46 year old Caucasian white, female, obese 102 kg presents to the clinic for her yearly exam with complaints of general; pain in her chest that is exacerbated with lying down, eating, heartburn, belching, dysphagia, hiccups, burning discomfort, and episodes of vomiting with spicy foods. Amylase 118, Lipase 374, SGOT/AST 8, WBC 4,HGb 10.2, HCT 34.6 Past Medical; HTN, Surgical Hx: Gastric Bypass. Non smoker, BP 110/72 98.2, 78, 20. Current medications: Multi Vit, Vit C and Tums Accord...