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THIS PAIN WITH NAUSEA ??????
AND THIS PAIN INCREASE
WITH EATING
FEEL BLOATING AND ABDOMINAL FULLNESS.
WITH TIME NOTED
LOSS OF APPETITE AND WEIGHT LOSS
AND VOMITING
(SOMETIME BLOOD
WITH VOMITING)
MELENA (DARKY STOOL WITH BLOOD )
IN THIS CASE AVOID
Stress
Any drug
As NSAIDs
Spicy food
HAVE THIS SYMPTOM YOU HAVE
COME TO YOU BY:
1-CHRONIC INFLAMMATION DUE TO HELICOBACTER
PYLORI (H. PYLORI) .
2-DRUG AS NSAIDS (ASPRINE ,IBUPROFEN ,MEFAMAMIC ACID
3-HAVE A FAMILY HISTORY OF ULCERS.
4-HAVE ANOTHER ILLNESS SUCH AS LIVER, KIDNEY, OR LUNG
DISEASE.
5-DRINK ALCOHOL REGULARLY.
6-ARE 50 YEARS OLD OR OLDER .
IF DONOT GO TO DOCTOR AND RELIVE
PAIN BY ANTACID LEAD TO
IF DONOT GO TO DOCTOR AND RELIVE
PAIN BY ANTACID LEAD TO
IF DONOT GO TO DOCTOR AND RELIVE
PAIN BY ANTACID LEAD TO
THE PROBLEM
NOT STOP HERE
MAY LEAD TO
TREATMENT
MEDICATION AS ANTACID OR
H2 ANTAGONIST E.G RANITIDINE
BEFORE EGD IS UNDERTAKEN.
WHY ????
NEUTRALIZATION
HYPERACIDITY AND
DECREASE ACID SECRETION
PATIENTS WHO ARE TAKING NON
STEROIDAL ANTI
INFLAMMATORY (NSAIDS) MAY ALSO BE
PRESCRIBED
A PROSTAGLANDIN ANALOGUE (MISOPROST
WHY ????
TO HELP PREVENT PEPTIC ULCERS
WHEN H. PYLORI INFECTION IS PRESENT……
THE TREATMENT REGIMENS INCLUDE :
1-A PROTON PUMP INHIBITOR. WHY ?
THIS MEDICATION DECREASES THE STOMACH'S
PRODUCTION OF ACID, WHICH ALLOWS THE TISSUES
DAMAGED BY THE INFECTION TO HEAL.
EXAMPLES OF( PPIS)INCLUDE LANSOPRAZOLE
,OMEPRAZOLE ,PANTOPRAZOLE, RABEPRAZOLE, AND
ESOMEPRAZOLE.
2-COMBINATIONS OF PPIS WITH 2 ANTIBIOTICS
WHY ?
REDUCES THE RISK OF TREATMENT FAILURE AND
ANTIBIOTIC RESISTANCE..
E.G. CLARITHROMYCIN, AMOXICILLIN, TETRACYCLIN
E, METRONIDAZOLE) AND 1 (PPI),SOMETIMES
TOGETHER WITH A BISMUTH COMPOUND.
3-IN COMPLICATED ,TREATMENT-RESISTANT CASES,
3 ANTIBIOTICS
(E.G. AMOXICILLIN + CLARITHROMYCIN +
METRONIDAZOLE) MAY BE USED TOGETHER WITH A
PPI AND SOMETIMES WITH BISMUTH COMPOUND.
AN EFFECTIVE FIRST-LINE THERAPY FOR
UNCOMPLICATED CASES WOULD BE
AMOXICILLIN+ METRONIDAZOLE + PANTOPRAZOLE (A
PPI).
to repair of the perforation. Most bleeding
ulcers require endoscopy urgently to stop
bleeding.
IN THE ABSENCE OF H. PYLORI, LONG-
TERM HIGHER DOSE PPIS ARE OFTEN
USED. SUCRALFATE HAS ALSO BEEN A
SUCCESSFUL TREATMENT OF PEPTIC
ULCERS
In your
home
can take
Ginger
Cabbage
licorice
Chamomile
THAN EAT WHAT YOU WANT
WITH OUT ANY PAIN……
THANKS
DR. SAFIA A. ALREZAMI

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presentation about healthy eating and pain of stomach

  • 1.
