, worseing, at least 2x/day, few beers/wk, M, intermittent, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo M presents c/o abd pain -began 2 months ago, gradual onset, has gotten progressively worse, no previous episodes -occurs 2x/day, lasts 1-2 hrs, epigastric, no radiation, 5/10 in severity, also occurs at night -alleviated by Tums (no longer helping), no aggravating factors -has nausea, no vomiting, darker stools (no noticeable blood), bloating with meals, increased stress (d/t divorce, work) PMH/PSH: occasional back aches and spasms / none Meds/Allergies: Motrin, Tums / none SH: smokes 0.5-1 ppd since age 15, drinks couple beers per week, no illicit drug use FH: uncle with bleeding ulcer . Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with bleeding ulcer, abd pain epigastric, darker stools, Motrin, bloating with meals, progressively worse, occurs 2x/day, drinks couple beers per week, M, began 2 months ago, also occurs at night, stools (no noticeable blood, lasts 1-2 hrs, alleviated by Tums (no longer helping), nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Patient is a 35 year old male presenting with a 2 month hx of epigastric pain pain is sharp and stabbing in nature and occurs 2-3x a day described as 5/10 in severity, no radiation tums originally made the pain better but no longer help pain not related to eating, sometimes occurs at night endorses some dark stools, no constipation, diarrhea, no vomiting endorses occasional nausea PMH: back pain and spasms, no surgeries Meds: motrin 2 pills/week for pain FH: uncle with ulcer SH: works as construction worker, not sexually active, smokes 0.5-1 pack pr day no allergies. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with ulcer, epigastric pain, dark stools, motrin, occurs 2-3x a day, male, 2 month hx, tums no longer help, nausea, 35 year old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Chad Hamilton, a 35-year-old male, has come to the physician's office today because of stomach problems. HPI: 35 y.o. M stomach discomfort and pain, worse 5/10, located in epigastric area, non-radiating, 2 months duration seems to be progressing, described as burning. No precipitating events noted, tums helped at first now nothing seems to relieve it. Assoicated with nausea and feels like he has to vomit but no emesis, and notes stools are darker. Denies fevers, chills, weight loss or gain, travel, changes in diet. He is getting a divorce and stressed with that but feels supported by family. PMH: Back pain longstanding, no illnesses, hosp/surgeries Meds: motrin, no rx, no otc NKDA SH: used to drink 1-2 etoh per night now stopped due to stomach pain. no tobacco or other drug use. FH: peptic ulcer disease father side. Extract phrases from this text which may help understand the patient's medical condition.[/INST]peptic ulcer disease father side, pain in epigastric area, stools are darker, motrin, burning, progressing, male, M, 2 months duration, tums helped at first now nothing seems to relieve it, nausea, 35-year-old, 35 y.o</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: 35 yo m c/o stomach problems HPI: burning epigastric pain, x 2 months, progresion: worse, 5/10 in intensity, No radiation. Allev by: thums at the begining, now by nothing. Aggrav by nothing. No precipitating events. He refers dark brown stools since 2 weeks and nausea. No red blood in his stools. Denies fever, weight change, no diarrhea or constipation. No fatigue. The pain is not related with food. No dysphagia. No vomiting. No cough, no change in his skin, no pale. PMH: no prior hx of CC. No illnesses NKDA Meds: Ibuprofen 1 time/week x 10 years. No Rx FH: uncle h/o bleeding gastric ulcer SHx: smoking 0.5-1 pack/day/20 years. No drug use. ETOH: social No sexual active. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle h/o bleeding gastric ulcer, epigastric pain, dark brown stools, Ibuprofen, burning, progresion: worse, ETOH: social, m, x 2 months, No red blood in his stools, Allev by: thums at the begining, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 y/o M complains of worsening epigastric pain that started 2 months ago. Pain is intermitent, burnig, 5/10 in severity , and last 1-2hrs. Associated with nausea. Patient also reports passing dark brown stool.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]epigastric pain, dark brown stool, burnig, worsening, M, started 2 months ago, intermitent, last 1-2hrs, nausea, 35 y/o</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Hamilton is a 35 y/o male with PMHx significant for back pain/muscle spasms who presents with 2 months of epidural abdominal pain which he describes as a gnawing burning sensation in his epidrual region with no radiation. Pt is currently not experiencing the pain, but when he does he reports a pain level of 5/10. Pain was originally 1 x week but currently getting worse as patient is experiencing the pain 2-3 times per week. Patient attempted the use of tums to alleviate pain, but reports not working. Furthermore, pt reports a darkening of stool (melena) more so than usual. Denies any bright red blood per rectum, changes in stool, diarhea, nausea, vomiting, chest pain, SOB. Denies nocturnal asthma. Denies recent travel, pets at home, denies sick contacts. Medications: motrin 1 x week Allergies: None; Social: smokes 1/2 a pack to 1 pack per day since he was 15 (20 year pack year history), drinks socially.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]pain epidrual region, darkening of stool, motrin, gnawing burning, getting worse, drinks socially, Mr, male, with 2 months, Denies any bright red blood per rectum, tums not working, 35 y/o</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: stomach hurts". HPI: Mr. Hamilton is a 35 y/o Male complaining of epigastric pain for the past 2 months that has progressively become worse. Pain comes and goes, feels like "burning, knawing" and is 5/10 on the pain scale. Tums helped at first but patient stopped taking them now as they no longer provide relief. Nothing makes the pain worse. Patient confirms nausea and 2 week history of dark stools. Pain occurs at random, day or night and has woken him from sleep. ROS: Denies vomiting, blood in stools, stool caliber change, cough, SOB, CP, palpitations, fevers, weight loss. PMHx: back aches, muscle spasms from construction work. PSHx: None. Allergies: None. Meds: Tums as need (now stopped) and Motrin 200 mg once a week for back pain. FHx: Uncle had bleeding ulcer. SHx: Smokes 1-2 PPD x 20 yrs. Used to drink a few beers a week but has stopped drinking. Denies drug use. Works as construction worker, lives alone, not sexually active.