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