PEPTIC ULCER DISEASE Flashcards
……. Ulcer is more common
Duodenal
Which type of peptic ulcers occur more often in younger adults
Duodenal
Which type of gastric ulcers usually occur after middle age
Gastric
Which type of gastric ulcer is more oikely to be malignant
Gastric
Complications of peptic ulcers
Bleeding
Perforation
Gastric outlet obstruction
Causes of peptic ulcer
H. pylori
Excessive acid secretion
Inadequate protection of stomach and duodenum
Drug-induced
Drugs that can cause ulcers
NSAIDs
Corticosteroids
Symptoms of peptic upcer
Pain in epigastrium or right hypochondrium
Vomiting
Periumbilical pain in children
Nature of pain in gastric ulcer
Pain is worsened by food and may be relieved by vomiting
Nature of pain in duodenal ulcer
Pain is relieved by food and occurs when patient is hungry
Weight loss occurs in ….. ulcer
Gastric ulcer
Weight gain occurs in …. ulcer
Duodenal
Investigations in peptic ulcer disease
Hemoglobin
H. Pylori stool antigen
Endoscopy (esophago-gastro-duodenoscopy)
Barium meal in the absence of endoscopy
Stool examination to exclude intestinal parasites
Treatment objectives in peptic ulcer
To relieve pain and reduce gastric acid secretion
To eradicate H. pylori if present
To promote healing of the ulcer
To prevent recurrence of the ulcer
To prevent and manage complications
Non-pharmacological interventions for peptic ulcer
Reduce alcohol and tobacco intake
Avoid foods that aggravate pain
Reduce anxiety and stress
Surgical treatment