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle had bleeding ulcer, epigastric pain, dark stools, Motrin, burning, knawing, progressively become worse, few beers a week, Mr., Male, past 2 months, Pain has woken him from sleep, Denies blood in stools, comes and goes, Tums helped at first, Tums no longer provide relief, nausea, 35 y/o</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 year old malepresents with complaint of epigastric pain associated with nausea that has been affecting him about 2-3 times per day. Patient describes pain as Burning pain that is 5/10 severity that is non radiating. Initially the pain was relieved by Tums, but that is no longer the case. The patient also states that he feels bloated after eating, but that eating does not affect the pain or nausea. Pt has also nnoticed increased fatigue and darkening of his stools recently. Patient denies headache, dizzyness, chest pain, fever, chills. ROS: none other than above PMH: none PSH: none Meds: Motrin. Extract phrases from this text which may help understand the patient's medical condition.[/INST]epigastric pain, darkening of his stools, Motrin, Burning, bloated after eating, 2-3 times per day, male, pain was relieved by Tums, but that is no longer, nausea, nausea, 35 year old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35yo M presents with c/o stomach pain -Begin 2 months ago, buring, gnawing, intermittent pain -5/10 pain, initial relieved by Tums but not now -Has black/tarry stools +Nausea, -vomiting, +burping -Not associated with food intake -Slightly relived after stopping alchohol intake -Denies fever, infection, changes in weight -Uses Motrin for back pain PmHx: Denies Allegies: None Medications: Motrin SHx: None S: last sexually active w/ wife 6 mo. ago. Pending divorce. No children. -has worked in construction for 10 years. Extract phrases from this text which may help understand the patient's medical condition.[/INST]black/tarry stools, Uses Motrin, Motrin, buring, gnawing, M, Begin 2 months ago, intermittent, initial relieved by Tums but not now, Nausea, 35yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35M with CC of epigastric pain. The pain is burning in sensation with no radiation, has occurred for the past 2 months and is getting worse. Tums initially helped but is no longer helping. Every time he eats he feels bloated but food is not associated with the pain. He states that his stools have also been darker than usual. He also endorses nausea but no vomiting. No fevers, chills, no increased urinary frequency, no pain with urination. No chest pain or other abd pain. No yellowing of skin. He has never had anything like this before. PMHx Takes motrin, but only once a week for aches and pains from his work as a construction worker. Healthy, no hospitlizations or surgeries. NKDA. FHx Uncle with gastric ulcers. Mother, father, alive and healthy. Shx Works as construction worker. Smoked 0.5-1ppd since his teenage years. Had about 2-3 drinks per week but has stopped since the pain started. No other drug use.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle with gastric ulcers, epigastric pain, stools have also been darker, Takes motrin, burning, Every time he eats he feels bloated, getting worse, 2-3 drinks per week, M, past 2 months, Tums initially helped but is no longer helping, nausea, 35</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35yo M Chad Hamilton intermittent epigastric gnawing burning pain. Onset 2 months ago. Pain worsening. Last 2 weeks pain now wakes him at night. Feeling fatigued. TUMS was working but now does not. Nothing makes it worse. 5/10 pain. Stools dark. No blood in stool. Feels bloated when eating. Mood is good. Nauseous. ROS: No coughing. No SOB. No vomiting. No headache. No fever. No change in diet. No night sweats. PMH: none PSH: none Meds: TUMS, motrin for pain relief FH: negative for IBS/IBD. Uncle positive for peptic ulcer disease. SH: smokes 1PPD since 15yo. Quit beers couple weeks ago. Construction worker that lives alone.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle positive for peptic ulcer disease, epigastric pain, Stools dark, motrin, gnawing burning, Feels bloated when eating, Pain worsening, M, Onset 2 months ago, pain now wakes him at night, No blood in stool, intermittent, TUMS was working but now does not, Nauseous, 35yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI- 35 yo m c/o abd pain x 2months. - epigastric, burninng and worsening, intermittent intially 1xs/week but now 2xs/week. tums relieved it but nothing makes it worse.non radiating -assoc bloating, anorexia, poor sleep due to pain waking him up, nausea but no vomiting,belching and anorexia. -denies fever, trauma, heartburn, sob, sweating, cough, chest pain, wt loss or urinary symptoms. ROS- neg except as above. PMH- back ache and spasm treated with motrin. MED_ tums, motrin. ALLERGIES- NKA. FH- uncle had a bleeding ulcer. SH- construction worker, 1ppd since 15yrs, quit beer 2 weeks ago due to pain. exercises and sexually active, no sti. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle had a bleeding ulcer, pain epigastric, motrin, motrin, burninng, bloating, worsening, intially 1xs/week but now 2xs/week, quit beer 2 weeks ago, m, x 2months, poor sleep due to pain waking him up, intermittent, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 year old male with no significant past medical history presenting with epigastric pain and nausea. The pain is a burning quality and is rated at a 5/10 on the pain scale. the pain has become more frequent and occurs twice daily. the pain lasts 1 to 2hrs and is associated with nausea. Eating food does not make it better or worse. tums used to help with the pain but has now stopped working. denies trauma to the area. reduced apeptite due to nausea but denies weight loss. no vomiting or diarrhea. ROS: muscle aches and spasms in lower back PMH: none Medications: Motrin for back pain SHx: none FH: uncle with bleeding ucler SH: works as a high elevation construction worker, 1-2 beers/week no longer drinks due to nausea, smoked 1/2pack to 1 pack per day for 15 years, no illicit drug use, not sexually active. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with bleeding ucler, epigastric pain, Motrin, burning, has become more frequent, occurs twice daily, 1-2 beers/week, male, tums stopped working, nausea, nausea, nausea, nausea, 35 year old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: 35 yo male c/o stomach pain HPI: pt c/o epigastric pain 5/10 for the past 3 months, pt awakens at night laying down with pain, the pain doesnt radiate, pain has been getting progressively worse, never happened before, comes and goes 3x per, tums used to alleivate the pain, no longer does, food does not make it worse. Pt reports darkened stools (melena) for the past 2 weeks, caliber is unchanged, endorses nausea and bloating following meals, pt denies fever, chills, myaglias, unintentional weightloss, joint pain, steatorrhea, fatigue, hematemesis ROS: negative excpet as per HPI Alleriges: none PMHX: no hospitalizations, surgeries, trauma, or medical illnesses RX: motrin 1x /week Social: high altitude concentration worker, smokes 15 years 1PPD, used to drink a couple of beers a week, recently stop ETOH, no recreationla drug use, diet is balanced FHX: uncle had bleeding peptic ulcer . Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle had bleeding peptic ulcer, epigastric pain, darkened stools, melena, motrin, bloating following meals, getting progressively worse, couple of beers a week, male, past 3 months, awakens at night, comes and goes, tums used to alleivate the pain, no longer does, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35-year-old previously healthy man here with 2 months of burning, gnawing epigastric pain and nausea. Pain used to occur once per week now 2-3 times per day. Tried taking TUMs which seemed to help for awhile but now no longer offer relief. Nothing in particular seems to make pain worse. Does not associate pain with eating, though does describe a sense of bloating and fullness after eating. No difficulty swallowing. No fever, emesis, diarrhea, constipation, rashes. Says occasionally stool is dark in color but denies seeing frank blood or black color. PMHx: back pain, muscle spasms. Meds: motrin 1x/week. Allergies: none Surgery: none Family hx: uncle with h/o bleeding ulcer Social history: works high elevation construction. Lives alone. Endorses recent increase in stress level as is separating from wife. Smokes 1/2 - 1 pack per day. Previously drank 3-4 beers per week, no alcohol in past 2 weeks. No other drug use.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with h/o bleeding ulcer, epigastric pain, stool is dark in color, motrin, burning, gnawing, bloating and fullness after eating, used to occur once per week now 2-3 times per day, 3-4 beers per week, man, with 2 months, denies seeing frank blood or black color, Tried taking TUMs which seemed to help for awhile but now no longer offer relief, nausea, 35-year-old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo M with h/o chronic NSAID use presents for 2 months of worsening epigastric pain - Epigastric pain started two months ago, associated with nausea. Describes pain as a "gnawing" and rates it as a 5/10 at its worst - says episodes of pain occur intermittently and last for an hour; previous once per week but have increased in frequency to once/day - Has attempted tums with minimal relief; denies aggravating factors including meals or fatty foods - denies pmh but reports h/o NSAID use (1 motrin per week) for chronic pack pain; otherwise denies pmh, surgical history, medications, allergies - Paternal uncle with "bleeding ulcer"; other denies FH. - Drinks 1-2 alcoholic beverages per week but has stopped drinking since onset of pain, smokes 1/2 pack of cigarettes per day for last 15 years, no rec drug use. not sexually active. works as constructino worker. li. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Paternal uncle with "bleeding ulcer, epigastric pain, Epigastric pain, NSAID use, NSAID use, motrin, gnawing, worsening, increased in frequency to once/day, 1-2 alcoholic beverages per week, M, for 2 months, started two months ago, occur intermittently, tums with minimal relief, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Hamilton is a 35 yo male who presented with stomach pain. Pain started about 2 months ago. The pain is described to be sharp and in the epigastric region. Patient states that he does not notice anything that makes it worse. Seems to be "random" in timing. Does not notice any food that makes it worse or better. Has tried tums which helps relieve the pain, but recently it has not worked as well as it used to. Pain is 5/10. Has felt naussous but has not vomited. Has noticed darker stool recently, but no blood or diarrhea. Denies any fever, chills or cough. ROS: all other negative PMH: Back pain for which he takes Motrin Meds: Motrin Surg Hx: none FH: parents both alive and healthy. Has uncle with stomach ulcer. SH: smokes 1ppd x 20 years. Used to drink 1 to 2 beers per week but has now stopped due to stomach problem. No drugs. Not currently sexually active.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with stomach ulcer, epigastric region, darker stool, Motrin, Motrin, 1 to 2 beers per week, Mr, male, started about 2 months ago, no blood, tried tums which helps relieve the pain, but recently it has not worked, naussous, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 YO M COMES WITH C/O STOMACH PROBLEMS X 2 MONTHS. IT IS GRADUAL, PROGRESSIVE,GRADUAL, PROGRESSIVE, LOCATED IN EIGASTRIUM, 5/10, BURNING, NON-RADIATING, BURNING, NON-RADIATING, NO AGGRAVATING FACTORS AND RELIEVING FACTORS. PT WAS TAKING TUMS NOW NOT USING. PT IS CONSTRUCTION WORKER TAKING MOERTIN FOR BACK PAIN, STOOLS ARE DARK IN COLOR. PT HAS BELCHING AND BURPING, NAUSEA X 2 MONTHS, ABDOMEN IS BLOATED AFTER EATING. DENIES FEVER, VOMITING, JAUNDICE, CHANGE IN TASTE OF MOUTH, SLEEP/BLADDER CHANGES. ROS: -VE EXCEPT AS ABOVE PMH: BACK PAIN X 10 YRS MEDS: TUMS AND MORTIN FH: H/O SIMILAR PROBLEMS SSH: SMOKING SINCE AGE OF 15 YRS, CUT DOWM BEERS FROM MANY TO FEW, NO DRUD USE, SEXUALLY INACTIVE . Extract phrases from this text which may help understand the patient's medical condition.[/INST]LOCATED IN EIGASTRIUM, STOOLS ARE DARK IN COLOR, TAKING MOERTIN, MORTIN, BURNING, BURNING, BLOATED AFTER EATING, PROGRESSIVE, PROGRESSIVE, M, X 2 MONTHS, NAUSEA, 35 YO</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 y/o M presenting with 2 mo history of abdominal pain. has been getting progressively worse, previously relieved by TUMS, but no longer effective. Pain comes and goes, maximum 5/10. No precipitating factors, nothing improves or worsens pain, and no association with meals. Pt also notes some increased bloating with food, so has been eating some smaller meals. Does not note any weight loss. Also denies lightheadness or dizziness. Has some nausea but no vomiting. Has also noted some darkening of his stool over the past few weeks, but no frank blood. ROS: As per above. - headaches, myalgia/arthralgia, no change in urinary function or stool caliber. PMH: none PSH: none FH: paternal uncle- bleeding ulcer SH: 1/2 to 1 ppd smoker since age 15y. Previously drank a couple beers a week, quit drinking several months ago. No drug use. Works in construction, has some associated muscle aches and pains due to phyiscal labor. MEds: Motrin 400mg. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle- bleeding ulcer, darkening of his stool, Motrin, increased bloating with food, getting progressively worse, couple beers a week, M, 2 mo history, of his stool no frank blood, Pain comes and goes, TUMS, but no longer effective, nausea, 35 y/o</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI 35 yo M complains of epigastric pain for 2 mo. pain is burning sensation, no radiarion, episodic, 2/daily and each episode last for 1-2h, 5/10 on severity scale. doesnt relate to food, denies hurtburn or vomiting but he has nausea. wake up at night cause of pain. TAMS helped but not anymore. darker stool and feels more tired. denies fever or weight loss, diahrrea or constipation. ROS negative except as above. PMH backaches. PSH none MEDS NSAID ALLERGIES none SH smoke 0.5-1PPD*20y, stopped drinking previous couple beers/wkdenies illicit drugs. not sexually active. exercise. regular diet. divorce process. FH unkle ulcer . Extract phrases from this text which may help understand the patient's medical condition.