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Erosions that occur in the mucosa in the duodenum.

– occurs between 35-65 yrs. of age.
– usually no vomiting in patients.

– Person would have epigastric pain 2-3 hrs. after a meal
– Pain can be relieved by food intake.
– There is sometimes an occurrence of melena

Try to Remember the difference:

– A quick way to differentiate between Duodenal and Gastric ulcer

1. GASTRIC ULCERS– pain is high within the epigastric area.  It occurs 1 to 2 hrs. after eating.

2. DUODENAL ULCERS- pain is in the midepigastric area, just below the xiphoid process.  It occurs 2 to 4 hrs. after eating and it is relieved by eating or by taking antacids.


– High secretions of HCL Acid.

– Chronic Gastritis

– Medications such as Aspirin, NSAIDS & Corticosteroids.



Medications to treat H. Pylori

  • Metronidazole (Flagyl)
  • Omeprazole (Prilosec)
  • Tetracycline


– Histamine 2 Receptor Antagonists

– PPI (Proton Pump Inhibitors)


Lifestyle Changes:

– Decrease or eliminate alcohol consumption.

– Decrease or stop smoking.



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