SlideShare a Scribd company logo
PUD (Peptic Ulcer Disease)
Dr. Alim Al Razy
Intern, Medicine Unit 1
Under prof, Dr Gautam Kumar Roy
The term ‘peptic ulcer’ refers to an
ulcer in the lower oesophagus, stomach
or duodenum, in the jejunum after
surgical anastomosis to the stomach or,
rarely, in the ileum adjacent to a
Meckel’s diverticulum.
.
STOMACH
Gastric Gland
Secretion Of HCL
Gastric Juice
Properties Of Gastric Juice
• Volume : 1200ml/day
• pH : 0.9 – 1.2
This High acidic environment
cant destroy the lining of our
Digestive system because there
are some
NEUTRALIZING FACTORS
When there is IMBALANE between the
erosive effect of GASTRIC JUICE and
NEUTRALIZING FACTORS,
PEPTIC ULCER occurs
Causes of Peptic Ulcer -
.
Gastric infection with the bacterium
H. pylori
(Most common causes)
Chronic use of NSAID
Non-H. pylori and Non-NSAID
causes
Infection
• Cytomegalovirus
• Herpes simplex virus
• H. heilmannii
Drug/Toxin
• Bisphosphonates
• Chemotherapy
• Clopidogrel
• Crack cocaine
• Glucocorticoids (when combined with NSAIDs)
• Mycophenolate mofetil
• Potassium chloride
Cont..
Miscellaneous
• Basophilia in myeloproliferative disease
• Duodenal obstruction (e.g., annular pancreas)
• Infiltrating disease
• Ischemia
• Radiation therapy
• Sarcoidosis
• Crohn's disease
• Idiopathic hypersecretory state

More Related Content

What's hot

Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
Thulasi Ram
 
Pharmacotherapy of Peptic ulcer
Pharmacotherapy of Peptic ulcerPharmacotherapy of Peptic ulcer
Pharmacotherapy of Peptic ulcer
Dr.Noopur Vyas
 
Peptic ulcer disease Mallappa Shalavadi,,
Peptic ulcer disease Mallappa Shalavadi,,Peptic ulcer disease Mallappa Shalavadi,,
Peptic ulcer disease Mallappa Shalavadi,,
Dr. Mallappa Shalavadi
 
Peptic ulcer and its pathophysiology
Peptic ulcer and its pathophysiologyPeptic ulcer and its pathophysiology
Peptic ulcer and its pathophysiology
Achyut Adhikari
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
Mansi Sanghvi
 
Peptic ulcer
Peptic ulcerPeptic ulcer
Peptic ulcer
Fatimah Abdullah
 
Peptic ulcer
Peptic ulcerPeptic ulcer
Peptic ulcer
Priyatham Kasaraneni
 
Peptic ulcer disease-child surgery
Peptic ulcer disease-child surgeryPeptic ulcer disease-child surgery
Peptic ulcer disease-child surgery
Muzaffar khan
 
Pathophysiology of peptic ulcer
Pathophysiology of peptic ulcerPathophysiology of peptic ulcer
Pathophysiology of peptic ulcer
ARK College of Pharmacy, Kaushambi, UP
 
Peptic ulcer disease
Peptic ulcer disease Peptic ulcer disease
Peptic ulcer disease
Heena Parveen
 
Peptic ulcer disease final
Peptic ulcer disease final Peptic ulcer disease final
Peptic ulcer disease final
Bimel Kottarathil
 
Peptic ulcer disease(PUD)
Peptic ulcer disease(PUD) Peptic ulcer disease(PUD)
Peptic ulcer disease(PUD)
Melaku Yetbarek,MD
 
Peptic Ulcer Disease Ppt April 2005
Peptic Ulcer Disease Ppt   April 2005Peptic Ulcer Disease Ppt   April 2005
Peptic Ulcer Disease Ppt April 2005
NorthTec
 
Peptic Ulcer
Peptic UlcerPeptic Ulcer
Peptic Ulcer
Rezhwan Omer Jwamer
 
Peptic ulcer
Peptic ulcerPeptic ulcer
Peptic ulcer
Zainab&Sons
 
Pathophysiology of Peptic ulcer
Pathophysiology of Peptic ulcerPathophysiology of Peptic ulcer
Pathophysiology of Peptic ulcer
Jegan Nadar
 