[/INST]unkle ulcer, epigastric pain, darker stool, NSAID, burning, 2/daily, couple beers/wk, M, for 2 mo., wake up at night cause of pain, episodic, TAMS helped but not anymore, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Chad Hamilton is a 35 yo male who came in with complaint of stomach pain. Patient localized pain to epigastric area. Pain started 2 months ago and has been getting progressively worse. Described pain as burning and gnawing and 5/10 in severity. Sometimes the pain would wake him up at night. Pain has been intermittent, seeming to come randomly with no associating to eating. Patient stated Tums used to make it better, but no longer works. Patient states nausea, but denies vomiting, dirrhea, constipation, night sweats, weight loss, and fever. PMHx: back pain that spasms due to construction Surgical Hx: none Allergies: none Meds: Motrin 400 mgs 1x week FHx: parents are healthy SHx: Works in construction. Has a 20 year smoking history, drinks 1-2 beers a week, doesn't do drugs.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]localized pain to epigastric area, Motrin, burning and gnawing, getting progressively worse, 1-2 beers a week, male, started 2 months ago, pain would wake him up at night, intermittent, Tums used to make it better, but no longer works, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Pt is a 35 YO w CC of stomach prob Pts has epigastrium pain, burning, nagging, 5/18 pain for last 2 months associated w/ bloating, Nausea and darkened stool. He denies any urinary or bowel changes. He denies any greasy stool or diarrhea and urinary symptoms and fever or chills. He tried tums which used to help but not anymore. Eat fast food mostly. He feels worried about it affecting his job. his uncle has PUD. He is a current smoker 25 Pack year and drinks alcohol 2-3 night. He is not sexually active.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle has PUD, epigastrium pain, darkened stool, burning, nagging, bloating, alcohol 2-3 night, last 2 months, tums used to help, Nausea, 35 YO</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Chad Hamilton is a 35 y.o. male who has been having burning eipgastric pain 2x per day for the past 2 months. Pain lasts 1 hour and is 5/10 and occasionally wakes him from sleeping. Not related to eating. Tums initially made pain better but is no longer helping. He has also been feeling stomach bloating during this period. Endorses fatigue and darker stools. Takes motrin occasionally for back pain and muscle spasms. Has not noticed any weight loss or bright red blood in stool. No chest pain, shortness of breath, or other abdominal pain. no cough ROS: negative except as above Medications: motrin occasionally for back pain. TUms allergies: None PMHx: none PSHx: none Social. 1/2 to 1 ppd since age 15. Few drinks per week until recent pain started. No drug use. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]eipgastric pain, darker stools, motrin, motrin, burning, stomach bloating, 2x per day, Few drinks per week, male, past 2 months, wakes him from sleeping, not noticed bright red blood in stool, Tums no longer helping, 35 y.o</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Chad Hamilton is a 35 M presenting with midline epigastric pain with onset 2 months ago. He reports no inciting event or illness. Pain does not radaite to chest or back. It is not effected by eating. He has experienced no chnage in his appetite but reports eating less as he has had feeling of early satiety and bloating. Has noticed darkened stools in last 2 weeks but no frank blood. No cosntipation or diarrhea. Intermittent nasea but no vomiting. Reports taking Motrin weekly for back pain and myalgias secondary to job in construction. Moderate EtOH use without bingeing but has abstained for last 2-3 weeks due to EtOH exacerbating feeling of bloatedness. No weight loss or fatigue. PMH: none Meds: only Motrin SocHx: 15 PY smoking hx, counsled about quitting, EtOH as above, no drug use . Extract phrases from this text which may help understand the patient's medical condition.[/INST]epigastric pain, darkened stools, taking Motrin, Motrin, bloating, Moderate EtOH use, M, onset 2 months ago, no frank blood, nasea, 35</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Chad Hamilton, a 35-year-old male, has come to the physician's office today because of stomach problems. began 2 months ago, midepigastric, no radiation, burnning , 5/10 intermittent, 2 time per day, last 1 hour has nausea, melena x 2 week, use NSAID, denies, chest p;ain, urinary and cough, sob, palpitation, regurgitatoin , not related to meal and food, aggravated by nothing, relieved by Rx for heart burn all; none pmh; none psh; none med; NSAID, Thymm for GERD fh; non rele\vant sh; 1/2 pppd x 15, no drug,etooh, live aloen , constructon worker, feel tired for \pain, . Extract phrases from this text which may help understand the patient's medical condition.[/INST]problems midepigastric, melena, use NSAID, NSAID, burnning, 2 time per day, male, began 2 months ago, intermittent, nausea, 35-year-old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Patient is a 35 yo male who presents with epigastric pain. Pain started about 2 months ago. He describes burning, nawing pain. 5/10 in severity. Pain has be geting progressively worse. He uses tums for relief, but now they dont help much. He also endoses bloating, feeling full, nausa, dark stools. He denies fevers, chills, chest pain, vomiting, diarrhea. He also uses mortrin. PHMX= Back pain from work NKDA - No recent hospitalizations FH- Uncle - bleeding ulcer No surguries, no travel. Social- Lives in phily, works construction. smokes 1/3-1pack for 15 years. Drinks couple of beers a week, CAGE 0/4 . Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle - bleeding ulcer, epigastric pain, dark stools, mortrin, burning, nawing, bloating, geting progressively worse, couple of beers a week, male, started about 2 months ago, tums for relief, but now they dont help much, nausa, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: "pain in mid epigastric area" 35 yo M c/o 2 mo of constant, intermittent epigastric abdominal pain. Pain is 5/10 and is present at least 2X daily and wakes him up 3X each night. There are no precipitating or exacerbating factors. Pain was alleviated by tums in past but no longer helps. patient has no past medical history but reports that an uncle had h/o peptic ulcer disease. Patient reports darker stools for 2 months, + nausea but denies vomitting. There has been no changes in frequency or texture of stools. He feels bloated after food. PMH: backache and spasms PSH: none SH: recently divorced and is stressed about that. Recently stopped alcohol but has smoked 1/2 pk for 15 yrs. no illicuit drugs use. FH: Uncle - bleeding ulcers. Health maintenance: Last visit to physician was long time ago. ROS: negative except as in HPI. