Peptic Ulcer Disease and Pediatric Patients

Besides the constant stomach pain, both Crohn's disease and Irritable Bowel Syndrome cause diarrhea, constipation, and bloating. But having an ulcer is a little different. It feels as if there is a constant “gnawing” sensation in the stomach that gets worse if a person hasn't eaten in a couple of hours.

Helicobacter pylori (H. pylori) is a human pathogen that is responsible for ulcers and stomach inflammation. The organism had been researched by several scientists around the world since 1875; however none of them was successfully culture it. Until 1982, Dr. Barry Marshall and Dr. Robin Warren succeeded in observing the colonies, and thus became the first scientists to discover this bacterium. By self-testing, Dr. Marshall drank a liquid that contained H. pylori culture. A few days later, he got sick with many symptoms such as vomiting and nausea. After ten days, by undergoing endoscopy, he was able to confirm the role of H. pylori in causing gastritis. Then he and Dr. Warren also demonstrated the effect of

This condition is characterized by symptoms and complications that result from reflux or back of gastric content into the esophagus that extent also into the oral cavity or even the lungs. Common signs and symptoms of this condition include heartburn( burning/stinging), and does note that radiates to the back such as in the case of Peptic Ulcer Disease (PUD). Furthermore, other symptoms patients may experience are a chronic cough, bronchospasm, chest pain not related to a cardiomyopathy, hoarseness, early satiety, abdominal fullness, bloating with belching. Complications related to this disorder are closely linked to esophageal ulceration, hematemesis, melena, stricture development(Dains, Baumann, & Scheibel,

During my short time in nursing school, and even shorter time I have been in clinical I have found that pressure ulcers seem to interest me the most. I think this is due to the fact that some nurses have told me that pressure ulcers are completely preventable if you turn your patient frequently, and some have told me that they are not preventable that some patients are just more prone to getting pressure ulcers. When choosing a PICOT question I chose a question about pressure ulcers because it seemed to fit my interests the most. I have developed the question of: In patients over the age of 18, how does the use frequent turning compared to not receiving the frequent turning influence their risk of developing pressure ulcers during their

ulcer causes the patient to suffer with pain, disfigurement, and prevents them from their daily

patient tested positive for H. pylori and wakes up at night due to cramping pain with bloating, so it is assumed to be peptic ulcer and the status of his condition is uncontrolled. Her symptoms were not improved with over the counter medication, Tums. Therefore, it is not GRED. However, Patient does not need a referral for endoscopy this time around because she does not hat the symptoms vomiting, nausea or dizziness.

H. pylori thrives in the acidic environment of the stomach and the finding that this bacteria contributed to the condition was remarkable news and led to the standard practice of treating peptic ulcers with antibiotics. As a result, the rate of H. pylori-induced ulcers has dropped by more than 50 percent. (Ackerman, 2012)

Helicobacter pylori (H. pylori) is a bacterium that inhabits the human stomach and has been linked as a risk factor for chronic gastritis, ulcers, and gastric cancer. H. pylori is able to survive in the acidic environment of the stomach due to its urease enzyme which converts the urea in gastric juice to alkaline ammonia and carbon dioxide. Infection with H. pylori is generally contracted during childhood and can persist indefinitely if untreated. Possible risk factors for H. pylori infection include poor diet, poor hygiene, density, low socioeconomic status (SES), and family history of gastric disease. Studies have found an increased risk of infection with consuming food prepared under unsanitary conditions and a reduced risk with increased consumption of fruits and vegetables. Poor hygiene

I think that an appropriate diagnosis at this time for Cleveland would be a gastric ulcer. The acid inhibitors and antacids were administered to help regulate acid production and to help heal the lining of the stomach.

Ulcerative colitis is an inflammation of the digestive tract. There are four types of ulcerative colitis. Ranging from most severe to least severe Pan-ulcerative colitis, left sided colitis, Proctosigmoiditis, and ulcerative proctitis. Though the causes are unknown there are possibly three factors which may play a part in the disease. The immune system, basically the immune system is fighting itself and inflaming the GI tract, environmental triggers such as certain bacteria’s, viruses, and genetic predisposition. (CrohnsandColitis) Also a lot of theories have been thrown out there, things like salmonella poisoning, and different strands of anti-biotics. (TheMedicalAdvisor)

Helicobacter pylori weaken the gastric layer, predispose the stomach to infection which can lead to achlorhydria. “The classic symptoms of GERD are heartburn, acid regurgitation, dysphagia, and belching”( over time cause narrowing and strictures. A person can experience reflux one hour after eating high fatty undigested meals, smoking (nicotine) and alcohol drinking, sore throat and asthma. Pressure on the diaphragm from pregnancy and obesity in male and female increases intra-abdominal pressure exposing the individual to reflux and heartburn. GERD can occur in infants, elderly, and at any age in between. Patient can take antacid (Tums) to neutralize the acidity, H2 blocker (cimetidine, famotidine, or ranitidine) decrease acid production in the stomach and Proton pump inhibitors (PPI) inhibit acid production from gastric parietal cells. Others treatment, Endoscopy of esophagus or stomach, to obtain a biopsies for (precancerous cells), pH monitoring rule out H. pylori infection, looking for edema, erosion, and bleeding. If blood loss is low, replace with

At the beginning, crohns disease causes aphthous ulcers (shallow, small, scattered, erosions on the inner surface of the small intestine). After a period of

People who often experience a combination of gas, bloating, and other stomach problems may have a condition called Leaky Gut Syndrome. Leaky Gut Syndrome is a term that is used in the medical community as an indication that someone is experiencing frequent stomach problems, but the cause of those problems is unknown. Because the medical community knows little about how the gut works, the phrase “Leaky Gut Syndrome” is used to refer to the complications that people experience in their digestive system in a way that the cause of those problems is not definitive. The lack of data means this turns out to be a guessing game for the doctor who is face to face with a patient who has “Leaky Gut Syndrome”. Although there is a lack of evidence surrounding the condition, there are a few idea’s in the medical

b).Use of nonsteroidal anti-inflammatory drugs such as aspirinor ibuprofen, which can cause ulcers and gastritis

Since then, H. pylori has been almost completely eradicated in western countries, being placed onto the endangered species list. Unfortunately in developing countries, gastric and duodenal ulcers remain huge problems. The lack of access to antibiotics and the emergence of antibacterial resistant strains have greatly hindered efforts to cure the diseases. The controversy is not over, however, as 80% of people infected with H. pylori never develop any gastrointestinal diseases. We need to thoroughly research the bacterium and exactly how it works in order to fully understand the role of H. pylori in stomach diseases. With that information, we will have the means to combat the diseases caused by the bacterium and the lack of the