Peptic Ulcer


A peptic ulcer also known as ulcus pepticum, PUD or peptic ulcer disease,[1] is an ulcer (defined as mucosal erosions equal to or greater than 0.5 cm) of an area of the gastrointestinal tract that is usually acidic and thus extremely painful. As many as 80% of ulcers are associated with Helicobacter pylori, a spiral-shaped bacterium that lives in the acidic environment of the stomach, however only 20% of those cases go to a doctor. Ulcers can also be caused or worsened by drugs such as aspirin and other NSAIDs.
Contrary to general belief, more peptic ulcers arise in the duodenum (first part of the small intestine, just after the stomach) than in the stomach. About 4% of stomach ulcers are caused by a malignant tumor, so multiple biopsies are needed to exclude cancer. Duodenal ulcers are generally benign.


Signs and symptoms
Symptoms of a peptic ulcer can be
abdominal pain, classically epigastric with severity relating to mealtimes, after around 3 hours of taking a meal (duodenal ulcers are classically relieved by food, while gastric ulcers are exacerbated by it);
bloating and abdominal fullness;
waterbrash (rush of saliva after an episode of regurgitation to dilute the acid in esophagus);
nausea, and copious vomiting;
loss of appetite and weight loss;
hematemesis (vomiting of blood); this can occur due to bleeding directly from a gastric ulcer, or from damage to the esophagus from severe/continuing vomiting.
melena (tarry, foul-smelling feces due to oxidized iron from hemoglobin);
rarely, an ulcer can lead to a gastric or duodenal perforation. This is extremely painful and requires immediate surgery.
A history of heartburn, gastroesophageal reflux disease (GERD) and use of certain forms of medication can raise the suspicion for peptic ulcer. Medicines associated with peptic ulcer include NSAID (non-steroid anti-inflammatory drugs) that inhibit cyclooxygenase, and most glucocorticoids(e.g. dexamethasone and prednisolone).
In patients over 45 with more than two weeks of the above symptoms, the odds for peptic ulceration are high enough to warrant rapid investigation by EGD (see below).
The timing of the symptoms in relation to the meal may differentiate between gastric and duodenal ulcers: A gastric ulcer would give epigastric pain during the meal, as gastric acid is secreted, or afterthe meal, as the alkaline duodenal contents reflux into the stomach. Symptoms of duodenal ulcers would manifest mostly before the meal—when acid (production stimulated by hunger) is passed into the duodenum. However, this is not a reliable sign in clinical practice.






Special regards by

Dr.M M ADNAN
contact id:danieddy20006@hotmail.com

10 comments:

  1. Interesting post about Úlcera péptica but my doctor could operate from an ulcer? and I always Buy Viagra Online but I want to know if I can get a surgery to stop having erectile dysfunction.

    ReplyDelete


  2. mbbs in Philippines
    Every year, almost 8000 foreign students take admission in Philippines Medical universities and out of which around 50% are Indian students. The standard of education in Philippines universities is well known around the world. Thousands of doctors from these medical universities are sent to various countries like USA and UK every year. There are around 2299 higher educational institutions and 40 medical colleges. The main benefits of pursuing MD degree from

    Top Medical Colleges in Philippines :

    EMILIO AGUINALDO COLLEGE OF MEDICINE
    UNIVERSITY OF PERPETUAL HELP SYSTEM DALTA
    LYCEUM NORTHWESTERN UNIVERSITY
    DAVAO MEDICAL SCHOOL FOUNDATION
    SOUTHWESTERN UNIVERSITY

    Top Searched Topics on MBBS in Philippines


    study mbbs in philippines
    philippines medical colleges list
    best medical colleges in philippines for indian students
    philippines medical colleges
    best medical colleges in philippines
    mci approved medical colleges in philippines

    for more information contact us : +91 90329 55688

    ReplyDelete
  3. UV GULLAS COLLEGE OF MEDICINE is one of Top Medical College in Philippines in Cebu city. International students have the oppertunity to study medicine in phillipines at affordable cost and world class University. The college has successful alumni who have achieved well in the fields of law, business, politics, academe, medicine, sports and other endeavors. At University of the Visayas, we prepare students for a global competition.

    Direct MBBS Admissions Open: 2020-21
    Mobile No: +91 90329 55688
    Apply Now: https://www.careerplus.org.in/philippines-medical-college/uv-gullas-college-of-medicine

    ReplyDelete
  4. University of Perpetual help system dalta is a world top university located in, Manila - Philippines.
    Perpetual help system DALTA is all about creating “Academic Excellence” and “World Top Professionals”. This is the destination of choice for education, hospitality, discovery, creativity and innovation.

    ReplyDelete
  5. The Emilio Aguinaldo College School of Medicine was founded and established by Dr. Paulo C. Campos, a National Scientist in Nuclear Medicine. It was formally opened on July 23, 2001 with 24 enrollees. Dr. Salvador R. Salceda, an ophthalmologist, became the first Dean (2001-2003), followed by a gastroenterologist, Dr. Esteban P. Pineda (2003-2010), and a surgical oncologist, Dr. Conrado C. Cajucom (2010-2013). The fourth and present Dean is Dr. Asuncion L. Abaya-Morido, a general surgeon and the former Hospital Director of Medical Center Manila, now known as the Manila Med.

    ReplyDelete
  6. The Davao Medical School Foundation Inc. (DMSFI) was established in July 1976 in response to the recognition of the lack of doctors serving rural communities and lack of specialist in urban centres of Mindanao. Its College of Medicine was thus the first such college to be set up in Mindanao and is dedicated to providing medical education and training of the highest order, leading to the provision of effective medical care in both rural and urban communities.

    ReplyDelete
  7. Our Lady of Fatima University ever since the seven years. The lady of fatima University, formerly known as Fatima Medical Science Foundation is the private university in the Philippines. The popularity of the college is recognized by its expansion to the three campuses. The university offers 5 years duration course of the MBBS comprises 1 year of BS+ 4 years of MD, the first three year course is balanced between medical theories and practices, whereas the fourth year course focus on the medical rotations to bestow the best of the medical practices to the students. After completing the study from the Our Lady of Fatima University, you need to pass the screening test of the respective country and then you are eligible to work as doctor in any of the country in the World. The MD degree of the Our Lady of Fatima University is recognized as equivalent to the UK, Singapore, India, Australia, USA and other gulf countries.

    ReplyDelete
  8. Southwestern University is probably the only school in the Philippines that started operation in summer. It was founded as Southwestern Colleges in the summer of 1946 when the country was still reeling from the destruction of the Second World War. The Founders were Don Matias Hipolito Chavez Aznar, II and his wife Doña Anunciacion Barcenilla Aznar, both pharmacists.

    ReplyDelete
  9. About Lyceum North western University ( LNU ) is Founded in 1969 and is located in Dagupan City. Dagupan is an independent city in Pangasinan province with a small population of about 180,000 inhabitants and is located in the Island of Luzon.

    It is a major commercial and Financial Centre in the North of Philippines and is a very quiet and lush green city with an excellent average temperature between 22 to 32 deg C round the year. It provides an excellent academic

    Environment the students. Dagupan has 12 hospitals with the largest one having more than 600 bed space.

    ReplyDelete

Popular Posts