Duodenal ulcer in Hindi- cause, symptoms, diagnosis, treatment ||Learn with Dr. Shipra||

#duodnealulcer
Duodenal ulcer mostly present in first part of duodenum. commonly O+ve blood group is more prone for this.

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Cause- Stress, Anxiety, Hurry, Worry
H-pylori
NSAIDs, steroids
alcohol, smoking
Clinical features-
Duodenal ulcer : Gastric ulcer = 30:1
common in all socioeconomic group
Pain- Hunger pain, Night pain (before food & early morning)
decreased after taking food
Common in male
Heart burn & vomiting
hematemesis
weight gain due to frequent meal

Investigation-
Barium meal X-ray-deformed or absence of duodenal cap
Gastroscopy
Rapid Urease test
Biopsy- from Duodenum , Body, Pylorus, Antrum
Serum Gastrin level
Serum Calcium level

Treatment-
Aim- Relieve Symptoms, to heal ulcer, Prevent Recurrency
General- avoid alcohol, NSAIDs, Smoking, Spicy food
Specific- Intragastric Ph= above 5 (maintained)
Drugs- H2 blocker- reduce acid secretion (4-8 week)
Proton pump inhibitor- Omeprazole
Antacids- Neutralize HCl
Anti-Helicobacter pylori regime
Surgery-
Truncal vagotomy
Selective Vagotomy
Highly selective vagotomy (HSV)

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