Yep you guys got it rite. I wasnt so lucky. I got trick by the fact epigastic pain and not relieve via antiacids/weight lost due to fear of eating. According to Goljan's GI patho section that is classical s/sx of gastric ulcers (PUD). But So i pick that one . Even though i knew there is something to the fact that they gave hx of coronary heart disease. My logic was this guy must take NSAIDs for his heart problem, which decrease PGE increase s/sx of gastric ulcer via increase HCL production and decrese protection. I didnt think of chronic messentric ischemia. Oh, well dont make my mistake folks hahahs. I guess if they want NSAIDs abusive PUD, they would say something about it. Like Dr. ******* said dont make that leap hahaha! Live and learn .