,REVIEW OF SYSTEMS: , As per the form filled out in our office today is positive for hypertension, weakness in arms and legs, arthritis, pneumonia, ankle swelling, getting full quickly after eating, loss of appetite, weight loss, which is stated as fluctuating up and down 4 pounds, trouble swallowing, heartburn, indigestion, belching, nausea, diarrhea, constipation, change in bowel habits, change in consistency, rectal bleeding, hemorrhoids, abdominal discomfort and cramping associated with constipation, hepatitis A or infectious hepatitis in the past, and smoking and alcohol as previously stated. 
,REVIEW OF SYSTEMS : , As per the form filled out in our office today is positive for hypertension , weakness in arms and legs , arthritis , pneumonia , ankle swelling , getting full quickly after eating , loss of appetite , weight loss , which is stated as fluctuating up and down 4 pounds , trouble swallowing , heartburn , indigestion , belching , nausea , diarrhea , constipation , change in bowel habits , change in consistency , rectal bleeding , hemorrhoids , abdominal discomfort and cramping associated with constipation , hepatitis A or infectious hepatitis in the past , and smoking and alcohol as previously stated .