Differentiate between gastric and duodenal ulcer diseas

Reference no: EM133670936

A 55-year-old Somali female presents today to your office for complaints of chronic epigastric pain and "gas" for over 1 year now. She has taken tums and ranitidine without improvement of symptoms. Spicy foods make symptoms worse. She has poor appetite and nausea more often in the last couple months. Your differentials include gastroesophageal reflux, gallbladder disease, peptic ulcer disease, pancreatitis, and h.pylori.

1. Knowing that h.pylori is more prevalent in underdeveloped countries, you would like to rule this out at today's visit. What testing options are available for h.pylori? Which one would you chose for this patient today and why? 2. Your patient tests positive for h.pylori. What treatment regimen would you recommend and why?

3. Proton pump inhibitors (PPIs) can be very effective in managing symptoms of gastritis and gastric ulcers seen with h.pylori infections. What are risks with longterm use of PPIs and what monitoring should be done for patient requiring longterm use?

4. H.pylori is the leading cause of peptic ulcer disease (PUD) although there are other risks for developing PUD as well. What counseling would you provide your patient regarding these risks and necessary lifestyle modifications?

5. Please differentiate between gastric and duodenal ulcer disease (be specific in clinical differences and symptomology)

6. Please cite your references. Must include guidelines as one of your references.

Reference no: EM133670936

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