Peptic Ulcer Bleeding Treatment in Kokapet, Hyderabad


Peptic Ulcer Bleeding Treatment in Kokapet, Hyderabad

Upper gastrointestinal bleed (UGIB) is one of the common medical emergencies and is associated with significant morbidity and mortality. Early upper GI endoscopy helps in identifying the etiology and allows for targeted endoscopic treatment resulting in reduced morbidity, hospital stay, risk of re-bleeding, and need for surgery.

A peptic ulcer is a condition when there is an open sore in the lining of the stomach or intestine. In many ways, it is similar to a sore in the mouth. When the ulcer occurs in the stomach it is called a "gastric ulcer". When it occurs in the duodenum it is called a "Duodenal ulcer."

An ulcer occurs when the lining of these organs is corroded by the acidic digestive juices which are secreted by the stomach cells. Normally, glands in the stomach secrete acid and the enzyme pepsin (hence the name peptic ulcer) that help to break down of food in the digestive process. The stomach and duodenum meanwhile secrete mucus to protect them against harm from pepsin and gastric acid. In peptic ulcer disease the digestive tract's defensive mechanisms break down, often as a result of infection with the bacterium Helicobacter pylori.

Causes:


Excess acid was considered the major cause of ulcer disease. Acid is still considered significant in ulcer formation, the leading cause of ulcer disease is currently believed to be infection of the stomach by a bacteria called "Helicobacter pyloridus" (H. pylori). Another major cause of ulcers is the chronic use of anti-inflammatory medications, commonly referred to as NSAIDs (nonsteroidal anti-inflammatory drugs), such as Ibuprofen also including aspirin. Cigarette smoking is also an important cause of ulcer formation and ulcer treatment failure.

Symptoms:


Upper abdominal burning or burning stomach pain or hunger pain one to three hours after meals and in the middle of the night. These pain symptoms are often promptly relieved by food or antacids.

Conclusion


Rapid clinical evaluation and resuscitation is the first thing to be done while attending unstable patients with severe bleeding, followed by the diagnostic evaluation. Early upper GI endoscopy (within 24 hours of presentation) is recommended in most patients as it confirms the diagnosis and helps in the targeted endoscopic treatment, resulting in decreased morbidity and mortality.12,13 Surgical intervention may be required in patients with severe and persistent bleeding

The most common type of management is a medical conservative treatment followed by EVL banding.

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