Epigastric tenderness and guarding.
Chronic and periodic symptoms.
Gastric analysis shows acid in all cases and hypersecretion in some.
Ulcer crater or deformity of duodenal bulb on X-ray or with oral endoscopy.
Treament
Treatment in Western medicine.
General measures. The patient should be encouraged to have adequate rest and sleep, and it may sometimes be necessary to recommend 2 or 3 weeks' rest from work if that can be managed. The patient who must continue to work should be given
careful instructions about the medical program. Arrangements should be made for rest and sufficient sleep. Anxiety should be relieved whenever possible.
Alcohol should be strictly forbidden. The patient should quit smoking if that can be done without too much distress. The following drugs may aggravate peptic ulcer or may even cause perforation and hemorrhage: rauwolfia, salicytes, phenylbutazone, indomethacin and other non steroidal antiinflammatory analgesics. They should be discontinued if possible.
Diet. All controlled clinical studies have documented that neither the type nor the consistency of diet will affect the healing of ulcers. The important principle of dietary management of peptic ulcer are as follows: (1) nutritious diet; (2) regular meals; (3) restriction of coffee, tea, cola beverages, decaffeinated beverages, and alcohol; and (4) avoidance of foods that are clearly known to produce unpleasant symptoms in a given individual.
In the acute phase, when there is partial gastric outlet obstruction, it is often useful to begin with a full liquid diet, provided that 1-hour postprandial gastric residuals are less than 100ml. Large amounts of milk and cream in the liet are
associated with a striking increase in deaths from myocardial infarction in ulcer patients. Interval feedings should be avoided. Food of any type or consistency has been shown to markedly stimulate gastric acid in the stomach.
It is doubtful that any dietary measures other than elimination of known aggravating factors play a significant role in preventing ulcer recurrence.Antacids. Antacids usually relieve ulcer pain promptly. Antacid dosage should be selected on the basis of neutralizing capacity. The response to antacids varies widely according to the preparation, the dosage, and the individual patient. Most tablet preparations are relatively ineffective and should not be given.
Magnesium hydroxide-aluminum hydroxide mixtures are effective and widely used antacids. The usual dosage is 15 to 30ml. When full therapeutic doses are given, the magnesium in the mixtures may produce diarrhea; it may be necessary to alternate with a straight aluminum hydroxide gel preparation, which tends to be constipating. Prolonged ingestion of aluminum hydroxide gels may lead to phosphate depletion and osteoporosis. Magnesium salts should be used cautiously in patients with renal insufficiency.
If you have any question about health or health care . please leave message herehttp://net.zoosnet.net/LR/Chatpre.aspx?id=NET39826137.our expert will reply you .
source:http://www.tcmadvisory.com/
