This document discusses symptoms of peptic ulcers including abdominal pain increased by eating, bloating, weight loss, and vomiting of blood. It recommends avoiding stress, NSAIDs, and spicy foods. Causes of peptic ulcers include H. pylori infection, NSAID use, family history, and other illnesses. Initial treatment involves antacids or H2 antagonists before endoscopy. For H. pylori infections, treatment includes a proton pump inhibitor along with combinations of antibiotics. Natural home remedies for ulcers include ginger, cabbage, licorice, and chamomile.

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

6. AND VOMITING
(SOMETIME BLOOD
WITH VOMITING)

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

14. THE PROBLEM
NOT STOP HERE

15. MAY LEAD TO

16. TREATMENT

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

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

25. In your
home
can take
Ginger
Cabbage
licorice
Chamomile

26. THAN EAT WHAT YOU WANT
WITH OUT ANY PAIN……
THANKS
DR. SAFIA A. ALREZAMI