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle had h/o peptic ulcer disease, Uncle - bleeding ulcers, epigastric area, epigastric abdominal pain, darker stools, bloated after food, 2X daily, Recently stopped alcohol, M, wakes him up 3X each night, intermittent, alleviated by tums in past but no longer helps, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo male presents with stomach pain. Progressive in nature, 5/10, episodes were few/wk now 2x/day lasting 1-2 hr, no radiation, pain wakes him up at night, + nausea, - vomiting, +darkstools. No diarreha, constipation, weight change, fever, NS, rashes, chills, ligh headedness, chest pain, palpitations, dypsnea. PMH: chronic back pain - motrin 1x week FH: uncle w bleeding ulcer SH: 15y .5-1ppd smoking hx, not ready to quit. occasioanl etoh use. no illicit drug use. use to execercise before the pain. Nml diet. Not sexually active. Going through dovrce.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle w bleeding ulcer, +darkstools, motrin, Progressive, episodes now 2x/day, occasioanl etoh use, male, wakes him up at night, + nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35 yo M complains of 2 months of stomach distress. Indicates the pain in the epigastric region, epsidic, and intensity of 5/10. Reveals that he is going trhourh a divorce and stress caouses intensify pain. Indicates nausea, bloated, and darkening of stool. Denies urinary symptoms, no flushing, no fever, no palpiations, and no visual distrubances. Indicates myalgias since early 20s. Pain is mininally alleviated with motrin. ROS: negative except for above Allergies none Meds: motrin PMH: myalgias since 20s; low back pain PSH: none SH: 1 ppd for 20years; occasional alcohol consumtiop; no drugs; not sexuyaly actice; works as construction worker FH: uncle had a bleeding ulcer. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle had a bleeding ulcer, pain in the epigastric region, darkening of stool, motrin, motrin, bloated, occasional alcohol, M, of 2 months, epsidic, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Hamilton is a 35 year old man presenting with "stomach problems" -Reports experieincing burning sensation in epigastric ("mid-chest") area -Started 2 months ago with episodes occuring on weekly basis -Over past week, pain is worsening and becoming more frequent (daily) and is waking up patient from sleep -Burning sensation episodes lasts 1-2 hours -Denies associated with food intake -Took TUMS, which initially helped with symptoms but over the past week, not as useful ROS: Endorses darker stools than usual over the past 2 weeks. Denies bright red blood in stools. Denies cough. Denies lower abdominal pain. Denies hematuria or urinary changes. PMHx: None PSHx: None Medications: TUMS, motrin Family history: Uncle had bleeding ulcer Social Hx: Construction worker. Reports life is very stressful with work and recent divorce). Smoking 1/2 to 1 pack per day currently for past 10 years. Denies EtOH/drug usage. No recent sex. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle had bleeding ulcer, sensation in epigastric ("mid-chest") area, darker stools, motrin, burning, Burning, is worsening, more frequent, Mr., man, Started 2 months ago, waking up patient from sleep, Denies bright red blood in stools, episodes lasts 1-2 hours, TUMS, which initially helped, TUMS not as useful, 35 year old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 Y M presents with stomach problems. Patient has had intermittent stomach pain for the past two months. Located above stomach, described as gnawing, 5/10, non-radiating, slightly better with tums, no better or worse with eating, associated with nausea when painful. Patient also noted darkening of stool for the past two weeks. No vomiting, sour taste in mouth, diarrhea. Patient takes Motrin 2x200mg approximately 1x/wk for back pain. ROS: No fevers, chills, chest pain, shortness of breath, diarrhea, constipation. PMH: Denies. PSH: Denies. FH: Bleeding gastric ulcer in uncle. SH: Lives alone, construction worker, not sexually active. Previously drinking 3 beers/wk stopped 3 weeks ago, 20 Y h/o smoking 1/2-1 pack per day, denies recreational drug use. Medications: Motrin as needed. Allergies: Denies.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Bleeding gastric ulcer in uncle, darkening of stool, takes Motrin, Motrin, gnawing, 3 beers/wk, M, past two months, intermittent, slightly better with tums, nausea, 35 Y</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: - 35 yo male with stomach pain - Pain started 2 months ago, no trigger or trauma to the area. It has been increasing since that time - Pain is located in epigastric region, no radiation - Tums used to help the pain but that has not helped recently. Nothing makes the pain worse. No association with food - Dull pain. Always 5/10 - Nausea, no vomiting, dark colored stools. No changes in bowel habits. No vomiting. No dysuria or polyuria. - Pain comes and goes - No headache, fever, chest pain, no reflux, no diarrhea/constipation PMH: none, no hospitalizations Surgical hx: none Medications: Motrin 400 mg PO as needed (around 1/week) Allergies: NKDA Family Hx: uncle with "bleeding ulcer" Social hx: lives alone. Works as a construction worker. 20 pack-year smoking history. Used to drink a couple beers on the weekend; has cut down now. No illicit drug use Diet: fast food; has not exercised recently due to pain. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with "bleeding ulcer", Pain is located in epigastric region, dark colored stools, Motrin, increasing, couple beers on the weekend, male, started 2 months ago, comes and goes, Tums used to help the pain but that has not helped recently, Nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Chad Hamilton is a 35 y/o male who comes into clinic with "stomach problems". The burning/gnawing pain is located at the mid-epigastrium and has been a 5/10 pain. It started 2 months ago, happening 1 time per week. The past two weeks it has been happening multiple times per day. It lasts an hour and is random in onset. he endorses belching, nausea, bloating after eating, and the pain wakes him up at night some times. He states his stools have been darker. ROS: negative Mast medical Hx: back related injury Past surgical hx: none Medications: tums and motrin FHx: paternal uncle had ulcer Social: 2-3 beers per week, .5 ppd since 15 y/o. