رجل عمره ٥٥ سنة عنده تليف كبد، عُمل له ربط دوالي المريء بالمنظار اليوم. بعد ساعتين يشتكي ألماً خفيفاً عند البلع وانزعاجاً في الصدر. الضغط ١١٨/٧٢، والنبض ٨٤، ولا يوجد قيء دم. ما التعليم المناسب؟

A 55-year-old man with cirrhosis had endoscopic variceal band ligation today. Two hours later he has mild pain on swallowing and chest discomfort. BP 118/72, HR 84, no haematemesis. What teaching is appropriate?

1. Stop his beta-blocker right after the banding
2. Cool fluids, then soft food; report haematemesis or severe pain
3. Drink very hot drinks to soothe the sore throat
4. Eat a large solid meal immediately to test his swallowing properly

Answer: B) Cool fluids, then soft food; report haematemesis or severe pain. Mild odynophagia is expected after banding. Start fluids then soft foods, and report haematemesis, severe pain or fever. Beta-blockers continue as planned.