My sister having ulcer since childhood and we have...

Dear Customer
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Regarding your question
peptic ulcer disease(PUD)
it’s a painful sores or ulcers in the lining of the stomach or the first part of small intestine (duodenum).
Most of peptic ulcer caused by bacterial infection (h.pylori) infection than can be transmitted  by blood ,food , or stool of infected patient
Thera are many risk factors for peptic ulcer :
1.    Excessive usage of analgesia like non-steroidal anti-inflammatory drugs like trofen or diclofen
2.    Usage of aspirin
3.    Smoking
4.    Excessive alcohol drinking
Signs :
1.heart burn
2. vomiting
3. bloating
4. vomiting of blood in severe untreated cases
5.severe abdominal pain due to perforation of stomach or small intestine in sever cases
5. dark or brown stool (melena) due to bleeding
Diagnosis :
Peptic ulcer can be diagnosed by taking full medical history of the patient , then do the following test :
1.CBC test to determine the amount of hemoglobin
2. doing H.pylori stool antigen test
3. do endoscopy in old patient above 50 to exclude cancer .
Complication of PUD :
1.    Hemorrhage
2.      Perforation
3.    Gastric obstruction
Management :
1.   Pantovir 40mg twice daily for 14 days then once daily for 3 months
2.    Metronidazole 500mg three times daily 14 days
3.    Clarithromycin 500mg two times daily
4.     surgical intervention in some cases
Then we do urea breath test to confirm the full treatment
You should follow your patient and give her the medications mentioned above ,
If one of the following occurs , you should go to the hospital
1.bleeding per mouth
2. bloody stool
3. severe abdominal pain
4. not  improved with her medication
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