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Condition Info
ConditionName
Gastric ulcer
ConditionDescription
Symptoms
Dull; sore; gnawing LUQ, epigastric, chest pain is worsen with eating; Symptoms often do not follow a consistent pattern (eg; eating sometimes exacerbates rather than relieves pain); This is especially true for pyloric channel ulcers; which are often associated with symptoms of obstruction (eg; bloating; nausea; vomiting) caused by edema and scarring; Thin complexion;
PhysicalFindings
Epigastric tenderness on palpation;
ClinicalTests
Upper Endoscopy; Biopsy for H.pylori; Normal or low gastric acid level; +/- high gastrin level;
RiskFactors
H.pylori in 50-57%; Older; NSAID; 25% of PUD
IsRedFlag
IsNPLEX
Consequence
ProgressionFromCondition
TreatmentOptions
Alcohol and tobacco – delay healing of ulcers DGL; Demulcents
PharmOptions
H.pylri - antibiotics After it PPI
WebLink
https://www.merckmanuals.com/professional/gastrointestinal-disorders/gastritis-and-peptic-ulcer-disease/peptic-ulcer-disease?query=Gastric ulcer
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