Symptoms of a peptic ulcer include:- Burning epigastric pain: an individual who can point using a single finger to the epigastric pain, is highly suggestive of a peptic ulcer. The charcteristics of pain is that it is worse when hungry.- Back pain- Nausea- Anorexia
Gastric cancer:Can H.pylori infection cause gastric cancer ? Yes, chronic H.pylori gastritis can cause gastric cancer.
Clinical presentation: - Presence of an epigastric or abdominal mass + epigastric pain
- Hard nodular liver
What are the investigations that are done to detect H. pylori infection ? - Serological tests to detect the presence of IgG antibodies.- Breath test: a quick and reliable method. It is used as a screening test. - Endoscopy: a sample is taken from the stomach and duodenum and checked for the presence of the bacterium.
Treatment of H.pylori infection:
- Tetracycline/ amoxicillin
- Colloidal bismuth
If there is a peptic ulcer, your doctor will prescribe an H2-receptor blocker or a proton pump inhibitor.Besides you should follow these instructions:
- Have small frequent meals. Avoid heavy meals
- Avoid smoking
- Avoid alcohol
- Avoid non-steroidal anti-inflammatory drugs as aspirin, ibuprofen, ketoprofen
- Avoid coffee and tea
- Avoid any spicy diet
Surgery can be done in cases of perforation or severe hemorrhage
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Helicobacter Pylori infection