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]paternal uncle had ulcer, pain is located at the mid-epigastrium, stools have been darker, motrin, burning/gnawing, bloating after eating, happening multiple times per day, 2-3 beers per week, male, started 2 months ago, pain wakes him up at night, nausea, 35 y/o</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35yo m c/o of epigastic discomfort for the past 2 months. pain has gotten worse and frequent. pain is 5/10, burning in nature, no precipitating factors, feels bloated with meals but not necessarily painful. non radiating, takes pain medication that has not helped he is fatigued. he has associated nausea , dark stools which he noticed 2 weeks ago,. denies palpitaion, he takes motrin occasionaly for aches. no change in bowel habits,no change in urine habits, eats a lot of take outs fever , vomiting, pmh/psh: none ros negative except above fh non contributory nkda shx smoke 1/2 - 1 ppd since age 15yrs, he has not decided to quit yet.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]epigastic discomfort, dark stools, motrin, burning, feels bloated with meals, gotten worse and frequent, m, past 2 months, nausea, 35yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo M complaining of pain in upper abdomen since 2 months which gotten worse since last 2 weeks, burning sensation in upper abdomen, started suddenly, progressive, continuous, initially reliefed by tums but not anymore, nothing makes it worse. patient also complains of dark brown stools, nausea, bloating, decreased appetite due to pain, several night time awakenings due to pain. Patient is construction worker and have back pain for which he is taking moltrin. ROS- negative except as above PSH- none PMH- none SH- smoke x 20 years x half to 1 ppd, drink beers but recently decreased due to belly pain, no illicit drug use, sexually active and monogamous Allergy- none Meds- TUMS, Moltrin. Extract phrases from this text which may help understand the patient's medical condition.[/INST]pain in upper abdomen, dark brown stools, Moltrin, taking moltrin, burning, bloating, gotten worse, progressive, M, since 2 months, several night time awakenings, initially reliefed by tums but not anymore, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr Hamilton is a 35 year old caucasian male who presents to clinic today due to 2 months of mid abdminal pain. Pain is a gnawing 5/10, constant discomfort. He has recently had stress in his life drom pending divorce and increased work realted stress. He has been feeling naucious - he has not thrown up as of yet. Increased belching and bloating after meals . ROS was negative for CP, SOA, diarrhea, constipation, emesis, changes to ears and eyes. No urinary changes. PMH back pain from physical labor with 10 year history of ibuprofen use 1 time per week No PSH FH - uncle with bleeding gastric ulcer Social - smoked 20 pack years. used to drink socially but stopped since last 2 months. no illicit drug use Meds: tums and motrin 1 tablet qWeekly NKDA. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with bleeding gastric ulcer, mid abdminal pain, ibuprofen use, motrin, gnawing, bloating after meals, used to drink socially, Mr, male, 2 months of, naucious, 35 year old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: PT 35 YO M TAKING PAIN MEDS X 10 YRS WITH FH OF PUD, C/O EPIGASTRIC PAIN X 2 MONTHS, INTERMITTENT, STARTED GRADUALLY, GETTTING WORSE, 3 TIMES/NIGHT, USUAL IN NIGHT TIME, SHARP PAIN, TUMS DOES NOT HELP , NO ALLEVIATING/AGGRAVATING FACTORS. PT HAS BACK PAIN TAKING PAIN MEDS X 10 YRS. PT REPORTS ABD DISTENSTION AFTER MEALS AND NOTICED DARK STOOL. PT DENIES ANY FEVER, VOMITING, CHEST PAIN, SOB, REGURGITATIONS, METALIC TEST IN MOUTH, SKING CHANGES AND PALPITATIONS. ROS: NO CHANGE IN WEIGHT BUT DECREASED APPETITE. NO CHANGE IN URINARY HABITS. PMH: NONE. PSH: NONE. ALLEG: NKA. MEDS: TUMS AND MOTTRIN. X 10 YRS FH: UNCLE DIED OF PUD. SH: SEXUALLY NOT ACTIVE. SMOKING 1/2 PPD X 15 YRS. STOPPED DRINKING ETOH, NO ILLICIT DRUGS. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]FH OF PUD, UNCLE DIED OF PUD, EPIGASTRIC PAIN, DARK STOOL, MOTTRIN, ABD DISTENSTION AFTER MEALS, GETTTING WORSE, M, X 2 MONTHS, 3 TIMES/NIGHT, INTERMITTENT, TUMS DOES NOT HELP, 35 YO</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35 yo M c/o worsening epigastric pain x 2 months. - 5/10. burning. duration 1-2hr. freq. 2times/day. intermittent pain. better with TUMs in the past - worse with nothing. not related to eating. - poor appetite due to bloating sensation. -BM 2 times/day. dark brown colored stool. no particular odor. ROS: No prev. similar symptom. No change in wt. no vomiting, diarrhea, constipation. no fever Allergies: none Meds: motrin PMH: none. no hospital. no trauma. PSH: none FH; uncle ulcer disease. SH: no EtOH. smoking 1/2-1pack a day since age 15. no illicit drugs. not sexually active. works for construction site.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle ulcer disease, epigastric pain, dark brown colored stool, motrin, burning, bloating, worsening, 2times/day, M, x 2 months, intermittent, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 YO M comes to the clinic c/o stomach problems since 2 mo ago. Epigastric pain , getting progressively worse, and intermittent. Happening 2 times at day and lastinf 1-2hrs. 5/10 in intensity, gnawing and deep like. Used to get better w antacid but now nothing makes it better. Nothing makes it worse. It is affeting the pt life. Denies fever, chills, N/V, HA, relation w food. No burning sensation on throat or dysphagia. No changes in appetite or weight. No changes in urinary/bowel habits. ROS neg except as above PMH hx LBP taking ibuprofem 2 times at week. NKDA PSH none FH uncle has PUD SH 1 PPD x 15 yrs , 1-2 beer/ wks sx. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle has PUD, Epigastric pain, taking ibuprofem, gnawing, progressively worse, Happening 2 times at day, 1-2 beer/ wks, M, since 2 mo ago, intermittent, Used to get better w antacid, 35 YO</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35-year-old male h/o stomach problems; epigastric pain (burning/nawing like pain) for 2 months; causing him nausea but not vomiting. Feels the pain twice a day; no certain time. After eating he feels bloated; was taking tums but no longer working. Patient has not been able to exercise due to pain. ROS: Bowel movements wnl- dark brown stool; no melena; no pain when defecating. Pt denies appetite change/ weight change/ no headache/ chest pain/ SOB. Pt is a construtction working; stressed going through a divorce and living alone; no sexual activity. PH: back pain and muscle pain from work Surgeries: none Allergies: NKDA Medication: 2 motrin of 200mg 1 time a week FH: paternal uncle bleeding ulcer Hx of tobacco use 15 years of half/1 pack per day. quit recently; gave information on tobacco counseling; ETOH couuple times a week no recreational drug use. Extract phrases from this text which may help understand the patient's medical condition.