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    Peptic Ulcer Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Peptic Ulcer Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Peptic Ulcer Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook158 pages1 hour

    Peptic Ulcer Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Peptic Ulcer

    Peptic ulcers are common in people who are stressed or do not take regular meals.
    They also occur in people who take pain killers such as non-steroidal anti-inflammatory medicines or steroids and hormones.
    In the past (refer my book A Family Doctor’s Tale on milk drip) a fast cure for acute episode of peptic ulcer pain is the milk drip. Provided the patient does not have lactose tolerance a milk drip into the stomach of these patients will stop the pain within 1 day because of the constant drip of alkaline milk and lactobacillus into the stomach to counter the acid and H. pylori bacteria in the stomach and duodenum.
    With the advent of H2 antagonist and Proton pump inhibitor treatment with these new drugs appears to work better than the milk drip.
    They just depend on these drugs to counter their acids and peptic ulcers.
    Peptic ulcer is a medical disorder with an open sore or raw area in the lining of the stomach or duodenum.
    A gastric ulcer is present in the stomach.
    A duodenal ulcer is present in the first part of the small intestine.
    Normally, the lining of the stomach and small intestines can protect itself against strong stomach acids by producing a mucous film on the inner lining of the stomach or duodenum.
    But if the inner lining breaks down, the result may be:
    1. Swollen and inflamed tissue, called (gastritis)
    2. A peptic ulcer
    Most ulcers occur in the first layer of the inner lining of stomach or duodenum.
    The ulcer can form a hole that goes through the stomach or duodenum lining is called a perforation.
    A peptic ulcer perforation is a medical emergency.
    The two main causes are
    1. Helicobacter pylori infection - this bacterium injures the protective lining of the stomach making the underlying stomach tissue more prone to attack by the acidic gastric juice.
    The most frequent cause of peptic ulcers is infection of the stomach by bacteria called Helicobacter pylori (H. pylori).
    Helicobacter pylori infection is linked to about 95% of duodenal ulcers and 80% of gastric ulcers.
    Most people with peptic ulcers have these bacteria growing in their digestive tract.
    Many people who have these bacteria in their stomach do not form an ulcer.
    2. Extra production of acidic gastric juice
    Excessive secretion of the acidic gastric juice can burn into the protective lining of the stomach and induce inflammation of the underlying unprotected stomach tissue.
    The factors for excessive production of acidic gastric juice are:
    a. Most frequent is stress and anxiety which automatically raise the production of the acid as a response to sympathetic nervous reaction
    b. Hereditary
    Some gastric ulcer patient has a family history of gastric problem.
    Blood group O tends to have more gastritis while Blood group A tends towards stomach cancer.
    c. Irregular meals tend to produce more acidic gastric juice at regular meal time.
    d. Alcohol and smoking has been linked with higher acid formation
    e. Drugs:
    Long term use of non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen can irritate the inner lining of the stomach or induce bleeding.
    Most gastric ulcers happen on the lining of the lesser curvature of the stomach while duodenal ulcers happen on the first part of the duodenum
    These factors raise the risk for peptic ulcers:
    a. Excessive drinking of too much alcohol
    b. Regular use of aspirin, ibuprofen, naproxen, or other non-steroidal anti-inflammatory drugs (NSAIDs). Being given aspirin or NSAIDs once in a while is safe for most people.
    c. Smoking cigarettes or chewing tobacco
    d. Severe illness, such as being on a breathing machine
    e. Having radiation treatments

    TABLE OF CONTENT
    Introduction
    Chapter 1 Peptic Ulcer Disease
    Chapter 2 Causes
    Chapter 3 Symptoms
    Chapter 4 Diagnosis
    Chapter 5 Treatment
    Chapter 6 Prognosis
    Chapter 7 H

    LanguageEnglish
    PublisherKenneth Kee
    Release dateDec 30, 2017
    ISBN9781370098552
    Peptic Ulcer Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Peptic Ulcer Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Peptic Ulcer

      Disease,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2016 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the Peptic Ulcer Disease, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What You Need to Treat Peptic Ulcer Disease)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://kenmed.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical conditions.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Peptic Ulcer

      Peptic ulcers are common in people who are stressed or do not take regular meals.