Peptic ulcer Disease
Peptic ulcer DiseasePeptic ulcer Disease
Peptic ulcer Disease
Dinoosh De Livera
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
Pratik Rahate
 
Peptic ulcer disease (pud)
Peptic ulcer disease (pud)Peptic ulcer disease (pud)
Peptic ulcer disease (pud)
Jordan Mwelwa
 
Pud
PudPud

What's hot (20)

Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
 
Pharmacotherapy of Peptic ulcer
Pharmacotherapy of Peptic ulcerPharmacotherapy of Peptic ulcer
Pharmacotherapy of Peptic ulcer
 
Peptic ulcer disease Mallappa Shalavadi,,
Peptic ulcer disease Mallappa Shalavadi,,Peptic ulcer disease Mallappa Shalavadi,,
Peptic ulcer disease Mallappa Shalavadi,,
 
Peptic ulcer and its pathophysiology
Peptic ulcer and its pathophysiologyPeptic ulcer and its pathophysiology
Peptic ulcer and its pathophysiology
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
 
Peptic ulcer
Peptic ulcerPeptic ulcer
Peptic ulcer
 
Peptic ulcer
Peptic ulcerPeptic ulcer
Peptic ulcer
 
Peptic ulcer disease-child surgery
Peptic ulcer disease-child surgeryPeptic ulcer disease-child surgery
Peptic ulcer disease-child surgery
 
Pathophysiology of peptic ulcer
Pathophysiology of peptic ulcerPathophysiology of peptic ulcer
Pathophysiology of peptic ulcer
 
Peptic ulcer disease
Peptic ulcer disease Peptic ulcer disease
Peptic ulcer disease
 
Peptic ulcer disease final
Peptic ulcer disease final Peptic ulcer disease final
Peptic ulcer disease final
 
Peptic ulcer disease(PUD)
Peptic ulcer disease(PUD) Peptic ulcer disease(PUD)
Peptic ulcer disease(PUD)
 
Peptic Ulcer Disease Ppt April 2005
Peptic Ulcer Disease Ppt   April 2005Peptic Ulcer Disease Ppt   April 2005
Peptic Ulcer Disease Ppt April 2005
 
Peptic Ulcer
Peptic UlcerPeptic Ulcer
Peptic Ulcer
 
Peptic ulcer
Peptic ulcerPeptic ulcer
Peptic ulcer
 
Pathophysiology of Peptic ulcer
Pathophysiology of Peptic ulcerPathophysiology of Peptic ulcer
Pathophysiology of Peptic ulcer
 
Peptic ulcer Disease
Peptic ulcer DiseasePeptic ulcer Disease
Peptic ulcer Disease
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
 
Peptic ulcer disease (pud)
Peptic ulcer disease (pud)Peptic ulcer disease (pud)
Peptic ulcer disease (pud)
 
Pud
PudPud
Pud
 

Similar to peptic ulcer disease

peptic ulcer.pptx
peptic ulcer.pptxpeptic ulcer.pptx
peptic ulcer.pptx
ssuser47b89a
 
Pud
PudPud
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
Noor Ul Huda
 
Anees
AneesAnees
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
Muhammad Abubakar
 
Peptic ulcer diseases-2.pptx444444444444
Peptic ulcer diseases-2.pptx444444444444Peptic ulcer diseases-2.pptx444444444444
Peptic ulcer diseases-2.pptx444444444444
samuellamaryk
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
KavyaHB
 
Peptic ulcer by jitendra bhangale
Peptic ulcer by jitendra bhangalePeptic ulcer by jitendra bhangale
Peptic ulcer by jitendra bhangale
Smt. N. M. Padalia Pharmacy College, Ahmedabad
 
A study of gastrointestinal Diseas - Peptic Ulcer
A study of gastrointestinal Diseas - Peptic Ulcer A study of gastrointestinal Diseas - Peptic Ulcer
A study of gastrointestinal Diseas - Peptic Ulcer
Sonali hiranwar
 
peptic_ulcer_disease.ppt
peptic_ulcer_disease.pptpeptic_ulcer_disease.ppt
peptic_ulcer_disease.ppt
Pratishtha sharma
 
