Peptic Ulcer Essay Example

  • Category:
    Nursing
  • Document type:
    Assignment
  • Level:
    Undergraduate
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Peptic ulcers 4

Peptic ulcers

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Peptic ulcers

According to Ford, Delaney, Forman & Moayyedi (2006).Peptic ulcers usually affect the stomach lining or the first part of the small intestine, this area is called duodenum. Peptic ulcers affecting the stomach are referred to as gastric ulcers while the one affecting duodenum is called duodenal ulcers. The common cause of this ulcer is bacteria called Helicobacter pylori, (H.pylory). Most patients with this kind of ulcer have this bacteria living in their gastrointestinal (GI) tract. While majority of people may have these bacteria, they are not likely to develop ulcers unless they consume too much alcohol, use ibuprofen, aspirin and naproxen as well as other nonsteroidal anti-inflammatory drugs (Ford, Delaney, Forman & Moayyedi, 2006). Main symptoms of peptic ulcer include feeling of fullness, mild nausea, discomfort or pain in the upper abdomen, or abdominal pain that causes sleep interruption.

Management approaches and follow-through care

The first phase in the management of peptic ulcers is determining its presence and the extent to which the patient has been affected. Esophagogastroduodenoscopy or upper endoscopy test should be conducted by an expert gastroenterologist; this is accomplished by inserting a small GI tract into the stomach. Alternatively, Upper GI which is a number of x-rays can be performed after a small substance called barium is ingested. After a positive diagnosis, treatments to kill the H.Pylori bacteria should be used and also limit the amount of acid in the stomach. This strategy works well and allows healing of peptic ulcers. If the patient suffers from peptic ulcer and H.Pylori, then a standard treatment is necessary. This is treatment involves a combination of the following medications(O’Connell, Lockwood & Thomas, 2008, p.18).

  1. Two unique antibiotics to eliminate H.Pylori, these antibiotics are tetracycline, amoxicillin or Biaxin.

  2. Proton pump inhibitors like esomeprazole or omeprazole.

  3. Bismuth may also be included in order to eliminate bacteria.

Notably, if the patient bleeding is persistent, surgery may be recommended. Urgent help may also be needed if the patient experiences sudden sharp abdominal pain, rigid abdomen, symptoms that lead to shock or fainting, excessive sweat and confusion. If the patient also the patient vomits blood or observes blood in the stool should also seek for urgent help(O’Connell, Lockwood & Thomas, 2008, p.18).

After completing the treatment, normally if the infection was not severe, the patient will recover well. Follow through care is however needed in order to reduce the chances of peptic ulcer reoccurrence. It is imperative for the patient to complete medication in order to avoid reoccurrence. In order to avoid peptic ulcers, education on the causes or ingestions that escalate the condition should be disseminated. Excessive alcohol consumption and using of tobacco and cigarette increases chances of peptic ulcers, use ibuprofen, aspirin and naproxen as well as other nonsteroidal anti-inflammatory drugs also increased the chances of this ulcer infection. Generally, these should be avoided especially in people with high presence of H.Pylori, in their stomach (O’Connell, Lockwood & Thomas, 2008, p.18).

Reference

Ford A.C., Delaney B.C., Forman D., & Moayyedi P.(2006).Eradication therapy for peptic ulcer disease in Helicobacter pylori positive patients. Cochrane Database Syst Re (2).

O’Connell, A, Lockwood, C & Thomas, P.(2008). Pressure ulcers – prevention of pressure related tissue damage, Joanna Briggs Institute Technical report, vol.4, no.2, pp.18-33.