Peptic ulcers

Question 1

Peptic ulcers are the common cause of GI bleeds, can be found in the esophagus, stomach, or duodenum. mainly found in males. and it feels like a burning pain in the mid-epigastric area that radiates to the back. Should they get a liquid or tablet antacid? why?

Answer 1

liquid; we want to coat the stomach.

Question 2

Do we want the liquid antacid to be taken on a full or empty stomach? why?

Answer 2

empty; it needs to be able to reach the ulcer

Question 3

Proton pump inhibitors do what?

prilosec

prevacid

protonix

nexium

Answer 3

decrease acid secretions

Question 4

what does carafate do?

Answer 4

forms a barrier over the wound so acid won’t get on the ulcer.

Question 5

what kind of food do they need to avoid?

Answer 5

• milk/ dairy
• extra cold, extra hot, or extra spicy foods
• caffeine (will irritate ulcer)

Question 6

type of ulcer:

typically laboring people malnourished in appearance, pain is usually 30min- 1hr AFTER meals food doesn’t help (every-time they eat, they hurt, so they induce vomiting) vomiting helps vomit blood

Answer 6

Gastric ulcer

Question 7

Type of ulcer:

Executives well-nourished appearance nighttime pain common pain usually 2-3 hours AFTER means food helps with the pain (start to hurt every time stomach gets empty) blood in stools

Answer 7

Duodenal ulcer