DO YOU HAVE PAIN IN YOUR ABDOMINAL ??????

THIS PAIN WITH NAUSEA ??????

AND THIS PAIN INCREASE WITH EATING

FEEL BLOATING AND ABDOMINAL FULLNESS.

WITH TIME NOTED LOSS OF APPETITE AND WEIGHT LOSS

AND VOMITING

(SOMETIME BLOOD WITH VOMITING)  

MELENA (DARKY STOOL WITH BLOOD )

IN THIS CASE AVOID

Stress

Any drugAs NSAIDs

Spicy food

HAVE THIS SYMPTOM YOU HAVE

GASTRIC ULCER

COME TO YOU BY:1-CHRONIC INFLAMMATION DUE TO HELICOBACTER PYLORI  (H. PYLORI) .2-DRUG AS NSAIDS (ASPRINE ,IBUPROFEN ,MEFAMAMIC ACID3-HAVE A FAMILY HISTORY OF ULCERS.4-HAVE ANOTHER ILLNESS SUCH AS LIVER, KIDNEY, OR LUNG DISEASE.5-DRINK ALCOHOL REGULARLY.6-ARE 50 YEARS OLD OR OLDER .

GASTRIC ULCER

IF DONOT GO TO DOCTOR AND RELIVE PAIN BY ANTACID LEAD TO

1-GASTROINTESTINA L BLEEDING

2-GASTRIC OUTLET OBSTRUCTION

IF DONOT GO TO DOCTOR AND RELIVE PAIN BY ANTACID LEAD TO

3-GASTRIC PERFORATION

IF DONOT GO TO DOCTOR AND RELIVE PAIN BY ANTACID LEAD TO

THE PROBLEM NOT STOP HERE

MAY LEAD TO

Cancer

TREATMENT

MEDICATION   AS ANTACID OR 

H2 ANTAGONIST E.G RANITIDINE

 BEFORE EGD IS UNDERTAKEN.

WHY???? NEUTRALIZATION

HYPERACIDITY AND DECREASE ACID

SECRETION

PATIENTS WHO ARE TAKING  NON STEROIDAL

ANTI INFLAMMATORY  (NSAIDS) MAY ALSO BE

PRESCRIBED A PROSTAGLANDIN 

ANALOGUE (MISOPROSTWHY????

TO HELP PREVENT PEPTIC ULCERS

H2 ANTAGONISTS, PROVIDE RELIEF OF PEPTIC ULCERS, HEARTBURN, INDIGESTION AND EXCESS STOMACH ACID AND PREVENTION OF THESE SYMPTOMS ASSOCIATED WITH EXCESSIVE CONSUMPTION OF FOOD AND DRINK.

if H. pylori

the cause o

f gastric

ulcer treate

d by

WHEN H. PYLORI INFECTION IS PRESENT……

THE TREATMENT REGIMENS INCLUDE :

1-A PROTON PUMP INHIBITOR. WHY ?

THIS MEDICATION DECREASES THE STOMACH'S

PRODUCTION OF ACID, WHICH ALLOWS THE

TISSUES DAMAGED BY THE INFECTION TO HEAL.

EXAMPLES OF( PPIS)INCLUDE

LANSOPRAZOLE ,OMEPRAZOLE ,PANTOPRAZOLE,

RABEPRAZOLE, AND ESOMEPRAZOLE.

2-COMBINATIONS OF PPIS WITH 2 ANTIBIOTICS

WHY ?

REDUCES THE RISK OF TREATMENT FAILURE AND

ANTIBIOTIC RESISTANCE..

E.G. CLARITHROMYCIN, AMOXICILLIN, 

TETRACYCLINE, METRONIDAZOLE) AND 1 

(PPI),SOMETIMES TOGETHER WITH A BISMUTH

COMPOUND.

3-IN COMPLICATED ,TREATMENT-RESISTANT CASES,

3 ANTIBIOTICS (E.G. AMOXICILLIN + 

CLARITHROMYCIN + METRONIDAZOLE) MAY BE

USED TOGETHER WITH A PPI AND SOMETIMES

WITH BISMUTH COMPOUND.

AN EFFECTIVE FIRST-LINE THERAPY FOR

UNCOMPLICATED CASES WOULD BE AMOXICILLIN+ 

METRONIDAZOLE + PANTOPRAZOLE (A PPI).

Surgical interpretation

to repair of the perforation. Most bleeding ulcers require endoscopy urgently to stop bleeding.

IN THE ABSENCE OF H. PYLORI, LONG-TERM HIGHER DOSE PPIS ARE OFTEN USED. SUCRALFATE HAS ALSO BEEN A SUCCESSFUL TREATMENT OF PEPTIC ULCERS

In your home

can take

Ginger

Cabbage

 licorice

Chamomile

THAN EAT WHAT YOU WANT WITH OUT ANY PAIN……THANKS DR. SAFIA A. ALREZAMI