40-Year-Old Woman Presenting With Heartburn

A 40-year-old woman presented to the outpatient clinic with a 3-month history of worsening heartburn and regurgitation. Symptoms occurred nearly daily, were worse after spicy foods and carbonated beverages, and were relieved by calcium carbonate. She had no associated fever, weight loss, changes in bowel habits, or dysphagia. She had never traveled internationally. Her medical history was notable only for bipolar I disorder well controlled with lithium and quetiapine. She had no history of abdominal surgery or tobacco use, and she consumed 4 ounces of wine 3 to 4 times per week.
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Tags: Residents ’ clinic Source Type: research