If there is any alarming symptoms (such as a large spontaneous weight loss, repeated vomiting, dysphagia, vomiting, mixed with sketches, or melena), as well as the presence of gastric ulcers (or suspected peptic ulcer) should exclude the presence of malignancy, because treatment with generic Nexium may lead to a smoothing of symptoms and delay diagnosis. Patients, who purchase Nexium and take the drug over a long period (especially more than a year) should be under regular medical supervision. Patients taking medication “as needed”, before order Nexium, should be instructed to contact their physician when changing the nature of symptoms.

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