peptic ulcer

Peptic ulcer:

Abnormal secretions of gastric gland in stomach resulting in destruction of stomach mucosal lining ,the defense wall of stomach, leading to bleeding in stomach characterized by intense pain, vomiting, burning.

1.its mainly removal of mucosa of stomach.

2.increased  HCL in stomach due to acidic food or H.pylori

3. excessive use of painkillers

Origin & symptoms:

Its does not occurs directly but its exaggeration of gastroesophageal reflex disease including symptoms:

• Burning in stomach
• Chest burning
• Vomiting after meal
• Pain in stomach
• People should notice these changes in body and consult physician otherwise it leads to
• Wounds in stomach which if goes unnoticed may lead to
• Decrease pH of blood i.e. acidic Ph causing :
• Unconsciousness
• Cramps in body
• Fits
• Respiratory depression

Diet in ulceration

                          Avoid taking:

Patient should avoid taking following things in stomach ulcer

Avoid smoking

Tea

Alcohol consumptions

Meals with red chillies

Cold drinks

Avoid fried food

Coffee

Avoid citrus fruits

Friendly food:

 

 

 

Eat salads

Take milk

Take cooked foods devoid of red chillies

 

Medication & dose regimen for ulcer:

Medicine	Advice	Nature	Dose	Brand name in market	Combination
Omeprazole Esomeprazole Ribaprazole Lansoprazole	Empty stomach supplements & increase dose if listed dose is not effective .take for 3 months	These All are PPis & should be taken with Ca++	20mg 40mg 20mg 30mg(they should be taken twice a day )	Risek,lazole Esold Cara rib sopra	ANY ONE OF THESE(EMTY STOMACH)+ULSONIC(EMTY STOMACH)RANAX +ANTACIDS+ CA++ SUPLEMENTS+IFRON.ALL THESE AFTER MEAL
SUCRALFATE	EMPTY STOMACH AS COURSE CONTINUES	PROSTA GLANDINGS. PROTECTS STOMACH	1g
Rinatindine Fomatidine Cematidine	For 20 days AFTER MEAL In  patient having depression should take anti depresents	H2recptor antagonis.TheyMay cause depression	150mg twice	Ranax,nulcer	SAME AS ABOVE
Antacids	As required (AFTER MEAL)		5ml=child 10ml=adult	Gaviscon,mucain	SAME AS ABOVE
Calcium supplements	3 months		1 tab	Qalsan D	SAME AS ABOVE
Iron supplements	As medication continues		1tab	IRO.F,IFERO TRIHEMIC	SAME AS ABOVE