PEPTIC ULCER TREATMENT, peptic ulcer SYMPTOM, CAUSES ,TYPES of peptic ulcer, complication of peptic ulcer ~ Medical diseases and trems ,symptoms causes TREATMENT

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PEPTIC ULCER TREATMENT, peptic ulcer SYMPTOM, CAUSES ,TYPES of peptic ulcer, complication of peptic ulcer



 DEFINITION 

                            It is define as break down of esophagia , gastric and duodenal  mucosa . The peptic ulcer in any where in GIT which comes with contact with gastric juice.

TYPES 

    1. ESOPHAGIAL ULCER  - Common in lower part of esophagus.

    2. GASTRIC ULCER - Common in pyloric entrum of  stomach.

    3.  DUODENAL ULCER - Most common type of peptic ulcer . common in first part of duodenum.

PATHO PHYSIOLOGY

                              Peptic ulcer occur when aggressive factor excide the defensive factor.

ETIOLOGY

               Helicobacter pylori - Most common cause of peptic ulcer .

               - Excessive use of gastric irritant .

               - Family history.

               - Common in blood group 'O'.

SIGN AND SYMPTOM 

1.PAIN    

               Gastric ulcer                                         duodenal  ulcer 

- Left upper quadrent .                                - Epigastric region pain .

- Food may cause pain and vomiting          - Pain occur at empty stomach .

may relive pain.                                           - Ingation of the food may relive pain.

                                                                     - Pain occur 2-3 hour after taking food .

                                                                     - Mid night pain may occur .

2. Bleeding 

                  a. Hematemesis             b. melena 

3.Weight loss .

4. Anorexia, nausea, vomiting

5. Anemia

6.fever

DIAGNOSIS 

                * History and physical examination .

                * CBC 

                * Urea breath test for H pylori .

                * Antibody detection test [ conformity test for H pylori]

                * ENDOSCOPY - Best test for peptic ulcer .

MANAGEMENT / TREATMENT 

          1. Avoid the gastric irritant .

          2. Pharmacological treatment 

                              Tab  - Amoxiclave 625 mg

                              Tab - clarithromycin 375 mg 

                              Tab - rantac 150 mg 

                              cap - pantocid 40 mg

                              Syp - Mucaine gel 20 ml 

         3. Diet therapy   - High protein non spicy diet cold milk.

         4.Stress induce ulcer

                                      - a.  Psychotherapy

                                      - b.  Rx Tab SSRI

                                                   Tab Clonazepam 

COMPLICATION OF PEPTIC ULCER 

           1 Haemorrhage  

           2. Pyloric obstruction 

           3. perforation 

SURGICAL TREATMENT 

                1. Vagotomy - Severing of some branch of vagus nerve to decrease the parietal cell stimulation is known as vagotomy.

                2. Sub total gastrectomy.

                3. Total gastrectomy.[ Vitamin B12 is given as life long by perentral rout .


                           


                                                                  

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