Peptic Ulcer Disease Definition:
Peptic Ulcer disease refers to open sores in the lining of the stomach or the first part of the small intestine, the duodenum.
Types of Peptic Ulcer Disease:
There are mainly two types of peptic ulcers. Those are-
- Gastric Ulcers: it occurs on the lining of the stomach.
- Duodenal Ulcers: it occurs in the first part of the small intestine.
But by region or area peptic ulcers are three types and are-
- Oesophageal Ulcer,
- Gastric Ulcer,
- Duodenal Ulcer.
Causes or Reasons for Peptic Ulcer Disease:
The different causes for peptic ulcer are-
- Infection with Helicobacter pylori (H. Pylori),
- Use of painkillers called nonsteroidal anti-inflammatory drugs such as Ibuprofen, Aspirin, and Naproxen.
- Excessive Alcoholism,
- Smoking,
- Having radiation treatments,
- Serious illness.
A rare condition called Zollinger-Ellison syndrome can cause peptic ulcers.
Sign and Symptoms of Peptic Ulcer:
Peptic ulcer has various kinds of signs and symptoms. Those are-
- Burning pain in the middle or upper stomach. During meals or two hours after a meal or the night,
- Heartburn,
- Hunger and an empty feeling in the stomach,
- Mid nausea and vomiting,
- Bloating or discomfort.
In severe cases peptic symptoms are such as which are the following:
- Vomiting of blood,
- Dark blood stool,
- Weight loss,
- Loss of appetite,
- Severe pain in the mid to upper abdomen.
The symptoms of Gastric Ulcers and Duodenal Ulcers are similar except for when pain occurs:
SL NO. | Symptoms of Gastric Ulcer | Symptoms of Duodenal Ulcer |
1 | Epigastric pain after a meal or during the meal. | Epigastric pain 2 hours after a meal or empty stomach or during the meal. |
2 | Loss of appetite, nausea, vomiting | Heart Burn |
3 | Reduced nutrition | Good nutrition |
4 | Loss of weight | No weight loss |
5 | Quick recovering | Obstipation |
Test and Diagnosis of Peptic Ulcer Diseases:
There are three ways of diagnosing peptic ulcers. Those are-
- EGD ( Upper Gastrointestinal Endoscopy)
- X-Ray
- Stool occult blood test.
Treatment of Peptic Ulcer Diseases:
By following way the treatment of peptic ulcer should be done-
- Change of lifestyle,
- Ulcer medications,
- Antibiotics,
- Upper Endoscopy (some bleeding points can be stopped through Endoscopy),
- Surgery,
- Diet (Bland diet).
Prevention of Peptic Ulcer Diseases:
By following way anyone can be prevented himself/ herself from a peptic ulcer:
- Do not smoke,
- Avoid Alcohol,
- Avoid fried food,
- Avoid overuse of NSAIDs,
- Do not overuse Aspirin.
A complication for Peptic Ulcer:
Complications for Peptic Ulcer are-
- Bleeding,
- Perforation,
- Obstruction,
- Stenosis.
Nursing Intervention for Peptic Ulcer:
The various nursing intervention of peptic ulcer has mentioned in the following-
- Check patient vital signs 4 hourly.
- Administered prescribed medication.
- Encourage patient to stop smoking & alcoholism.
- If the patient vomit, check the color of emesis to identify the source of blood.
- Place an emesis basin within the patient’s reach.
- Offer mouth care after every emesis episode.
- Give antiemetic drugs as the doctor ordered.
- Give antacids as ordered by a doctor.
- Provide six meals a day as order.
- Provide bland foods.
- Encourage the patient to take plenty of fluid.
- Encourage the patient to plenty of rest.
- provide psychological support to the patient.
- Avoid Aspirin.
- Monitoring for any complication.
- Monitor the effectiveness of medications and also watch for adverse effects.
More questions related to this topic:
- Peptic ulcer disease (Stomach Ulcers) cause, symptoms.
- Peptic ulcer disease: background, anatomy, pathophysiology.
- Stomach ulcer: causes, symptoms & diagnosis.
- Peptic ulcer disease symptoms, treatment & diet.
- What is an ulcer and how is it caused?
- What is a peptic ulcer and what are the possible causes?
- How do you treat a peptic ulcer?
- Where is a peptic ulcer?
- Definition of peptic ulcer disease.
- Classification of peptic ulcer.
- Peptic Ulcer Symptoms.
- Peptic Ulcer Treatment.
- Peptic Ulcer Guidelines.
Maria Khatun Mona is a Founder and Editor of Nursing Exercise Blog. She is a Nursing and Midwifery Expert. Currently she is working as a Registered Nurse at Evercare Hospital, Dhaka, Bangladesh. She has great passion in writing different articles on Nursing and Midwifery. Mail her at “maria.mona023@gmail.com”
A few typos in the document at https://nursingexercise.com/peptic-ulcer-disease-types-causes/. My comments are in brackets
Those ares-(should read are, no s)
Gastric Ulcers(delete the s): it is occurred (occurs) on the lining of the stomach.
Duodenal Ulcers (delete the s): it is occurred (occurs) in the first part of the small intestine.
…
There are three ways of diagnosing peptic ulcer. Those ares (are)-
(image missing)
EGD ( Upper GastroIntestinal Endoscopy) (should it not read UGD?) (delete space before Upper)
X-Ray
Stool occult blood test.