Archive for the ‘Endocrinology’ Category
Treatment of Gastroduodenal Ulcer: How is a Perforated Ulcer?
How is a perforated ulcer?
A perforated ulcer is also a serious situation that requires urgent treatment. To reach a precise diagnosis is radiography of the stomach area (for air under the diaphragm). A perforated ulcer requiring emergency surgery.
How is the obstruction of the duodenum?
To heal, a chronic ulcer may cause obstruction of the pylorus (the outlet of the stomach) and duodenal ulcers, gastric emptying difficult. Symptoms include vomiting and weight loss.
This situation, called pyloric stenosis is usually treated by surgery, creating a short cut or shorted to the duodenum obstructed or narrowed (“gastro-entero-anastomosis”). This facilitates the emptying of the stomach. Read the rest of this entry »
Treatment of Gastroduodenal Ulcer: How is Bleeding Ulcer?
Do I need to stop taking the medication that caused an ulcer?
If there have been complications (bleeding or perforation), the drug should be discontinued and not used again.
Are there any alternatives to NSAIDs or aspirin?
Only in rare medical conditions such medication is justified resume. In such cases, the ulcer will be treated as indicated. The medication that triggered the ulcer should be changed as follows:
- NSAIDs: a preparation to be used at low risk at the lowest possible dose.
- Aspirin should be used at doses of 75-100 mg, the lowest possible.
These drugs can be combined with an inhibitor of acid pump.
Alternatively, you can combine an NSAID with misoprostol, which protects the gastric mucosa and thus counteracts the deleterious effect of NSAIDs and aspirin on this mucosa. Read the rest of this entry »
Treatment of Gastroduodenal Ulcer: Helicobacter pylori and Aspirin
Does Helicobacter pylori may be resistant to treatment?
Yes, but it is rare that resists treatment. Generally, the assessment is not recommended after treatment to see if the bacteria has been eliminated, because:
- You might not notice if the bacteria is removed and the doctor may not be detected by blood test.
- Check it certainly would require a new gastroscopy with biopsy or a “breath test”, which is another test that can be performed to verify the presence of Helicobacter pylori in the stomach of patients with peptic ulcer.
Is there a cure ulcer after a week of treatment?
One week of treatment is long enough, in many cases, completely eliminate the bacteria from the ulcer.
In some cases the injury is not completely healed, being necessary to continue several more weeks with a treatment that inhibits the acid. Read the rest of this entry »
Treatment of Gastroduodenal Ulcer
How much has changed in the treatment of ulcers in recent years?
The ulcer is a chronic disease with frequent relapses, requiring long-term medical treatment. The surgery was often needed. Today is a disorder that can be cured in a week. It is important, however, an accurate diagnosis of the cause of the ulcer.
What causes ulcers?
Most duodenal ulcers occur as a result of:
Helicobacter pylori
Helicobacter pylori is a bacterium that infects the stomach (very common).
Use of drugs
The use of antirheumatic drugs and analgesics or NSAIDs NSAIDs and aspirin (less common).
Stomach Cancer
Sometimes, an ulcer is actually hiding a stomach cancer. Duodenal ulcer, however, very rarely can actually be a tumor.
Other types of peptic ulcer, but they are rare. Read the rest of this entry »
Posted in Endocrinology | 
Tags: Gastroduodenal Ulcer, Treatment of Gastroduodenal Ulcer | 
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