Patient come to the pharmacist' consultation table.

Ph : Good afternoon, Miss.

Px : Good afternoon.

Ph : Please take a seat.

Px : Ah, thank you.

Ph : My name is (........) as a pharmacist here. How can I help you, Miss?

Px : Umm... I have a burning pain from the stomach up to the chest. And I would like to take the
medicine from this prescription.

Ph : I will take a look at your prescription. May I ask for five to ten minutes to complete our
medical records and match the prescription to your condition?

Px : Yes, please.

Ph : Is it prescription in the name of (.........)?

Px : Yes, it is. (........) is me.

Ph : How old are you?

Px : I'm 20 years old.

Ph : Where do you live?

Px : I live on Mango Street.

Ph : Do you have any allergy in drugs or food?

Px : No, I don't have any allergy.

Ph : What are your daily activities?

Px : I'm a colleger and also an activist in the university.

Ph : What your doctor said about your condition?

Px : He said I have a gerd. Although I don't really understand what it is.

Ph : Okay, a gerd. Do you rarely a eat?

Px : Yes, I often skip my meals because of my activities.

Ph : Do you like spicy or sour food?

Px : Yes, especially spicy food. I really like it.

Ph : What symptoms do you feel right now?

Px : My stomach aches and I thought it is a ulcer. But my chest also hurts, it's like burning pain at
my chest. And I have difficulty in swallowing too.

Ph : Have you ever nausea or throw up liquid thay have a sour taste like an acid liquid?

Px : Yes, I have. It is happened like two or three times.

Ph : When did all the symptoms appear?

Px : My stomachache since one week ago and the pain is in four days ago.

Ph : Did you do self-medication in previous?

Px : Yes, I use ulcer medicine but I forget the name, and I use Ibuprofen too.

Ph : Did the doctor explain the use of the medicine in the prescription and how to take the
medicine?

Px : No, he did not explain that.

Ph : Okay. Please wait for a moment, I will prepare the medicine.

Px : Okay.

The pharmacist prepare the medicine.

Ph : Like the doctor said, you have a gerd which is the gastric acid reflux to the esophagus. This
is the reason why you vomitted, feel the burning pain in your chest, and difficult to swallow. You
get Omeprazole as your medicine. This medicine can inhibit proton pump which plays a role in
gastric acid secretion, so the gerd can be relieved. This Omeprazole in 20mg dose. You should
take this medicine one capsule daily for four weeks. After that, you can come back to your
doctor to do a check up. You should stop using your ulcer medicine and Ibuprofen because the
ulcer medicine is not effective to relieve your condition and Ibuprofen will make your condition
worse. You should avoid eating foods that are too spicy and too sour. Get enough rest can help
you to reduce the gastric acid too. And eat no less than four hours before your bedtime. Do you
have any questions?

Px : Can I recover from the disease?

Ph : Yes, you can with the lifestyle modifications as I said and consume the medicine obediently.
Any other questions?

Px : No, there is not.

Ph : Okay, you can get the medicine after pay it at the cashier.

Px : Thank you.

Ph : Thank you for coming and get well soon, Miss.