PUD, GERD, Motility Agents

Question 1

why give colloidal bismuth to pt with H.Pylori and PUD?

Answer 1

coating agent used in PUD - inhibits growth of H. Pylori

Question 2

What to give pts who are allergic to PCN and have H. Pylori and PUD?

Answer 2

Quadruple Therapy

- tetracycline, Metronidazole, PPI, Bismuth

Question 3

What is first line choice for pt with H. Pylori and PUD? When there is not a concern w/ resistance

Answer 3

triple therapy

- amoxicillin, clarithromycin, PPI