101. Peptic Ulcer - Washington DC peptic ulcer Washington Hospital Center is located in Washington DC. http://www.whcenter.org/12569.cfm

cddcodebase = "navtools/topmenu/";cddcodebase367050 = "navtools/topmenu/"; Article Manager Home Back to Health Library Print This Page ... Stomach disease or trauma Peptic ulcer Definition: Ulcers are erosions in the lining of the stomach or duodenum (the first part of the small intestines). An ulcer in the stomach is called a gastric ulcer . An ulcer in the duodenum is called a duodenal ulcer. Together, ulcers of the stomach and duodenum are referred to as peptic ulcers. Most ulcers are erosions of the first layer of the inner lining. If the hole goes all the way through, this is called a perforation of the intestinal lining. This can cause shock and is a medical emergency. Alternative Names: Ulcer - peptic; Ulcer - duodenal or gastric; Duodenal ulcer Causes, incidence, and risk factors: Normally, the lining of the stomach and small intestines have protection against the irritating acids produced in your stomach. For a variety of reasons, the protective mechanisms may become faulty, leading to a breakdown of the lining. This results in inflammation ( gastritis ) or an ulcer.

102. Peptic Ulcer peptic ulcer results when there is damage to the lining of stomach or duodenum. It is thought that the pathogenesis involves complex interplay between http://www.brown.edu/Courses/Digital_Path/GI/peptic_ulcer.htm

Peptic ulcer General description P eptic ulcer results when there is damage to the lining of stomach or duodenum. It is thought that the pathogenesis involves complex interplay between stomach acid secretion and chronic inflammation induced by Helicobacter pylori infection. It is not known to be caused by spicy foods (i.e., capsasin) or stress. Incidence 1 in 10 Americans. Symptoms Dull, gnawing ache (often occurs 2-3 hrs after meal and in the middle of the night) Weight loss Poor appetite Bloody or black stools Bloody vomit or "coffee ground" like vomit Pathophysiology H. pylori infection is thought to be responsible for the majority of peptic ulcers. Not all individuals infected with H. pylori eventually develop ulcers. H. pylori weakens the protective mucous coating of the stomach and duodenum, resulting in acid penetration into the underlying sensitive lining. Interestingly, H. pylori secretes enzymes that neutralize stomach acid, hence prolonging its survival. Histopathology Low magnification view of the duodenum. Note the ulceration (bottom left) with heavy polymorphonuclear infiltration.

103. Shoppers Drug Mart - Health Wellness - Health Information Information about peptic Ulcer Disease, from causes, symptoms and diagnosis, to treatment and prevention. http://www.shoppersdrugmart.ca/english/health_wellness/health_information/health

104. DIET FOR PEPTIC ULCER DISEASE Here s to better Health! Finally a diet site that offers nutrition information like no other site. Our site covers eating plans throughout the life cycle, http://www.dietsite.com/Diets/GastrointestinalDisorders/Diet For Peptic Ulcer.ht

document.location.replace('/dt/Diets/GastrointestinalDisorders/DietForPepticUlcer.asp'); DIET FOR PEPTIC ULCER DISEASE Purpose: This diet is designed to restrict or avoid foods that may cause gastric irritation and excessive gastric acid secretion and help prevent uncomfortable side effects such as heartburn. Use: This diet has been designed for those people with gastroesophageal reflux disease, esophageal ulcers, esophagitis, peptic ulcer disease, dyspepsia, chronic gastritis, peptic esophageal strictures, or have other problems involving the esophagus. Dietary guidelines that may help decrease reflux and/or stomach acid Eat three small meals and three snacks evenly spaced throughout the day. It is important to avoid periods of hunger or overeating. Eat slowly and chew foods well. Be relaxed at mealtime. Sit up while eating and for 1 hour afterward. Avoid eating within 3 hours before bedtime. Bedtime snacks can cause gastric acid secretion during the night. Choose foods from the low fat diet and low fat guidelines in addition to the following diet Cut down on caffeine-containing foods and beverages , citrus and tomato products, and chocolate if these foods cause discomfort.

105. BBC NEWS | Health | Medical Notes | Ulcers Millions of people worldwide suffer from stomach and duodenal ulcers. The condition, although painful, is rarely fatal, but may require surgery. http://news.bbc.co.uk/2/hi/health/medical_notes/259038.stm

NEWS SPORT WEATHER WORLD SERVICE ... A-Z INDEX SEARCH You are in: Health: Medical notes News Front Page Africa ... Programmes SERVICES Daily E-mail News Ticker Mobile/PDAs Text Only ... Help EDITIONS Change to UK Wednesday, 20 January, 1999, 15:47 GMT Ulcers Boris Yeltsin has a bleeding stomach ulcer Most ulcers can be easily treated. However, when complications develop they can pose a serious threat to health. Patients can be treated with drugs or through surgery, but there is no firm evidence that this works. Bleeding ulcers can be a sign of general poor health. What is an ulcer? An ulcer is a sore or a hole that forms in the lining of the stomach or small intestine (duodenum). Approximately one in ten people will suffer from an ulcer. Each year about ten per cent of sufferers required surgery because of persistent symptoms. In a small minority of cases patients will die of ulcer-related complications. Who is at risk? Ulcers can develop at any age, but they are rare among teenagers and even more uncommon in children. Duodenal ulcers occur for the first time usually between the ages of 30 and 50. Stomach ulcers are more likely to develop in people over age 60. Duodenal ulcers occur more frequently in men than women; stomach ulcers develop more often in women than men.

106. Peptic Ulcer: Eradication Of H. Pylori Definitive Treatment of peptic Ulcer Disease by Eradication of Helicobacter Pylori Most patients with recurrent peptic ulcer disease will be cured . http://www.ti.ubc.ca/pages/letter2.html

The Therapeutics Initiative operates at arms length from government and other vested interest groups. Our function is unbiased review and dissemination of therapeutic evidence. Assessments apply to most patients; exceptional patients require exceptional approaches. We are committed to evaluate the effectiveness of our educational activities using the Pharmacare database without identifying individual physicians, pharmacies or patients. Therapeutics Letter, issue 2, November 1994 Definitive Treatment of Peptic Ulcer Disease by Eradication of Helicobacter Pylori (H.pylori) T he following quotation by a Gastroenterologist, Dr. Ransohoff, amply defines the impact of the discovery of H.pylori on our thinking about peptic ulcer disease: "The long-held hypothesis that duodenal ulcer disease is caused primarily by acid has, after a decade of siege by the H.pylori hypothesis, finally collapsed. That the acid hypothesis could even be challenged, much less toppled, appeared as unthinkable 10 years ago as the fall of Communism in the former USSR. Within the last few years, strong evidence has accumulated, however, about H.pylori

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