Peptic Ulcer Disease(PUD)

Peptic ulcer is a break in the lining of the stomach, small intestine or esophagus caused by a bacterium called Helicobacter pylori.

Common (>100000 cases per year in Nigeria)

Risk factors include family history/genetics, abuse of pain reliever medications especially NSAIDS eg Ibuprofen, Aspirin etc  stress, diet eg spicy meals, hot pepper,coffee etc alcohol, smoking

Signs and symptoms include upper abdominal pain which improves with eating in duodenal/intestinal ulcers and worsens with eating in gastric/stomach ulcers...and vice versa.

Pain usually occurs at night and is brought about when the stomach acid i. e Hcl comes in contact with the ulcer.

Other symptoms include abdominal fullness, bloating, nausea, vomiting, reduced appetite, weight loss, vomiting of blood from bleeding/continuous vomiting, black tarry stool

Complications include gastric outlet obstruction(GOO) from excessive scarring, infection, gastric cancer (3-6x), perforation, bleeding.

Prevention
-Stop abusing NSAIDS. Use pain relievers according to a doctors prescription only.
-Reduce intake of alcohol
-Stop smoking
-Reduce excessive intake of spicy meals, pepper, coffee, bottled beverages and gaseous drinks.
-Never neglect breakfast-the most important meal of the day
-Avoid stressful activities and get enough sleep.
-Have mistmag in your home to abate symptoms before you are able to see a doctor.
-visit @DRTMthemedicaltruth on facebook or my blog Drtmthemedicaltruth.blogspot.com and my instagram profile page dr.tm_themedicaltruth.

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