Deudinal ulcer
Deudinal ulcerDeudinal ulcer
Deudinal ulcer
Rahul Kumar
 
Peptic Ulcer Disease DG.pptx
Peptic Ulcer Disease DG.pptxPeptic Ulcer Disease DG.pptx
Peptic Ulcer Disease DG.pptx
drdivyeshgoswami1
 
PEPTIC ULCER DISEASE.pptx
PEPTIC ULCER DISEASE.pptxPEPTIC ULCER DISEASE.pptx
PEPTIC ULCER DISEASE.pptx
SurajPrakash379434
 
Aetiopathophysiology of peptic ulcer diesese
Aetiopathophysiology of peptic ulcer dieseseAetiopathophysiology of peptic ulcer diesese
Aetiopathophysiology of peptic ulcer diesese
Prince Lathiya
 
PEPTIC ULCER DISEASE IN SURGICAL PRACTICE.pptx
PEPTIC ULCER DISEASE IN SURGICAL PRACTICE.pptxPEPTIC ULCER DISEASE IN SURGICAL PRACTICE.pptx
PEPTIC ULCER DISEASE IN SURGICAL PRACTICE.pptx
abinashchihnara1
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
Krishna Vasudev
 
Git pharmacology anti ulcer drug zeel
Git pharmacology  anti ulcer drug  zeelGit pharmacology  anti ulcer drug  zeel
Git pharmacology anti ulcer drug zeel
zeelmevada
 
pud.pptx
pud.pptxpud.pptx
pud.pptx
Happylyrics1
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
LincyAsha
 
PEPTIC ULCER, ITS MANAGEMENT AND OMEPRAZOLE
PEPTIC ULCER, ITS MANAGEMENT AND OMEPRAZOLEPEPTIC ULCER, ITS MANAGEMENT AND OMEPRAZOLE
PEPTIC ULCER, ITS MANAGEMENT AND OMEPRAZOLE
Olusegun Thomas
 

Similar to peptic ulcer disease (20)

peptic ulcer.pptx
peptic ulcer.pptxpeptic ulcer.pptx
peptic ulcer.pptx
 
Pud
PudPud
Pud
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
 
Anees
AneesAnees
Anees
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
 
Peptic ulcer diseases-2.pptx444444444444
Peptic ulcer diseases-2.pptx444444444444Peptic ulcer diseases-2.pptx444444444444
Peptic ulcer diseases-2.pptx444444444444
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
 
Peptic ulcer by jitendra bhangale
Peptic ulcer by jitendra bhangalePeptic ulcer by jitendra bhangale
Peptic ulcer by jitendra bhangale
 
A study of gastrointestinal Diseas - Peptic Ulcer
A study of gastrointestinal Diseas - Peptic Ulcer A study of gastrointestinal Diseas - Peptic Ulcer
A study of gastrointestinal Diseas - Peptic Ulcer
 
peptic_ulcer_disease.ppt
peptic_ulcer_disease.pptpeptic_ulcer_disease.ppt
peptic_ulcer_disease.ppt
 
Deudinal ulcer
Deudinal ulcerDeudinal ulcer
Deudinal ulcer
 
Peptic Ulcer Disease DG.pptx
Peptic Ulcer Disease DG.pptxPeptic Ulcer Disease DG.pptx
Peptic Ulcer Disease DG.pptx
 
PEPTIC ULCER DISEASE.pptx
PEPTIC ULCER DISEASE.pptxPEPTIC ULCER DISEASE.pptx
PEPTIC ULCER DISEASE.pptx
 
Aetiopathophysiology of peptic ulcer diesese
Aetiopathophysiology of peptic ulcer dieseseAetiopathophysiology of peptic ulcer diesese
Aetiopathophysiology of peptic ulcer diesese
 
PEPTIC ULCER DISEASE IN SURGICAL PRACTICE.pptx
PEPTIC ULCER DISEASE IN SURGICAL PRACTICE.pptxPEPTIC ULCER DISEASE IN SURGICAL PRACTICE.pptx
PEPTIC ULCER DISEASE IN SURGICAL PRACTICE.pptx
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
 
Git pharmacology anti ulcer drug zeel
Git pharmacology  anti ulcer drug  zeelGit pharmacology  anti ulcer drug  zeel
Git pharmacology anti ulcer drug zeel
 
pud.pptx
pud.pptxpud.pptx
pud.pptx
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
 
