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    Presentation1 LC Kel 4

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    GalangKharismaPutra
    A 52-year-old man presents with 2 weeks of upper abdominal pain, discomfort in the epigastric region, heartburn, nausea, darker stool, and feeling full quickly. He has been taking antacids and NSAIDs. Examination finds him pale but stable. His symptoms suggest a potential bleeding peptic ulcer caused by H. pylori infection or NSAID use. Treatment involves eliminating H. pylori with antibiotic therapy, reducing acid with proton pump inhibitors, antacids, and analog prostaglandins to promote healing.

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    Presentation1 LC Kel 4

    Uploaded by

    GalangKharismaPutra
    31 views16 pages
    A 52-year-old man presents with 2 weeks of upper abdominal pain, discomfort in the epigastric region, heartburn, nausea, darker stool, and feeling full quickly. He has been taking antacids and NSAIDs. Examination finds him pale but stable. His symptoms suggest a potential bleeding peptic ulcer caused by H. pylori infection or NSAID use. Treatment involves eliminating H. pylori with antibiotic therapy, reducing acid with proton pump inhibitors, antacids, and analog prostaglandins to promote healing.

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    A 52-year-old man presents with 2 weeks of upper abdominal pain, discomfort in the epigastric region, heartburn, nausea, darker stool, and feeling full quickly. He has been taking antacids and NSAIDs. Examination finds him pale but stable. His symptoms suggest a potential bleeding peptic ulcer caused by H. pylori infection or NSAID use. Treatment involves eliminating H. pylori with antibiotic therapy, reducing acid with proton pump inhibitors, antacids, and analog prostaglandins to promote healing.

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    © All Rights Reserved
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    Download as pptx, pdf, or txt
    31 views16 pages

    Presentation1 LC Kel 4

    Uploaded by

    GalangKharismaPutra
    A 52-year-old man presents with 2 weeks of upper abdominal pain, discomfort in the epigastric region, heartburn, nausea, darker stool, and feeling full quickly. He has been taking antacids and NSAIDs. Examination finds him pale but stable. His symptoms suggest a potential bleeding peptic ulcer caused by H. pylori infection or NSAID use. Treatment involves eliminating H. pylori with antibiotic therapy, reducing acid with proton pump inhibitors, antacids, and analog prostaglandins to promote healing.

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    Bleeding Peptic Ulcer

    Grup 4 :
    1. Fitriyani Astuti
    2.Meritta Ramadani
    3. Rahma Hayati
    4.Tika Novianti

    LANGUAGE CENTER OF MALAHAYATI


    UNIVERSITY 2013
    A 52-year-old man presents to the office with approximately
    2 weeks of upper abdominal pain. His symptoms are
    difficult for him to describe, but include some “discomfort”
    in the epigastric region that comes and goes. He has had
    some “heartburn” and nausea, but no vomiting or
    diarrhea. He has noticed that his stool looks darker than it
    used to, but he has not seen any blood. He feels full
    quickly after eating. He tried taking some over-the-counter
    antacid, which helps a little bit. His only other medication
    is an over-the-counter nonsteroidal anti inflammatory drug
    (NSAID) that he takes “once or twice” a day because of
    arthritis in his knees. He does not smoke cigarettes or
    drink alcohol. On examination, he is pale appearing, but in
    no acute discomfort. He is afebrile, his blood pressure is
    120/80 mmHg, his pulse is 95 beats/min, and his
    respiratory rate is 14 breaths/min. Head, ears, eyes, nose,
    and throat (HEENT) examination is notable only for pale
    conjunctiva. Cardiac and pulmonary examinations are
    • A 52 years old man
    • Adominal pain approximately 2 weeks
    • Discomfort in the epigastric region that comes and
    goes
    • Heartburn and nausea
    • Stool looks darker
    • Feels full quickly
    • Taking antacids helps little bit
    • Taking NSAID for his arthritis

    Keywords
    A 52-year-old man presents to the office with
    approximately 2 weeks of upper abdominal
    pain.
    A 52-year-old man presents to the office with
    approximately 2 weeks of upper abdominal
    pain cause bleeding peptic ulcer.
    Ulcers can be caused by:
    • Infection with a type of bacteria called
    Helicobacter pylori (H. pylori)
    • Use of painkillers called nonsteroidal anti-
    inflammatory drugs.
    • Excess acid production from gastrinomas,
    tumors of the acid producing cells of the
    stomach that increases acid output (seen in
    Zollinger-Ellison syndrome).
    Patients age 20-60
    group years old
    used suffering
    History of
    from
    peptic
    ulcers and
    Alcoholic GI
    bleeding
    • A gnawing or burning pain in the middle or upper
    stomach between meals or at night
    • Bloating
    • Heartburn
    • Nausea or Vomiting

    In severe cases, symptoms can include:


    • Dark or black stool (due to bleeding)
    • Vomiting blood (that can look like "coffee-grounds")
    • Weight loss
    • Severe pain in the mid to upper abdomen
    Treatment
    Therapy Non Farmakaologi
    - Patients with ulcers should reduce
    Cont..
    Although there is no need for a special diet, patients should avoid foods and
    beverages that cause dyspepsia or ulcers that can lead to diseases such as
    This treatment is aimed at eliminating bacterial infections with
    antibiotic treatment and reduce acid production in the stomach

    Metronidazole , 500 mg a day 2x1


    During 10-14 days

    Amoxicillin , 1 g day 2x1 - 3x1 days


    for 14 days
    Cont..

    Antasid. Ex:Mg hidroksida

    Antagonis histaminH2. ex:


    simetidin,ranitidin and Analog prostaglandin. Ex:
    nizatidin misoprostol
    amoxicillin

    triple therapy
    regimens ten
    days with a omeprazole
    combination
    of
    clarithromycin

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