Peptic Ulcer Disease

what is PUD

ulcers growing in the intestines

causes of PUD

H. Pylori Infection

NSAID Use

alcohol and smoking

Duodenal vs Gastric ulcers

duodenal are in intestines, gastric are in stomach

duodenal- more common

gastric - harder to heal

symptoms of PUD - common to both types

Pain in the abdomen

symptoms of PUD - duodenal specific

pain occurs 3 hours after eating

pain is relieved by eating

pain gets worse at night

melena - dark tarry stool

symptoms of PUD gastric specific

pain worsens with eating - so these patients will be less well nourished

pain increases with food eating

pain not usually as bad at night

blood will be vomited up but less chance of blood in stool

labs for PUD

H. Pylori testing via endoscopy

H Pylori testing via a breath test

stool samples for H. Pylori

EGD - direct visual of teh ulcers via a machine going into stomach

Treatment meds for PUD

antibiotics for H. Pylori

antacids for neutralizing stomach acid

histamine receptor antagonists - end in tidine

proton pump inhibitors: end in prazole

mucosal protectants like sucralfate

prokinetics like misoprostol - only for gastric ulcers

nursing consideration/care for patients with PUD

watch for a tearing/hemorrhage: board like stomach

watch for pernicious anemia - no vit b

watch for dumping syndrome (rush of lood to the stomach after recent heavy emptying of contents; dizziness, pallor, perspirations, ha)

teach no smoking, no alcohol and no NSAIDS

surgeries for PUD

gastrectomy

pyleroplasty