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Peptic Ulcer Disease

Duodenal Ulcer

Duodenal Ulcer are erosions that occur in the mucosa in the duodenum.  These ulcers occur mostly in people between the ages of 30-60 years of age.  Unlike gastric ulcers, during duodenal ulcers, there is usually no vomiting (nclex).  Clinical Manifestations of duodenal ulcers that is essential to know for the nclex, includes:  epigastric pain 2-3 hours after meal, a pain that is relieved by food intake and melena.
Gastric Ulcer

When we talk about gastric ulcers we talk about an erosion that occurs in the gastric mucosa.  Gastric ulcer usually occurs in people that is over the age of 50.  The clinical manifestations for gastric ulcers includes: a midepigastric pain occurring form 1/2 hour to 1 hour after meals.  There is also a discomfort that is increased by food consumption and there is vomiting, which is very common in gastric ulcers, and provides some relief of the pain (nclex).  Diagnostic tools used for ulcers includes: endoscopy exam (this is one of the most common diagnostic test for a gastric ulcer, there is also the barium swallow, a gastric analysis and biopsy.

  • Treatment for gastric ulcers would include the intake of antacids, antibiotics, Histamine or H2 blockers, anticholinergics, antispasmodics and proton pump inhibitors.
  • Surgery can also be a treatment in patients with gastric ulcers.

 

Dumping Syndrome

Dumping Syndrome: usually post gastrectomy, the dumping syndrome can be one of the major problems.  The syndrome is caused due to rapid emptying of the food from the stomach and into the jejunum.  Symptoms of dumping syndrome can include: dizziness, pallor, nausea and vomiting.  Treatment for clients with dumping syndrome can include: decreased in fluids with meals, a decrease in carbohydrate intake, small frequent meals, resting in a recumbent position after meals.  Medications used for treating dumping syndrome includes: sedatives and antispasmodics such as bentyl and pro-banthine.

 

 

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