Peptic ulcer disease - ix and mx

Question 1

How is a peptic ulcer investigated?

Answer 1

1. bloods
2. upper GI endoscopy
3. Barium meal

Question 2

What are the result of bloods?

Answer 2

1. FBC ( anaemia )

2. Urea is elevated ( due to haemorrhage )

Question 3

Medical management of a peptic ulcer?

Answer 3

1. ant acids - Gaviscon
2. PPI (4 - 6 weeks) to allow ulcer to heal
3. investigate for h.pylori if symptoms remain

Question 4

Conservative mx of a peptic ulcer?

Answer 4

1. lose weight
2. stop smoking
3. avoid spicy food
4. stop nsaids/medication