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Peptic ulcer disease is a break in the inner lining of the stomach, the first part of the small intestine, or sometimes the lower esophagus. [ 1 ] [ 7 ] An ulcer in the stomach is called a gastric ulcer , while one in the first part of the intestines is a duodenal ulcer . [ 1 ]
[1] [2] Complications may include stomach bleeding, stomach ulcers, and stomach tumors. [1] When due to autoimmune problems, low red blood cells due to not enough vitamin B12 may occur, a condition known as pernicious anemia. [3] Common causes include infection with Helicobacter pylori and use of nonsteroidal anti-inflammatory drugs . [1]
The ulcer is known initially as a peptic ulcer before the ulcer burns through the full thickness of the stomach or duodenal wall. A diagnosis is made by taking an erect abdominal/chest X-ray (seeking air under the diaphragm). This is in fact one of the very few occasions in modern times where surgery is undertaken to treat an ulcer. [3]
Peptic ulcer disease, a wearing away of the stomach lining, can be asymptomatic in some cases, but others are severe enough to make a patient double over in pain, two doctors said.
Most people infected with H. pylori never experience any symptoms or complications, but will have a 10% to 20% risk of developing peptic ulcers or a 0.5% to 2% risk of stomach cancer. [ 8 ] [ 65 ] H. pylori induced gastritis may present as acute gastritis with stomach ache , nausea , and ongoing dyspepsia (indigestion) that is sometimes ...
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Complications: Iron-deficiency anemia, heart-related chest pain [1] Types: Upper gastrointestinal bleeding, lower gastrointestinal bleeding [2] Causes: Upper: peptic ulcer disease, esophageal varices due to liver cirrhosis, cancer [3] Lower: hemorrhoids, cancer, inflammatory bowel disease [2] Diagnostic method
The above ulcer seen after endoscopic clipping. Upper endoscopy within 24 hours is the recommended treatment. [15] [23] The benefits versus risks of placing a nasogastric tube in those with upper gastrointestinal bleeding are not well known. [15]
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