### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Good afternoon. 2011/07/26 Yesterday I was at the doctors office. My problem-abdominal pain. how can a doctor examining a patient does not, without examination and testing prescribe medication. I am 53 years and measured the temperature of the doctor, looked at his throat and with my words had decided what I needed medication ( Omeprazole 20, Aluminium MG.S, Dimethione-SOBHAN 40) I do not know their diagnosis. And as the doctor knows. not even examined the stomach. I would like to take a blood test for cancer. Learn what my inflammation. . Yesterday I was a little upper lip swollen with a small ulcer and the doctor attributed to me (Vitamin a+D-Sobhan). Today is a very swollen upper lip, increased 10 times. What do you advise me

### output:

HI. Thanks for your query. Sorry to know that some Doctors may not be having a proper clinical / physical examination. But in a normal circumstance a Doctor can get far more information and a probable diagnosis by your good, detailed history alone. I am sorry, here too I could only read what you have mentioned and going to comment upon the history you have provided. Well, back to your problems. The multiple ulcers you have could have been due to authors ulcers and the cause is not known. The probable cause is GI (gastrointestinal) disturbance. And this is always tried to correct with appropriate antibiotics and metronidazole. So continue the medicines as advised by your Doctor and vitamin A and D has to be taken in therapeutic dosage. Too much swelling of the upper lip looks to be due to either angio-neurotic edema or infection of the ulcer. The lips have a different tissue structure, so the edema can be far more severe than other places in the body. You may need oral steroids for early settlement.