Peptic ulcer history and symptoms: Difference between revisions
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**Nocturnal pain relieved by food intake, [[Antacid|antacids]], or [[antisecretory agents]]<ref name="pmid17956071">{{cite journal| author=Ramakrishnan K, Salinas RC| title=Peptic ulcer disease. | journal=Am Fam Physician | year= 2007 | volume= 76 | issue= 7 | pages= 1005-12 | pmid=17956071 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17956071 }} </ref>. | **Nocturnal pain relieved by food intake, [[Antacid|antacids]], or [[antisecretory agents]]<ref name="pmid17956071">{{cite journal| author=Ramakrishnan K, Salinas RC| title=Peptic ulcer disease. | journal=Am Fam Physician | year= 2007 | volume= 76 | issue= 7 | pages= 1005-12 | pmid=17956071 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17956071 }} </ref>. | ||
Obtaining the history is the most important aspect of making a [[diagnosis]] of peptic ulcer disease. It provides insight into the [[Causality|cause]], precipitating factors and associated [[comorbid]] conditions. | Obtaining the history is the most important aspect of making a [[diagnosis]] of peptic ulcer disease. It provides insight into the [[Causality|cause]], precipitating factors and associated [[comorbid]] conditions. | ||
===History=== | ===History=== | ||
Patients with peptic ulcer disease may have a positive history of: | Patients with peptic ulcer disease may have a positive history of: | ||
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*[[ Bloating]] | *[[ Bloating]] | ||
*[[Intolerance to fatty food]] | *[[Intolerance to fatty food]] | ||
*[[Hematemesis]] | |||
*[[Melena]] | |||
===Less Common Symptoms=== | ===Less Common Symptoms=== | ||
*[[Loss ofappetite|Loss of appetite]] | *[[Loss ofappetite|Loss of appetite]] | ||
*[[ | *[[ Bloating]] | ||
*[[ | *[[Intolerance to fatty food]] | ||
===Past Medical History=== | |||
*A history of [[epigastric pain]], [[dyspepsia]], or prior [[peptic ulcer]] may suggest the [[Diagnosis-related group|diagnosis]] of [[peptic ulcer disease]].<ref name="LaineSolomon2016">{{cite journal|last1=Laine|first1=Loren|last2=Solomon|first2=Caren G.|title=Upper Gastrointestinal Bleeding Due to a Peptic Ulcer|journal=New England Journal of Medicine|volume=374|issue=24|year=2016|pages=2367–2376|issn=0028-4793|doi=10.1056/NEJMcp1514257}}</ref> | |||
* | |||
===Medication History=== | |||
*Prior use of [[aspirin]] or [[Non-steroidal anti-inflammatory drug|nonsteroidal anti-inflammatory drugs]] (NSAIDs) is important because these patients have an increased risk of [[gastric ulcer]] and a fourfold risk of significant [[Gastrointestinal tract|GI]] [[bleeding]] compared with other patients.<ref name="pmid5303551">{{cite journal |vauthors=Goulston K, Cooke AR |title=Alcohol, aspirin, and gastrointestinal bleeding |journal=Br Med J |volume=4 |issue=5632 |pages=664–5 |year=1968 |pmid=5303551 |pmc=1912769 |doi= |url=}}</ref> | |||
===Social History=== | |||
*Alcoholics also frequently have [[peptic ulcers]] or [[gastritis]].<ref name="pmid2226291">{{cite journal |vauthors=MacMath TL |title=Alcohol and gastrointestinal bleeding |journal=Emerg. Med. Clin. North Am. |volume=8 |issue=4 |pages=859–72 |year=1990 |pmid=2226291 |doi= |url=}}</ref><ref name="pmid5303551">{{cite journal |vauthors=Goulston K, Cooke AR |title=Alcohol, aspirin, and gastrointestinal bleeding |journal=Br Med J |volume=4 |issue=5632 |pages=664–5 |year=1968 |pmid=5303551 |pmc=1912769 |doi= |url=}}</ref> | |||
*[[Cigarette smoke|Cigarette smokers]] have a significantly higher rate of the recurrent [[duodenal ulcer]] as compared with nonsmokers and a history of [[cigarette smoking]] should be elicited<ref name="pmid28839832">{{cite journal |vauthors=Jafar W, Jafar AJN, Sharma A |title=Upper gastrointestinal haemorrhage: an update |journal=Frontline Gastroenterol |volume=7 |issue=1 |pages=32–40 |year=2016 |pmid=28839832 |pmc=5369541 |doi=10.1136/flgastro-2014-100492 |url=}}</ref><ref name="pmid17942452">{{cite journal |vauthors=Palmer K |title=Acute upper gastrointestinal haemorrhage |journal=Br. Med. Bull. |volume=83 |issue= |pages=307–24 |year=2007 |pmid=17942452 |doi=10.1093/bmb/ldm023 |url=}}</ref> | |||
===Family History=== | |||
*Family history of peptic ulcer disease increases the risk of peptic ulcer. | |||
*History of peptic ulcer disease in mother increases the risk of peptic ulcer disease in children. | |||
==References== | ==References== | ||
