A sore that develops on the lining of the oesophagus, stomach or small intestine.Ulcers occur when stomach acid damages the lining of the digestive tract. Common causes include the bacteria H. Pylori and anti-inflammatory pain relievers including aspirin.

Essentials of Diagnosis:-


• Epigastric distress, relieved by vomiting, antacid.
• Epigastric tenderness and muscle guarding.
• Ulcer demonstrated by Barium meal and X-ray or
gastroscopy (Oedema, spasm, convergence of gast-
ric mucosal folds).
• 90 per cent heal in 12 weeks on medical therapy.

Treatment:-


-Avoid spicy food, alcohol and smoking.
-Intensive antacid therapy and H2 receptor blockers: H2 receptor antagonists are more effective than
antacids in healing gastric ulcer.
-Sucralfate and bismuth salts 1 g qid on empty
stomach.
-If no response or unsatisfactory improvement is
seen with antacid and Cimetidine or Ranitidine surgical resection is the answer.
Recurrence, perforation, obstruction or uncontrollable haemorrhage require surgical intervention.

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