Tuesday, February 24, 2009

clinical picture of peptic ulcer


Today, peptic ulcers affect more than 10 percent of Americans. It is largely caused by a bacterium (H. pylori), and inadequate use of drugs. Peptic ulcer caused damage to the lining of the stomach or duodenum, which is known as gastric ulcers or duodenum ulcers.

Because of this erosion, abdominal pain and burning may occur at night when the stomach is empty, or two or three hours after meals. In addition, nausea, vomiting, belching and indigestion may occur. These are symptoms of peptic ulcer.

If you vomit blood, or see that your stool is bloody or black, to call a doctor immediately, as a complication of peptic ulcer could have occurred. Moreover, an increase of abdominal pain is an emergency.

Peptic ulcer occurs when inside the stomach and duodenum increased levels of acid are produced. This damage to the line of acid in the stomach and duodenum and ulcers appear.

The level of acid in the stomach increases because some factors interfere in its proceedings. For example, after treatment with NSAIDs for a longer period may increase the level of acid produced in the stomach. To prevent ulcers in your current doctor will prescribe some antacids, Proton pump inhibitors (Omeprazole, Lansoprazole and Pantoprazole) and H2-receptor antagonists (famotidine, cimetidine, Nizatidine and Ranitidine).

Another factor that causes ulcers is a bacterium (H. pylori). This bacterium weakens the natural barrier that protects the stomach lining against the action of acid. Many people in possession of this bacterium in the stomach, but not all of them develop ulcers. This is very interesting to learn what is still studied.

People suffering from Zollinger - Ellison syndrome may develop ulcers because they are tumors of the pancreas that produce hormone called gastrin, which increases production of acid in the stomach.

Alcohol, smoking, stress intensive therapy, radiation and other physical disabilities may also lead to an ulcer. Ulcer genetic predisposition also.

People who have a weakened immune system, and live in unhealthy conditions, are exposed to H. pylori.

In order to diagnose the disease, the doctor will ask about your symptoms, they want to know how much time you have, and will investigate on their lifestyle and diet.

After the doctor will perform a physical examination to see whether there are any signs of bleeding. A blood test is also necessary to see if they are anemic.

If your doctor suspects a peptic ulcer has occurred he will prescribe antacid medication.

But if you continue to feel abdominal pain and burning, even after treatment, the doctor will perform other tests such as upper gastrointestinal endoscopy and a barium examination.

These tests are very accurate for detecting H. pylori, a bacterium that may have caused a peptic ulcer. In this case it is recommended that antibiotic drugs with antacid medicines.

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