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Peptic Ulcer (causes (H. pylori, aspirin, ibuprofen, NSAIDs, smoking,…
Peptic Ulcer
causes
H. pylori
aspirin, ibuprofen, NSAIDs
smoking
alcohol
radiation therapy
stomach cancer
symptoms
epigastric pain
heartburn
tender epigastrium
ALARM Symptoms
Anaemia
Loss of weight
Anorexia
Recent onset/progressive sym
Meleana
Swallowing difficulty
open sores due to inflammation and erosion of mucousal lining by stomach acids
gastric ulcers
oesophageal ulcers
duodenal ulcers
treatment
lifestyle
less alc and smoking
H. pylori eradication
drugs to reduce acid
PPIs
complications
bleeding
perforation, malignancy, reduced gastric outflow
pain: epi, gradual onset, gnawing, radiation into back, remission for weeks/months, worse when nocturnal or hungry, 0.5-2h,exacerbating F incl stress, spicy foods, alc, NSAIDs, relieved by food, antacids, vomiting, mild to moderate