PUD due to H.Pylori
Protocols
Clinical Features of H.Pylori PUD:
· An ache
or burning pain in your stomach (abdomen)
· Stomach
pain that may be worse when your stomach is empty.
· Nausea.
· Loss of
appetite.
· Frequent
burping.
· Bloating.
· Unintentional weight loss.
Investigation:
1. Upper GI Endoscopy : gastritis or biopsy taken
2. Non invasive test:
Serology
Urea breath test
Faecal Antigen test
3. Invassive test :
Histology
Rapid urease test
Rx:
1. General treatment:
a. Avoid NSAID
b. Avoid cigarette smoking & alcohol
c. Avoid spicy foods
d. Free from mental stress
2. H.Pylori Eradication Therapy:
1st Line (Tripple Therapy)
Tab. Helicon Kit { lansoprazole(30mg)+amoxicillin(1gm)+clarithromycin(500mg)}
1+0+1...............10-14 days
2nd line if not improved:
Syp. Peptocid (Bismuth)
2 tsf .......3 times daily .......14 days
Cap.Lansec (Lansoprazole) (30mg)
1+0+1...............14 days
Tab.Fimet (metronidazole) (400mg)
1+1+1..........14 days
Cap.A-tetra (Tetracycline)(500mg)
1+1+1+1 ...............14 days
3. Surgery : if indicated
1. partial gastectomy
2. Vagotomy & drainage