H. Pylori + Gastroscopy Flashcards
What is H. Pylori
Transmission of H. Pylori
S/sx of h.pylori
Stomach pain dull, sharp
Burping n/v
Bloating not feeling hungry
Unexplained wt loss
Stomach bleeding
Signs of stomach bleeding
CG/BV
B/BS
D/Fai
TBr
FTfnr
How to Diagnose H.Pylori
H. Pylori
What to do in physical exam
What is urea breath test
What are the medical tx
Eradication therapy
( combination of medicines)
Antibiotic
Proton pump inhibitor
H2 blockers
Bismuth salicylate
How does the mixed medication works?
Decrease gastric acid
Weakens the h.pylori
Antibiotic kills the bacteria
Whats the action of proton pump inhibitor
Reduces the gastric acid PRODUCTION
Whats the action of the H2 blockers
Reduces the gastric acid SECRETIONS
Whats the action of Bismuth salicylate
Treat various stomach and digestive issues
Antibiotic
Anti infamatory
Astringent
How to prevent h. Pylori
Wash
Do not
Not cooked
Prepared
Diet for h.pylori px
Yogurt
Omega 3 & 6 fish oil
Olive oil
Vegetables - broccoli, cauli flower, cabbage
White meat - chicken, fish
Foods to avoid with H.pylori
Foods that increases gastric acid production
- coffee, tea, cola, soda, fizzy drinks
Gastric irritation
- pepper, ham, bacon, alcohol, spicy foods, lemon and orange
Common vit. Defieciency in gastritis
Vit. B12
Absorption probkem
What is Gastroscopy?
Indication of gastroscopy?
Swallow
I.H.SP
CG/BV
BTBS
dx
Tx gastroscopy
Widens
Stops
Remove
Treat
Help
Contraindication of gastroscopy
Pre-procedure of gastroscopy
- The doctor will explain the procedure and secure consent
- You should bring along the details of the medications that you take.
- Follow any instructions the hospital gives you about taking medicines.
- Bowel preparation:
- NPO post-midnight before the procedure.
- Drinking is allowed up to 6 hours before the procedure.
During procedure of gastroscopy
Post procedure of gastroscopy
Getting your gastroscopy results
Doctor/nurse
Biopsy… wait for..2m-2w if cancer
If cancer…keep in touch with specialist cancer care team
Post gastroscopy.
Report to the doctor if there is?
Chest pain
Shortness of breath
Abd pain
Black tarry stool
Persistent vomiting/ blood vomit
Fever 38
Main complication if gastroscopy
Perforation
What is perforation?
Hole develops in the lining of the esophagus, stomach, duodenum
Signs of perforation?
Neck, chest, abd pain, pain while swallowing, breathing difficulty , temp above 38
Management for perforation
Mild perforation - antibiotics
Severe perforation - surgical procedures or repair hole
What is eradication therapy
Multi drug treatment plan
Combination of medication
Increase effectiveness
Reduces the resistance to single drug
What is peptic ulcer disease
This is a condition where sores and ulcers are to develop in the lining of the stomach and duodenum.
Weakened lining of the stomach…
Gastric acid irritates the tissues inner layer of the stomach
What is endoscopy
This is a general term for medical procedure that uses a long flexible tube with a light and camera to view/examine a hollow organ or cavity in the body.
Types of endoscopy
Colonoscopy
Bronchoscopy
Gastroscopy
And more