[/INST]paternal uncle bleeding ulcer, epigastric pain, dark brown stool, motrin, burning/nawing, After eating he feels bloated, twice a day, ETOH couuple times a week, male, for 2 months, no melena, was taking tums but no longer working, nausea, 35-year-old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: STOMACH PROBLEMS HPI: 35 YO M C/O EPIGASTRIC PAIN STARTED GRADUALLY 2 MONTHS AGO. THE PAIN IS DULL, REACHING 5/10 INTENSITY, INTEMITTENT 2-3 TIMES/DAY, NONRADIATING. NO PRECIPITATING FACTORS, NO RELATION WITH FOOD. IT WAS PARTIALLY ALLEV BY ANTACIDS, NOT ANYLONGER. HE ALSO HAS NAUSEA W/O VOMITING, AND NOTICED BLACK STOOL FEW TIMES, NO BLOOD. ROS: NO WEIGTH CHANGES, NO URINARY CHANGES, NO FEVER, NO CHEST PAIN PMH: OCC BACK PAIN D/U HEAVY WORK. NO PSH FH: UNCLE WITH PUD SH: 1/2-1 PPD/ 20 YRS, OCC ETOH/NO RECR DRUGS. Extract phrases from this text which may help understand the patient's medical condition.[/INST]UNCLE WITH PUD, EPIGASTRIC PAIN, BLACK STOOL, 2-3 TIMES/DAY, OCC ETOH, M, STARTED GRADUALLY 2 MONTHS AGO, STOOL NO BLOOD, INTEMITTENT, PARTIALLY ALLEV BY ANTACIDS, NOT ANYLONGER, NAUSEA, 35 YO</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: Stomach problems 35yo M who presents with epigastric pain. Pain present over last 2 months and has been worsening in last few weeks. The pain is a gnawing/burning 5/10 pain with no radiation. It is unrelated to food or time of day, but has woken him up from sleep. The frequency has increased from 1/week to 3x/day. Patient reports increased belching, nausea, bloating and fullness after meals for 2 months, and darker stools over the last 2 weeks. The pain had been relieved by Tums but is no longer. Patient reports 1 year of increased stress due to work and divorce. He denies vomiting, reflux, weight loss. He takes 2 motrin a week on average. ROS: Negative PMHx: back aches/muscle spasms; Meds: motrin and tums PRN; NKDA; FHx: uncle with bleeding ulcer; Lives alone, high elevation construction worker; drank a few beers a week, but has now stopped. current smoker w/ 15 pack year smoking history. Diet: frequent eating out high fat foods. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with bleeding ulcer, epigastric pain, darker stools, takes motrin, motrin, gnawing/burning, bloating, fullness after meals, worsening, frequency has increased from 1/week to 3x/day, few beers a week, M, last 2 months, woken him up from sleep, had been relieved by Tums but is no longer, nausea, 35yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo m, c/o stomach pain since 2 months. Pain is located in the epigastric region, 5/10 intensity, burning in nature, non-radiating. Pain is intermittent and has been getting worse. Would occur once a week earlier, but now occurs 2-3 times a day. Also gives h/o dark stools since 2 weeks. Intermittent back pain. Denies palpitations, chest pain, sweating, changes in urinary / bowel movements. H/o eating junk food. Reduced apetite. No aggravating or relieving factors. ROS - negative except as above Allergies - NKA Meds - Tums once a week. PMH - noncontributory. No hospitalisation, injuries, trauma, surgeries. FH - Uncle who had a bleeding ulcer SH - smokes half to one ppd for 20 years. Occasionally drinks beer. Denies illicit drugs. Not sexually active. Construction worker.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle who had a bleeding ulcer, Pain is located in the epigastric region, dark stools, burning, getting worse, now occurs 2-3 times a day, Occasionally drinks beer, m, since 2 months, intermittent, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: This is a 35 yo previously healthy male presents with a 2 months h/o progressive worsening pain in epigastric area with bloating and possible melana. The pain is described as burning, pt has belching. pain worse with eating, rated 3/10. pain is intermittent, no vomiting, no hematemesis, but does have some nausea. Has noticed dark brown stool since the onset of the stomach pain, no bright red blood. 20 pack-year smoking hx. Has a uncle with possible PUD. ROS: negative except for listed in HPI PMH: none PSH: none Med listed in FH: uncle with possible PUD SH: 20 pack-year smoking, 2-3 beer/week, no STD, no recreational drug allergy: none. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with possible PUD, uncle with possible PUD, pain in epigastric area, melana, dark brown stool, burning, bloating, progressive worsening, 2-3 beer/week, male, 2 months h/o, no bright red blood, intermittent, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Chad Hamilton is a 35yo M presnting with abdominal discomfort. Describes a burniung nawing midepigastric pain that does not radiate. Occurs 2-3x per day for the last two months. No association with meals. Tums used to make it better but stopped working. Just started happening at night, same pain. Does experience bloating and fullness with meals. Voluntary anorexia to avoid the feelings of fullness. Moderate back pain and muscle pain. Bowel movements have been darker in color just in the last couple of weeks. Denies any episodes of tremulousness, lightheadedness, palpitations. ROS- negative except for above, no chest pain, palpitations, squeezing or exertional chest pain, no pain in other parts of abdomen. PMH- negative Meds- motrin once a week Allergies- NKDA Fam Hx- uncle with a bleeding ulcer Social- Diet- whatevere is available, greasy foods. Exercise has decereased, Tobacco 20 pack year hx, Not sexually active. Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with a bleeding ulcer, midepigastric pain, Bowel movements have been darker, motrin, burniung nawing, fullness with meals, bloating with meals, Occurs 2-3x per day, M, happening at night, Tums used to make it better but stopped working, 35yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Chad Hamilton, a 35-year-old male, has come to the physician's office today because of stomach problems. Has had pain and discomfort which started 2 months ago. No previous similar complaints, getting worse, located mid epigastrium, does not radiate, pain occurs twice daily and 3 nights a week which causes sleep distrurbance and tiredness as a result. Has nausea everytime pain is there without vomitting, also has noticed dark stools. He feels bloated after meals. Denies sour taste in mouth, sob, fever, chills, night sweats. ROS: negative except as above PMH: back spasms after work Meds: Motrin Allergy: none Family: uncle wit peptic ulcer disease PSH: none Social: smoke 1/2-1 pack daily for 20 years, cut down drinking 1 beer before symptoms daily, no drugs Sexual: not active Diet: eats fast food, unbalance, excercise decreased due to decreased sleep, no weight or appetite changes . Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle wit peptic ulcer disease, discomfort located mid epigastrium, dark stools, Motrin, bloated after meals, occurs twice daily, getting worse, male, started 2 months ago, 3 nights a week which causes sleep distrurbance, nausea, 35-year-old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Pt is a 35 yo M who presents for epigastric pain for 2 months - 5/10, burning, gnawing pain in upper part of stomach that is not getting worse but is happening more frequently associated with nausea -happens randomly, not associated with food intake - has taken tums which helped initially but has now stopped -noticed dark stools 2 weeks ago. well formed stools. no constipation or diarrhea -no aggravating sx -no changes in diet ROS- no weight loss, dysphagia, myalgias, headaches, fatigue, vomiting, issues with urination, palpitations meds- motrin 400 mg 1/week for back pain from from work. NKDA medHX- none surg hx - none famHX- uncles had bleeding ulcer SH- 0.5-1 PPD smoker for 20 years. 