Gastro Flashcards

1
Q

What are the classically differentiating symptoms between a duodenal and a gastric ulcer?

A
  1. Gastric ulcer worse with food due to increased production of gastric acid
  2. Duodenal ulcer better after food due to neutralisation of gastric acid by the food
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2
Q

What is the aetiology of duodenal ulcers?

A

Virtually all by H.pylori
or NSAIDs

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3
Q

How do you test for H.pylori?

A

Either
* Carbon urea breath test or
* Stool antigen

But breath test only one used to re-test after erradication

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4
Q

What is the erradication regime for H.pylori?

A

7 days of Triple therapy with

  • A PPI (e.g. omeprazole 20-40mg)
  • Amoxicillin
  • Clarythromycin or metronidazole (if penallergic, Clarithry + metronidazole, no amox)
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5
Q
A
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5
Q
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