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Gast

ri
candduodenal
ulcer(pept
icul
cer
s)
Pepti
culcer
sareopensoresthatdev
elopont
hei
nsi
deli
ningofy
ourst
omachandtheupper
port
ionofyoursmal
li
ntesti
ne.Themostcommonsympt
om ofapepti
cul
ceri
sstomachpai
n.
Pepti
culcer
sincl
ude:

Gast
ri
cul
cer
s-t
hatoccuront
hei
nsi
deoft
hest
omach.

Duodenalul
cer
s-t
hatoccuront
hei
nsi
deoft
heupperpor
ti
onofy
oursmal
li
ntest
ine
(duodenum).

Causes-

 Regul
aruseofcer
tai
npai
nrel
i
ever
s

 Ot
hermedi
cat
ions(NSAI
Ds)

 Smoki
ng

 Dr
inkal
cohol

 St
ress

 Eatspi
cyf
oods

Sy
mpt
oms-

 Bur
ning,
stomachpai
n

 Feel
i
ngoff
ull
ness

 Bl
oat
ingorbel
chi
ng

 Hear
tbur
n

 Nauseaorv
omi
ti
ng,
appet
it
echanges

 Wei
ghtl
oss

 Feel
i
ngf
aint

 Tr
oubl
ebr
eat
hing

 Dar
kbl
oodi
nSt
ool

 Bl
oodi
nvomi
t

Di
agnosi
s-
 Hi
stor
ycol
l
ect
ion

 Phy
sical
exami
nat
ion

 Endoscopy

 X-
ray

 Labor
ator
ytest
s

 Bi
opsy

 St
ool
exami
nat
ion

Tr
eat
ment
s-

 Ant
ibi
oti
cmedi
cat
ionst
oki
l
lH.py
lor
i-t
hesemayi
ncl
ude:

Amoxi
cil
l
in,
Clar
it
hromy
cin,
Met
roni
dazol
e,Ti
nidazol
e(t
indamax)
,Tet
racy
cli
ne.

 Medi
cat
iont
hatbl
ockaci
dpr
oduct
ionandpr
omot
eheal
i
ng-

Pr
otonpumpi
nhi
bit
orsexampl
e:omepr
azol
,l
ansopr
azol
e,r
abepr
azol
eandpant
opr
azol
e.

 Medi
cat
ionst
oreduceaci
dpr
oduct
ion-aci
dbl
ocker
sal
socal
l
edhi
stami
ne

Exampl
e-f
ormot
idi
ne,
cimet
idi
n,andni
zat
idi
ne.

 Medi
cati
onsthatpr
otectt
hel
i
ningofy
ourst
omachandsmal
li
ntest
ine:
sucr
alf
ateand
mi
soprost
ol.

Pr
event
ions-

 Notdr
inki
ngmor
ethant
woal
cohol
i
cbev
eragesaday
.

 Washi
ngy
ourhandsf
requent
lyt
oav
oidi
nfect
ions.

 Li
mit
inguseofmedi
cat
ion

 Tr
ytogetenoughsl
eep.

 Maintai
ningahealthyli
fest
ylebyqui
tti
ngsmoki
ngci
garett
esandot
hert
obaccouseand
eati
ngabal anceddietr
ichinfr
uit
s,v
egetabl
es,
andwholegrai
nswi
l
lhel
pyoupreventa
pepti
culcer.

Compl
i
cat
ions-

 I
nter
nal
bleedi
ng
 Per
for
ati
on

 Scart
issue

 Conf
usi
on

 Suddensev
ereandshar
ppai
n.

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