Peptic ulcer disease e

Question 1

Definition

Answer 1

Open sores that develop on the inside lining of your stomach and the upper portion of your small intestine

Gastric ulcers- inside of stomach

Duodenal ulcers- inside of the upper portion of your small intestine (duodenum)

Question 2

Aetiology

Answer 2

Occurs when acid in the digestive tract eats away at the inner surface of the stomach or small intestine.
The acid can create a painful open sore that may bleed.

Common causes of this:
- Bacterium- helicobacter pylori bacteria most commonly
- regular use of certain pain relievers- aspirin and NSAID’s can irritate or inflame the lining of your stomach and small intestine
- other medications

Question 3

Risk factors

Answer 3

Smoking- may increase helicobacter pylori infection

Driving alcohol- can irritate and erode the mucous lining of your stomach

Have untreated stress

Question 4

Clinical presentation

Answer 4

Stomach pain with both gastric and duodenal ulcers (most common symptom)

Gnawing or burning sensation and occurs after meals- classically, shortly after meals with gastric ulcer and 2-3 hours afterward with duodenal ulcers

Feeling of fullness, bloating, or belching

Intolerance to fatty foods

Heartburn

Nausea

Less often but more severe symptoms:
– vomiting or vomiting blood (may appear red or black)
– dark blood in stools
– trouble breathing
– feeling faint
– appetite changes

– can lead to peptic duodenitis
—- can be caused by multiple duodenal ulcers, particularly if present beyond the first part of the duodenum