      They also occur in people who take pain killers such as non-steroidal anti-inflammatory medicines or steroids and hormones.

      In the past (refer my book A Family Doctor’s Tale on milk drip) a fast cure for acute episode of peptic ulcer pain is the milk drip. Provided the patient does not have lactose tolerance a milk drip into the stomach of these patients will stop the pain within 1 day because of the constant drip of alkaline milk and lactobacillus into the stomach to counter the acid and H. pylori bacteria in the stomach and duodenum.

      With the advent of H2 antagonist and Proton pump inhibitor treatment with these new drugs appears to work better than the milk drip.

      They just depend on these drugs to counter their acids and peptic ulcers.

      What is Peptic ulcer?

      Peptic ulcer is a medical disorder with an open sore or raw area in the lining of the stomach or duodenum.

      A gastric ulcer is present in the stomach.

      A duodenal ulcer is present in the first part of the small intestine.

      What are the causes of Peptic ulcer?

      Normally, the lining of the stomach and small intestines can protect itself against strong stomach acids by producing a mucous film on the inner lining of the stomach or duodenum.

      But if the inner lining breaks down, the result may be:

      1. Swollen and inflamed tissue, called (gastritis)

      2. A peptic ulcer

      Most ulcers occur in the first layer of the inner lining of stomach or duodenum.

      The ulcer can form a hole that goes through the stomach or duodenum lining is called a perforation.

      A peptic ulcer perforation is a medical emergency.

      The two main causes are

      1. Helicobacter pylori infection - this bacterium injures the protective lining of the stomach making the underlying stomach tissue more prone to attack by the acidic gastric juice.

      The most frequent cause of peptic ulcers is infection of the stomach by bacteria called Helicobacter pylori (H. pylori).

      Helicobacter pylori infection is linked to about 95% of duodenal ulcers and 80% of gastric ulcers.

      Most people with peptic ulcers have these bacteria growing in their digestive tract.

      Many people who have these bacteria in their stomach do not form an ulcer.

      2. Extra production of acidic gastric juice

      Excessive secretion of the acidic gastric juice can burn into the protective lining of the stomach and induce inflammation of the underlying unprotected stomach tissue.

      The factors for excessive production of acidic gastric juice are:

      a. Most frequent is stress and anxiety which automatically raise the production of the acid as a response to sympathetic nervous reaction

      b. Hereditary

      Some gastric ulcer patient has a family history of gastric problem.

      Blood group O tends to have more gastritis while Blood group A tends towards stomach cancer.

      c. Irregular meals tend to produce more acidic gastric juice at regular meal time.

      d. Alcohol and smoking has been linked with higher acid formation

      e. Drugs:

      Long term use of non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen can irritate the inner lining of the stomach or induce bleeding.

      Most gastric ulcers happen on the lining of the lesser curvature of the stomach while duodenal ulcers happen on the first part of the duodenum

      These factors raise the risk for peptic ulcers:

      a. Excessive drinking of too much alcohol

      b. Regular use of aspirin, ibuprofen, naproxen, or other non-steroidal anti-inflammatory drugs (NSAIDs). Being given aspirin or NSAIDs once in a while is safe for most people.

      c. Smoking cigarettes or chewing tobacco

      d. Severe illness, such as being on a breathing machine

      e. Having radiation treatments

      f. A rare condition called Zollinger-Ellison syndrome produces stomach and duodenal ulcers.

      g. Stress: Many people believe that stress causes ulcers.

      Defense mechanisms to protect ulcers are mucus, bicarbonate, mucosal blood flow and prostaglandins.

      Incidence

      Dyspepsia happens in 40% of the population yearly and results in medical consultation in 5% and endoscopy in 1%.

      Of those who go for endoscopy:

      1. About 40% have functional or non-ulcer dyspepsia.

      2. 40% have gastro-esophageal reflux disease (GERD).

      3. 13% have ulcer disease.

      4. 2% have gastric cancer.

      5. 1% has esophageal cancer.

      In the past, duodenal ulcer was 10 times as frequent in men as in women and gastric ulcer had a male :female preponderance of 3:2.

      Now the frequency is much less, mainly because of H. pylori eradication and the sex incidence being more equal.

      Peptic ulcer disease incidence

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