DUODENAL ULCER
DUODENAL ULCER
Erosions that occur in the mucosa in the duodenum.
– occurs between 35-65 yrs. of age.
– usually no vomiting in patients.
Assessment:
– 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.
CAUSES:
– High secretions of HCL Acid.
– Chronic Gastritis
– Medications such as Aspirin, NSAIDS & Corticosteroids.
TREATMENT:
Medications to treat H. Pylori
- Metronidazole (Flagyl)
- Omeprazole (Prilosec)
- Tetracycline
– ANTACIDS
– Histamine 2 Receptor Antagonists
– PPI (Proton Pump Inhibitors)
Lifestyle Changes:
– Decrease or eliminate alcohol consumption.
– Decrease or stop smoking.
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