  • 2. THIS PAIN WITH NAUSEA ??????
  • 3. AND THIS PAIN INCREASE WITH EATING
  • 4. FEEL BLOATING AND ABDOMINAL FULLNESS.
  • 5. WITH TIME NOTED LOSS OF APPETITE AND WEIGHT LOSS
  • 7. MELENA (DARKY STOOL WITH BLOOD )
  • 8. IN THIS CASE AVOID Stress Any drug As NSAIDs Spicy food
  • 9. HAVE THIS SYMPTOM YOU HAVE
  • 10. COME TO YOU BY: 1-CHRONIC INFLAMMATION DUE TO HELICOBACTER PYLORI (H. PYLORI) . 2-DRUG AS NSAIDS (ASPRINE ,IBUPROFEN ,MEFAMAMIC ACID 3-HAVE A FAMILY HISTORY OF ULCERS. 4-HAVE ANOTHER ILLNESS SUCH AS LIVER, KIDNEY, OR LUNG DISEASE. 5-DRINK ALCOHOL REGULARLY. 6-ARE 50 YEARS OLD OR OLDER .
  • 11. IF DONOT GO TO DOCTOR AND RELIVE PAIN BY ANTACID LEAD TO
  • 12. IF DONOT GO TO DOCTOR AND RELIVE PAIN BY ANTACID LEAD TO
  • 13. IF DONOT GO TO DOCTOR AND RELIVE PAIN BY ANTACID LEAD TO
  • 17. MEDICATION AS ANTACID OR H2 ANTAGONIST E.G RANITIDINE BEFORE EGD IS UNDERTAKEN. WHY ???? NEUTRALIZATION HYPERACIDITY AND DECREASE ACID SECRETION PATIENTS WHO ARE TAKING NON STEROIDAL ANTI INFLAMMATORY (NSAIDS) MAY ALSO BE PRESCRIBED A PROSTAGLANDIN ANALOGUE (MISOPROST WHY ???? TO HELP PREVENT PEPTIC ULCERS
  • 18.
  • 19.
  • 20. WHEN H. PYLORI INFECTION IS PRESENT…… THE TREATMENT REGIMENS INCLUDE : 1-A PROTON PUMP INHIBITOR. WHY ? THIS MEDICATION DECREASES THE STOMACH'S PRODUCTION OF ACID, WHICH ALLOWS THE TISSUES DAMAGED BY THE INFECTION TO HEAL. EXAMPLES OF( PPIS)INCLUDE LANSOPRAZOLE ,OMEPRAZOLE ,PANTOPRAZOLE, RABEPRAZOLE, AND ESOMEPRAZOLE.
  • 21. 2-COMBINATIONS OF PPIS WITH 2 ANTIBIOTICS WHY ? REDUCES THE RISK OF TREATMENT FAILURE AND ANTIBIOTIC RESISTANCE.. E.G. CLARITHROMYCIN, AMOXICILLIN, TETRACYCLIN E, METRONIDAZOLE) AND 1 (PPI),SOMETIMES TOGETHER WITH A BISMUTH COMPOUND. 3-IN COMPLICATED ,TREATMENT-RESISTANT CASES, 3 ANTIBIOTICS (E.G. AMOXICILLIN + CLARITHROMYCIN + METRONIDAZOLE) MAY BE USED TOGETHER WITH A PPI AND SOMETIMES WITH BISMUTH COMPOUND.
  • 22. AN EFFECTIVE FIRST-LINE THERAPY FOR UNCOMPLICATED CASES WOULD BE AMOXICILLIN+ METRONIDAZOLE + PANTOPRAZOLE (A PPI).
  • 23. to repair of the perforation. Most bleeding ulcers require endoscopy urgently to stop bleeding.
  • 24. IN THE ABSENCE OF H. PYLORI, LONG- TERM HIGHER DOSE PPIS ARE OFTEN USED. SUCRALFATE HAS ALSO BEEN A SUCCESSFUL TREATMENT OF PEPTIC ULCERS
  • 26. THAN EAT WHAT YOU WANT WITH OUT ANY PAIN…… THANKS DR. SAFIA A. ALREZAMI