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Just to update since he's passed out and groggy: They found severe inflammation of his esophagus, lots of erosions and ulcers in the esophagus, erosions in the stomach lining, and a duodenal ulcer. They've biopsied everything, and we should get results next week. The doctor put him on Nexium, with a double does for the first week, and then daily, probably for the rest of his life, or at least until the reflux goes away.
Now, it's not 100% certain that this is the root cause of all the pain. It is very abnormal for someone to go without having complaints of acid reflux/heartburn, and it's abnormal for someone his age to show so much inflammation. It's also abnormal for the pain to present in the abdomen, but it does happen. It could be that he has a condition where he produces too much acid, or something else. If this is the root cause, he should be feeling better by Thursday morning, if not sooner (supposed to work in 24 hours, but he is also taking a double does). He is scheduled for a colonoscopy on Friday, and will most likely have it done regardless of whether he feels better just to have it done and cover all the bases.
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