1-2 beers/week but has since quit. no drug use. works in construction. does not exercise. Poor diet with no fruits or veggies surg hx - none . Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncles had bleeding ulcer, epigastric pain, pain in upper part of stomach, dark stools, motrin, burning, gnawing, happening more frequently, 1-2 beers/week, M, for 2 months, tums which helped initially but has now stopped, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35yo man presenting with epigastrium pain. First noticed pain 2 months ago, burning ngawing pain, intermittent but episodes have been increasing in frequency. Associated with nausea. Endorses melena. Has taken Tums which helped a month ago but not recently. No diarrhea, no BRBPR, no constipation. Also burping a lot recently. No cough. No pain in other parts of the abdomen. No dizziness or syncope. Takes ibuprofen regularly 2x200mg 1x/week for back pain and muscle spasms from construction work. Has cut down alcohol use recently because of pain. PMHx: None. PSHx: None Meds: Moltrin PRN for back pain NKDA FHx: Uncle with bleeding ulcer. Otherwise no pertinent. SHx: Works in construction. Alcohol use 1-2 beers per week. Current smoker, 20-pack year history. No illicit drugs. Not sexually active currently, last activity over a year ago.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Uncle with bleeding ulcer, epigastrium pain, melena, Takes ibuprofen, Moltrin, burning ngawing, episodes have been increasing in frequency, 1-2 beers per week, man, 2 months ago, no BRBPR, intermittent, taken Tums which helped a month ago but not recently, nausea, 35yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: patient is a 35 y.o. male who presents with stomach pain. He reports that over the past 2 months he has felt a 5/10 gnawing pain in his epigastric region. the pain occurs about 2 times per day and lasts for 1 to 2 hours. it does not radiate anywhere. he has tried tums which initially helped but no longer provide relief. in addition he reports nausea with these episodes but no vomiting. he reports darkening of his stool over the past two weeks. He also reports that he has a sensation of bloating with meals, so he has been eating smaller meals. The pain has been waking him from his sleep roughly 2 times per week. He feels that he is under stress becuase of a recent divorce. ROS: negative except for above PMH: denies Meds: motrin, and tums Med All: denies Hospitalizations: Denies PSH: Denies Fhx: uncle bleeding ulcer SHx: works as construction worker; lives west philly; 2 drinks per week; 15 pack years; no recreational drugs. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle bleeding ulcer, pain in his epigastric region, darkening of his stool, motrin, gnawing, bloating with meals, 2 times per day, 2 drinks per week, male, past 2 months, waking him from his sleep, tried tums which initially helped but no longer provide relief, nausea, 35 y.o.</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: patient is a 35-year-old male, has come to the physician's office today because of stomach problems. He says the problem started 2 months ago and is associated with a burning/knawing type pain in the epigastric region. he says he has bloating and fullness every time he eats. he also noticed he stool has been darker recently. Patient says TUMS help for a little while, but has stopped. The pain has progressively gotten worse from onset and is intermittent about 2x a day. Patient says the pain has also been waking him up in the middle of the night. Patients diet consists of food trucks and eating out Denies exacerbating factors such as food, denies recent travel or ill contacts. pt. says he also feels nausea ROS- - except stated above pmhx: chronic back pain medications- TUMS, motrin 200mg fhx: uncle with cleeding ulder social- 1 ppd since 15 y/o, few beers a week; has stopped since pain, denies drug use . Extract phrases from this text which may help understand the patient's medical condition.[/INST]uncle with cleeding ulder, pain in the epigastric region, stool has been darker, motrin, burning/knawing, bloating, fullness every time he eats, progressively gotten worse, 2x a day, few beers a week, male, started 2 months ago, waking him up in the middle of the night, intermittent, TUMS help for a little while, but has stopped, nausea, 35-year-old</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Hamilton is a 35 yo M who presents today due stomach pain. He states that the pain has been occuring for the past 2 months and comes and goes randomly. Endorses nausea, rates the pain at a 5/10, it is nonradiating. Endorses feeling bloated after meals, diet consists of mostly fast food. Previously noted pain was worse with food. Recent Bowel Movements have been darker than usual. Previously had relief with TUMS, now pain does not go away. Patient takes motrin PRN for aches/pains he experiences while working construction. Allergies: NKDA Meds: Motrin PRN. PMH: None PSH: None Fam: Paternal uncle had bleeding ulcer Social: drinks few beers per week, smoked since age of 15, 0.5 to 1 PPD, not interested in quitting. No Drug use, not sexually active, no history of STIs.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Paternal uncle had bleeding ulcer, Bowel Movements have been darker, motrin, Motrin, bloated after meals, few beers per week, Mr, M, past 2 months, comes and goes, Previously had relief with TUMS, now pain does not go away, nausea, 35 yo</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: 35 y/o male patient that comes to clinic due to stomach pain. HPI: Patient mentions pain began 2 months ago. The pain was described as a 5/10 gnawing, and burning in the epigastric area. It does not radiate or move anywhere else. Mentions having nausea , pain waking him from sleep, bloating, and dark stools since 2 weeks ago. Denies fever , vomiting, diarrhea or weight loss. Not alleviated by antacids anymore. PMH: Recurrent back aches due to construction work. Takes Motrin Allergies: None PSH: Non contributory FH: Fathers side of family has alcohol problem and bleeding ulcer in stomach. SH: Patient works in construction. Lives alone. Mentions smoking cigarettes 1 PKD for 15 years. Mentions consuming 2-3 beers a week but having to cut down recently due to bloating.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Fathers side bleeding ulcer in stomach, pain in the epigastric area, dark stools, Takes Motrin, gnawing, and burning, bloating, bloating, 2-3 beers a week, male, began 2 months ago, pain waking him from sleep, Not alleviated by antacids anymore, nausea, 35 y/o</s>