What is the underlying cause of this mans symptoms

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Assignment:

A 65-year-old man presents to the clinic with dyspepsia and heartburn. He reports that his heartburn worsens after meals. He has no dysphagia or weight loss. He has a 10-pack-year smoking history but takes no illicit drugs. He drinks alcohol on occasion and weekends. Past medical problems include hypertension and obesity. His BMI is 30 kg/m². He takes amlodipine and multivitamins. Family history is significant for sleep apnea in the father and diabetes mellitus in the mother. His manometry findings show mildly decreased peristalsis and a normal barium swallow. The chest x-ray is unremarkable. The basic metabolic panel is within normal limits. What is the underlying cause of this man's symptoms?

Reference no: EM133607037

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