Question: What Are The First Clinical Manifestations Of Peptic Ulcer Disease That Occur In Elderly Patients?

Symptoms of peptic ulcer disease include epigastric discomfort (specifically, pain relieved by food intake or antacids and pain that causes awakening at night or that occurs between meals), loss of appetite, and weight loss.

What are the clinical manifestation of peptic ulcer?

These symptoms include epigastric pain that worsens with eating, postprandial belching and epigastric fullness, early satiety, fatty food intolerance, nausea, and occasional vomiting [2,5].

Which symptom would patients with peptic ulcer disease PUD commonly report?

Patient reporting of epigastric abdominal pain, early satiety, and fullness following a meal raise suspicion of PUD. The pain of gastric ulcers increases 2 to 3 hours after a meal and may result in weight loss, whereas the pain of duodenal ulcers decreases with a meal which can result in weight gain.

What is the most common complication of peptic ulcer disease?

Internal bleeding is the most common complication of stomach ulcers. It can occur when an ulcer develops at the site of a blood vessel. The bleeding can either be: slow, long-term bleeding, leading to anaemia – causing fatigue, breathlessness, pale skin and heart palpitations (noticeable heartbeats)

Which signs and symptoms are suggestive of PUD?

What are the signs and symptoms of peptic ulcer disease (PUD)?

  • Dyspepsia, including belching, bloating, distention, and fatty food intolerance.
  • Heartburn.
  • Chest discomfort.
  • Hematemesis or melena resulting from gastrointestinal bleeding.
  • Rarely, a briskly bleeding ulcer can present as hematochezia.

What is the most common cause of PUD?

Peptic ulcer disease usually occurs in the stomach and proximal duodenum. The predominant causes in the United States are infection with Helicobacter pylori and use of nonsteroidal anti-inflammatory drugs.

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What are the signs and symptoms of perforated peptic ulcer disease PUD )?

Symptoms of a perforated ulcer may include:

  • Sudden, severe pain in the belly (abdomen), usually in the upper abdomen.
  • Pain spreading to the back or shoulder.
  • Upset stomach (nausea) or vomiting.
  • Lack of appetite or feeling full.
  • Swollen belly or feeling bloated.

How do you assess for peptic ulcer?

Endoscopy. Your doctor may use a scope to examine your upper digestive system (endoscopy). During endoscopy, your doctor passes a hollow tube equipped with a lens (endoscope) down your throat and into your esophagus, stomach and small intestine. Using the endoscope, your doctor looks for ulcers.

Which characteristic of pain is a patient with a duodenal ulcer likely to report?

If taking NSAIDs caused the ulcer, a doctor will likely advise the person to stop or reduce their use of those drugs. People can switch to another medication for pain. A doctor may prescribe proton-pump inhibitors (PPIs) to reduce stomach acid and protect the lining of the stomach.

What are the five complications of peptic ulcer?

There are four major complications of peptic ulcer disease (PUD): bleeding, perforation, penetration, and obstruction. Complications can occur in patients with peptic ulcer of any etiology.

What are the three major complications of peptic ulcer?

Complications of peptic ulcer disease (PUD) include bleeding, penetration, perforation, and gastric outlet obstruction.

What are the complications of peptic ulcer?


  • Internal bleeding. Bleeding can occur as slow blood loss that leads to anemia or as severe blood loss that may require hospitalization or a blood transfusion.
  • A hole (perforation) in your stomach wall.
  • Obstruction.
  • Gastric cancer.
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Which symptom should the nurse at attribute to a duodenal ulcer?

Epigastric pain is the most common symptom of both gastric and duodenal ulcers. It is characterized by a gnawing or burning sensation and occurs after meals—classically, shortly after meals with gastric ulcer and 2-3 hours afterward with duodenal ulcer.

What does D PUD mean?

Peptic ulcer disease (PUD)

What is the difference between a peptic ulcer and a gastric ulcer?

A peptic ulcer is a sore on the lining of your stomach or the first part of your small intestine (duodenum). If the ulcer is in your stomach, it is called a gastric ulcer. If the ulcer is in your duodenum, it is called a duodenal ulcer.

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