PEPTIC ULCER, ITS MANAGEMENT AND OMEPRAZOLE
PEPTIC ULCER, ITS MANAGEMENT AND OMEPRAZOLEPEPTIC ULCER, ITS MANAGEMENT AND OMEPRAZOLE
PEPTIC ULCER, ITS MANAGEMENT AND OMEPRAZOLE
 

Recently uploaded

NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control programNVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
Sapna Thakur
 
THERAPEUTIC ANTISENSE MOLECULES .pptx
THERAPEUTIC ANTISENSE MOLECULES    .pptxTHERAPEUTIC ANTISENSE MOLECULES    .pptx
THERAPEUTIC ANTISENSE MOLECULES .pptx
70KRISHPATEL
 
Cardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdfCardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdf
shivalingatalekar1
 
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdfCHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
rishi2789
 
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in DehradunDehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
chandankumarsmartiso
 
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...
chandankumarsmartiso
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
PsychoTech Services
 
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdfOsteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
Jim Jacob Roy
 
Top-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India ListTop-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India List
SwisschemDerma
 
Best Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and IndigestionBest Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and Indigestion
Swastik Ayurveda
 
The Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic PrinciplesThe Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic Principles
MedicoseAcademics
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
rishi2789
 
Adhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.comAdhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.com
reignlana06
 
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxDoes Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
walterHu5
 
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachIntegrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Ayurveda ForAll
 
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
chandankumarsmartiso
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
Earlene McNair
 
Journal Article Review on Rasamanikya
Journal Article Review on RasamanikyaJournal Article Review on Rasamanikya
Journal Article Review on Rasamanikya
Dr. Jyothirmai Paindla
 
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdfCHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
rishi2789
 
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 

Recently uploaded (20)

NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control programNVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
 
THERAPEUTIC ANTISENSE MOLECULES .pptx
THERAPEUTIC ANTISENSE MOLECULES    .pptxTHERAPEUTIC ANTISENSE MOLECULES    .pptx
THERAPEUTIC ANTISENSE MOLECULES .pptx
 
Cardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdfCardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdf
 
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdfCHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
 
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in DehradunDehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
 
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
 
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdfOsteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
 
Top-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India ListTop-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India List
 
Best Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and IndigestionBest Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and Indigestion
 
The Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic PrinciplesThe Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic Principles
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
 
Adhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.comAdhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.com
 
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxDoes Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
 
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachIntegrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
 
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
 
Journal Article Review on Rasamanikya
Journal Article Review on RasamanikyaJournal Article Review on Rasamanikya
Journal Article Review on Rasamanikya
 
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdfCHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
 
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
 

peptic ulcer disease

  • 1. PUD (Peptic Ulcer Disease) Dr. Alim Al Razy Intern, Medicine Unit 1 Under prof, Dr Gautam Kumar Roy
  • 2. The term ‘peptic ulcer’ refers to an ulcer in the lower oesophagus, stomach or duodenum, in the jejunum after surgical anastomosis to the stomach or, rarely, in the ileum adjacent to a Meckel’s diverticulum.
  • 3. .
  • 8. Properties Of Gastric Juice • Volume : 1200ml/day • pH : 0.9 – 1.2
  • 9. This High acidic environment cant destroy the lining of our Digestive system because there are some NEUTRALIZING FACTORS
  • 10. When there is IMBALANE between the erosive effect of GASTRIC JUICE and NEUTRALIZING FACTORS, PEPTIC ULCER occurs
  • 11. Causes of Peptic Ulcer - .
  • 12. Gastric infection with the bacterium H. pylori (Most common causes)
  • 13. Chronic use of NSAID
  • 14. Non-H. pylori and Non-NSAID causes Infection • Cytomegalovirus • Herpes simplex virus • H. heilmannii Drug/Toxin • Bisphosphonates • Chemotherapy • Clopidogrel • Crack cocaine • Glucocorticoids (when combined with NSAIDs) • Mycophenolate mofetil • Potassium chloride
  • 15. Cont.. Miscellaneous • Basophilia in myeloproliferative disease • Duodenal obstruction (e.g., annular pancreas) • Infiltrating disease • Ischemia • Radiation therapy • Sarcoidosis • Crohn's disease • Idiopathic hypersecretory state

Editor's Notes

  1. Peptic Ulcer may be defined as single solitery lesion caused by aggravated action of acid