Revision as of 16:38, 20 November 2017
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2017 ACG Guidelines for Peptic Ulcer Disease |
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Guidelines for the Indications to Test for, and to Treat, H. pylori Infection |
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Guidelines to document H. pylori antimicrobial resistance in the North America |
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Guidelines for when to test for treatment success after H. pylori eradication therapy |
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Peptic ulcer history and symptoms On the Web |
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Risk calculators and risk factors for Peptic ulcer history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ;Manpreet Kaur, MD [2]
Overview
The hallmark of peptic ulcer disease is an episodic epigastric pain which cause awakening at night.A positive history of epigastric pain, use of drugs like NSAIDs including aspirin which inhibit cyclooxygenase,use of antiplatelets ,steroids and family history of peptic ulcer disease is suggestive of peptic ulcer disease. The most common symptoms of peptic ulcer disease include episodic epigastric pain, heartburn,,intolerance to fatty food , gastroesophageal reflux,waterbrash,. Less common symptoms of peptic ulcer disease include hematemesis and melena.[1][2]
History and Symptoms
- Obtaining the history is the most important aspect of making a diagnosis of peptic ulcer disease. It provides insight into the cause, precipitating factors and associated comorbid conditions
- The majority of patients with the peptic ulcer disease are symptomatic but some people donot show any symptoms,called as a silent ulcer.
- The hallmark of peptic ulcer disease :
- Episodic gnawing or burning epigastric pain which occurs two to five hours after meals or on an empty stomach
- Nocturnal pain relieved by food intake, antacids, or antisecretory agents[1].
Obtaining the history is the most important aspect of making a diagnosis of peptic ulcer disease. It provides insight into the cause, precipitating factors and associated comorbid conditions.
History
Patients with peptic ulcer disease may have a positive history of:
- Episodic epigastric pain
- Daily Use of NSAIDs
- positive family history
Common Symptoms
- Episodic epigastric pain
- Heartburn
- Waterbrash
- Indigestion
- Bloating
- Intolerance to fatty food
- Hematemesis
- Melena
Less Common Symptoms
Past Medical History
- A history of epigastric pain, dyspepsia, or prior peptic ulcer may suggest the diagnosis of peptic ulcer disease.[3]
Medication History
- Prior use of aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) is important because these patients have an increased risk of gastric ulcer and a fourfold risk of significant GI bleeding compared with other patients.[4]
Social History
- Alcoholics also frequently have peptic ulcers or gastritis.[5][4]
- Cigarette smokers have a significantly higher rate of the recurrent duodenal ulcer as compared with nonsmokers and a history of cigarette smoking should be elicited[6][7]
Family History
- Family history of peptic ulcer disease increases the risk of peptic ulcer.
- History of peptic ulcer disease in mother increases the risk of peptic ulcer disease in children.
References
- ↑ 1.0 1.1 Ramakrishnan K, Salinas RC (2007). "Peptic ulcer disease". Am Fam Physician. 76 (7): 1005–12. PMID 17956071.
- ↑ Drini M (2017). "Peptic ulcer disease and non-steroidal anti-inflammatory drugs". Aust Prescr. 40 (3): 91–93. doi:10.18773/austprescr.2017.037. PMC 5478398. PMID 28798512.
- ↑ Laine, Loren; Solomon, Caren G. (2016). "Upper Gastrointestinal Bleeding Due to a Peptic Ulcer". New England Journal of Medicine. 374 (24): 2367–2376. doi:10.1056/NEJMcp1514257. ISSN 0028-4793.
- ↑ 4.0 4.1 Goulston K, Cooke AR (1968). "Alcohol, aspirin, and gastrointestinal bleeding". Br Med J. 4 (5632): 664–5. PMC 1912769. PMID 5303551.
- ↑ MacMath TL (1990). "Alcohol and gastrointestinal bleeding". Emerg. Med. Clin. North Am. 8 (4): 859–72. PMID 2226291.
- ↑ Jafar W, Jafar A, Sharma A (2016). "Upper gastrointestinal haemorrhage: an update". Frontline Gastroenterol. 7 (1): 32–40. doi:10.1136/flgastro-2014-100492. PMC 5369541. PMID 28839832. Vancouver style error: initials (help)
- ↑ Palmer K (2007). "Acute upper gastrointestinal haemorrhage". Br. Med. Bull. 83: 307–24. doi:10.1093/bmb/ldm023. PMID 17942452.