What are the treatment options for peptic ulcer disease?
May 24, 2020 · Question 11 of 25 4.0 Points Which of the following is NOT an appropriate recommendation for treatment of peptic ulcer disease? A. Limit heavy use of aspirin and other NSAID medications. B. Consume a bland diet with only easily digested foods.
What should I avoid if I have a peptic ulcer?
Solutions for Chapter 4 Problem 62MCQ: Which of the following is NOT an appropriate recommendation for treatment of peptic ulcer disease?A. Limit heavy use of aspirin and other NSAID medications.B. Consume a bland diet with only easily digested foods.C. Treat with an antibiotic under the care of a physician.D. Stop smoking and limit alcohol intake. …
Which nonsteroidal anti-inflammatory drugs are used in the treatment of ulcers?
Jul 29, 2021 · If you smoke or take NSAIDs, peptic ulcers are more likely to come back. If you need to take an NSAID, your doctor may switch you to a different medicine or add medicines to help prevent a peptic ulcer. Peptic ulcer disease can return, even if you have been careful to reduce your risk.
Can a peptic ulcer come back?
Feb 23, 2021 · To prevent peptic ulcer recurrence, the exclusion of these factors is necessary. Idiopathic peptic ulcers are thought to be one of unknown causes of peptic ulcers after successful H. pylori eradication; therefore, long-term maintenance treatment with PPIs or H 2 RAs is suggested, when the cause of peptic ulcer recurrence is unclear.
What is the best treatment for peptic ulcers?
Protectants. Protectants coat ulcers and protect them against acid and enzymes so that healing can occur. Doctors only prescribe one protectant— sucralfate (Carafate) —for peptic ulcer disease. Tell your doctor if the medicines make you feel sick or dizzy or cause diarrhea or headaches.
How to prevent peptic ulcers?
To help prevent a peptic ulcer caused by NSAIDs, ask your doctor if you should. stop using NSAIDs. take NSAIDs with a meal if you still need NSAIDs. take a lower dose of NSAIDs. take medicines to protect your stomach and duodenum while taking NSAIDs. switch to a medicine that won’t cause ulcers.
What is the best treatment for H. pylori?
pylori infection, a doctor will treat your NSAID-induced peptic ulcer with PPIs or histamine receptor blockers and other medicines, such as antibiotics, bismuth subsalicylates, or antacids. PPIs reduce stomach acid and protect the lining of your stomach and duodenum.
How long does it take for a peptic ulcer to heal?
When you have finished your medicines, your doctor may do another breath or stool test in 4 weeks or more to be sure the H. pylori infection is gone.
Can antibiotics kill H pylori?
pylori. How doctors prescribe antibiotics may differ throughout the world. Over time, some types of antibiotics can no longer destroy certain types of H. pylori. Antibiotics can cure most peptic ulcers caused by H. pylori or H. pylori -induced peptic ulcers.
Can antibiotics help with peptic ulcers?
Antibiotics can cure most peptic ulcers caused by H. pylori or H. pylori -induced peptic ulcers. However, getting rid of the bacteria can be difficult. Take all doses of your antibiotics exactly as your doctor prescribes, even if the pain from a peptic ulcer is gone.
Does antacid help with peptic ulcers?
Antacids. An antacid may make the pain from a peptic ulcer go away temporarily, yet it will not kill H. pylori. If you receive treatment for an H. pylori-induced peptic ulcer, check with your doctor before taking antacids. Some of the antibiotics may not work as well if you take them with an antacid.
What is the best treatment for peptic ulcer disease?
Antisecretory drugs used for peptic ulcer disease (PUD) include H2-receptor antagonists and the proton pump inhibitor (PPIs). PPIs have largely replaced H2 receptor blockers due to their superior healing and efficacy. PPIs block acid production in the stomach, providing relief of symptoms and promote healing.
Where does peptic ulcer disease occur?
It extends into the muscularis propria layer of the gastric epithelium. It usually occurs in the stomach and proximal duodenum.
What is PUD treatment?
Today, most patients can be managed with a proton pump inhibitor ( PPI) based triple-drug therapy. Peptic ulcer disease (PUD) is characterized by discontinuation in the inner lining of the gastrointestinal (GI) tract because of gastric acid secretion or pepsin. It extends into the muscularis propria layer of the gastric epithelium.
Where does PUD occur?
It extends into the muscularis propria layer of the gastric epithelium. It usually occurs in the stomach and proximal duodenum.
Is duodenal ulcer more common in men than women?
Duodenal ulcers are four times more common than gastric ulcers. Also, duodenal ulcers are more common in men than in the woman. Pathophysiology. The peptic ulcer disease (PUD) mechanism results from an imbalance between gastric mucosal protective and destructive factors.
What drugs block prostaglandins?
NSAIDs block prostaglandin synthesis by inhibiting the COX-1 enzyme, resulting in decreased gastric mucus and bicarbonate production and a decrease in mucosal blood flow. Medications. Apart from NSAIDs, corticosteroids, bisphosphonates, potassium chloride, and fluorouracil have been implicated in the etiology of PUD.
How long does it take for a refractory ulcer to heal?
A refractory peptic ulcer is one over 5 mm in diameter that does not heal despite 8-12 weeks of PPI therapy. The common causes are persistent H.pylori infection, continued use of NSAIDs, or significant comorbidities that impair ulcer healing or other conditions like gastrinoma or gastric cancer.
Clinical Context
Approximately 500,000 persons develop peptic ulcer disease in the United States annually, and 70% are between the ages of 25 and 64 years, with most ulcers occurring in the stomach and proximal duodenum and less commonly in the lower esophagus and distal duodenum.
Study Highlights
The annual risk for a life-threatening complication from peptic ulcer disease among patients who use NSAIDs long term is 1% to 4%, with older patients at highest risk.
Pearls for Practice
H pylori infection and use of NSAIDs are the most common causes of peptic ulcer disease with a dominant presentation of epigastric pain except in older patients who may present with complications.
What is the best medication for gastric emptying?
1. Increase tone of the esophageal sphincter. Metoclopramide hydrochloride (Reglan) increases esophageal sphincter tone and facilitates gastric emptying; both actions reduce the incidence of reflux. Bethanechol (Urecholine)- Prokinetic- has been ordered for a client with gastroesophageal reflux disease (GERD).
What is proton pump inhibitor?
Because diagnostic testing for heartburn that is probably caused by gastroesophageal reflux disease (GERD) is expensive and uncomfortable, proton pump inhibitors are frequently used for a short period as the first step in the diagnosis of GERD.
What is cipridine used for?
It may be used in hiatal hernia therapy to prevent or treat the esophagitis and heartburn associated with reflux. The client with gastroesophageal reflux disease (GERD) complains of a chronic cough.