Peptic Ulcer: By: Therese Jane Timbalopez

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Peptic Ulcer

By: Therese Jane Timbalopez


What are peptic ulcers?
Peptic ulcers are sores that develop in the lining of the
stomach, lower esophagus, or small intestine. They’re
usually formed as a result of inflammation caused by the
bacteria H. pylori, as well as from erosion from stomach
acids. Peptic ulcers are a fairly common health problem.
• There are three types of peptic ulcers:
• gastric ulcers: ulcers that develop inside the stomach
• esophageal ulcers: ulcers that develop inside the esophagus
• duodenal ulcers: ulcers that develop in the upper section of
the small intestines, called the duodenum
Causes of peptic ulcers
Different factors can cause the lining of the stomach, the esophagus,
and the small intestine to break down. These include:
• Helicobacter pylori (H. pylori), a type of bacteria that can cause a
stomach infection and inflammation
• frequent use of aspirin (Bayer), ibuprofen (Advil), and other anti-
inflammatory drugs (risk associated with this behavior increases in
women and people over the age of 60)
• smoking
• drinking too much alcohol
• radiation therapy
• stomach cancer
Symptoms of peptic ulcers
The most common symptom of a peptic ulcer is burning abdominal pain
that extends from the navel to the chest, which can range from mild to
severe. In some cases, the pain may wake you up at night. Small peptic
ulcers may not produce any symptoms in the early phases.
Other common signs of a peptic ulcer include:
• changes in appetite
• nausea
• bloody or dark stools
• unexplained weight loss
• indigestion
• vomiting
• chest pain
Complications of a peptic ulcer
Untreated ulcers can become worse over time.
They can lead to other more serious health
complications such as:
• Perforation: A hole develops in the lining of
the stomach or small intestine and causes an
infection. A sign of a perforated ulcer is
sudden, severe abdominal pain.
• Internal bleeding: Bleeding ulcers can result in
significant blood loss and thus require
hospitalization. Signs of a bleeding ulcer
include lightheadedness, dizziness, and black
stools.
• Scar tissue: This is thick tissue that develops
after an injury. This tissue makes it difficult for
food to pass through your digestive tract. Signs
of scar tissue include vomiting and weight loss.
Tests and exams for peptic ulcers

Two types of tests are available to diagnose a


peptic ulcer. They are called upper endoscopy
and upper gastrointestinal (GI) series.
How to treat a peptic ulcer?
• Treatment will depend on the underlying
cause of your ulcer. If tests show that you have
an H. pylori infection, your doctor will
prescribe a combination of medication. You’ll
have to take the medications for up to two
weeks. The medications include antibiotics to
help kill infections and proton pump inhibitors
(PPIs) to help reduce stomach acid.
Nursing Care Plans
The nursing goals of a client with a peptic ulcer disease include reducing
or eliminating contributing factors, promoting comfort measures,
promoting optimal nutrition, decreasing anxiety with increased
knowledge of disease, management, and prevention of ulcer recurrence
and preventing complications

Here are five (5) nursing care plans (NCP) and nursing diagnosis for
patients with peptic ulcer disease:
Acute Pain
Imbalanced Nutrition: Less Than Body Requirements
Anxiety
Deficient Knowledge
Risk For Deficient Fluid Volume

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