4 Gastric complications Mallory weiss Gastric Dilatation

MALLORY-WEISS SYNDROME

A  lesion of the oesophagogastric mucosa in the form of a  linear

tear in alcoholic patients, the patients present with bleeding.

Treatment  consists  of  control  of  bleeding  with  Sengstaken-

Blackmore tube or endoscopic cautery.

7. ACUTE DILATATION OF STOMACH

This is a complication seen in patients who are severely ill  and

have  post-operative ileus (intestinal distention)  that  follows

abdominal surgery.

The  patient usually aged, develops during the course of  delayed

recovery   from   surgery,  or  prolonged   illness,   signs   of

hypovolemia,  there  is  accumulation of gas  and  fluid  in  the

stomach, which shows up on X-ray.

Nasogastric aspiration does not relieve distension.

Fluid & electrolyte balance is the treatment available 

Ay questions be sent to drmmkapur@gmail.com

All older posts are stored in archive for access ad review.

Visitors that follow may post contributions to the site.

To create consumer/provider engagement visit www.drmmkapur.blogspot.com

www.otmanage.blogspot.com

3 Gastric Ulcer causes clinical treatment options

CHRONIC GASTRIC ULCER

Gastric   ulcer  may  result  from  deficient   mucosal   defence

mechanism, hyperacidity does not play a part.

*  The  pain is more often to the left of the midline and in  the

   left upper quadrant.

*  Gastric  ulcer  patients  experience  pain  immediately  after

   drinking hot or cold liquids, highly spiced foods; raw  fruits

   and vegetables or alcohol may also cause discomfort.

*  The  discomfort is not relieved by food, but on the  contrary,

   is aggravated by food intake.

5.1.  Treatment can be started after confirmation by barium  meal      

and endoscopy.

*  Antacid therapy and H2 Receptor Blocker are also effective

*  Carbonoxolene aids the process of healing.

*  Avoidance of alcohol and bland diets are recommended.

Any questions be sent to drmmkapur@gmail.comwww.drmmkapur@gmail.com

All older posts are stored in archives for access and review

Visitors that follow may post contributions to the site.

To create consumer/provider engagement visit www.drmmkapur.blogspot.comwww.drmmkapur.blogspot.com

www.otmanage.blogspot.comwww.otmanage.blogspot.com

Duodenal Ulcer 2 Diagnosis Treatment

4.3 DIAGNOSIS

In  most  cases, the history and examination  are  sufficient  to

provide a probable diagnosis.

*  A  barium meal study may show the ulcer crater,  deformity  of

   the duodenum or delayed emptying of the stomach.

*  However,  in  early  cases,  there  may  be  no   radiological

   findings.   Fibroendoscopy provides a firm diagnosis  even  in

   early cases.

*  Acid studies are required sometimes.

   (Petogastric and output)

4.4 TREATMENT

*  With H2 blockers (Ranitidine)

*  Diet and

*  Tranquilizer  can be started. 

   Surgical treatment is  required

   for  patient  with recurrence and  complications  and  include

   vagotomy, gastroenterestomy and subtotal gastric resection

   

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access & review

Visitors that follow may post contributions to the site.

To create consumer/provider engagement visit www.drmmkapur.blogspot.com  

www.otmanage.blogspot.com   

DUODENAL ULCER 1 causes clinical menifestations

Duodenal and Gastric ulcer are types of ulcers most often

seen in practice.

4. DUODENAL ULCER

4.1 Cause of duodenal ulcer is unknown.

*  Excessive acid peptic gastric secretion is probably one of the

   most importan etiolgoic factors.

*  Patients  have  increased  basal and  maximal  secretory  acid

   levels.

*  There  is  also evidence that reduction  of  duodenal  buffers

   (bile   and  pancreatic  juice)  lead  to  acidification   and

   ulceration.

4.2 CLINICAL MANIFESTATIONS

An active duodenal ulcer signals its presence by a symptom  often

described as "ulcer pain".

Pain is ofte vague located in the midepigastrium to the right  of

the midline described as a burning pain but may be a sensation of

pressure, cramp, discomfort or hunger.

*  The pain in an active duodenal ulcer is aggravated by fasting,

   thus, the patient must eat frequently.

*  Ingestion  of  plain water, milk or antacids give  prompt  and

   longer relief.

*  An  important trend of this ulcer is chronicity  and  seasonal

   variation of symptoms.

Other  symptoms may be bleeding (Haematemesis),  gastric  outflow

obstruction  and perforation.  These three are  complications  of

ulceration.

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site.

To create consumer/provider engagement visit www.drmmkapur.blogspot.com

www.otmanage.blogspot.com