Peptic ulcer disease: Difference between revisions
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* PUD is a break in the inner lining of the stomach, the first part of the small intestine, or sometimes the lower esophagus | * PUD is a break in the inner lining of the stomach, the first part of the small intestine, or sometimes the lower esophagus | ||
** '''Gastric | ** '''Gastric/ Stomach''' ulcer: Pain may worsen with eating. | ||
** '''Duodenal ulcer''': Ulcer of the first part of the intestines : Waking at night with upper abdominal pain + Upper abdominal pain that improves with eating. | ** '''Duodenal ulcer''': Ulcer of the first part of the intestines : Waking at night with upper abdominal pain + Upper abdominal pain that improves with eating. | ||
** [[Gastrin]] is a peptide hormone that stimulates secretion of gastric acid y Parietal cells of the stomach and aids in gastric motility. | |||
=== Signs | {| class="wikitable" | ||
|+ | |||
* Abdominal pain, classically epigastric, strongly correlated with mealtimes. In case of duodenal ulcers, the pain appears about three hours after taking a meal and wakes the person from sleep; | ! colspan="2" | | ||
=== Signs/ Symptoms === | |||
|- | |||
| | |||
*Abdominal pain, classically epigastric, strongly correlated with mealtimes. | |||
*In case of duodenal ulcers, the pain appears about three hours after taking a meal and wakes the person from sleep; | |||
* Bloating and abdominal fullness; | * Bloating and abdominal fullness; | ||
* Waterbrash | * Waterbrash | ||
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* Loss of appetite and weight loss, in gastric ulcer | * Loss of appetite and weight loss, in gastric ulcer | ||
* Weight gain, in duodenal ulcer, as the pain is relieved by eating | * Weight gain, in duodenal ulcer, as the pain is relieved by eating | ||
* Hematemesis | | | ||
*Hematemesis | |||
* Melena | * Melena | ||
* Rarely, an ulcer can lead to a gastric or duodenal perforation, which leads to acute peritonitis and extreme, stabbing pain, and requires immediate surgery. | * Rarely, an ulcer can lead to a gastric or duodenal perforation, which leads to acute peritonitis and extreme, stabbing pain, and requires immediate surgery. | ||
* Complications may include bleeding, perforation, and blockage of the stomach. Bleeding occurs in as many as 15% of cases | * Complications may include bleeding, perforation, and blockage of the stomach. Bleeding occurs in as many as 15% of cases | ||
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=== Causes === | === Causes === | ||
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* HSV- 2 | * HSV- 2 | ||
|} | |} | ||
== Remedies == | == Remedies == | ||
{| class="wikitable" | {| class="wikitable" | ||
|+ | |+ | ||
! colspan="2" |Banerji protocols | ! | ||
!Key Sign / Symptom | |||
! | |||
!Modalities | |||
Triggers | |||
|- | |||
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=== Arg-n === | |||
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* '''Best remedy''' for stomach ulcers. | |||
* Sharp Ulcerative/ Burning pain is felt in stomach | |||
* Pain radiates to other regions of the abdomen. | |||
| | |||
| | |||
* Sometimes gnawing in nature. | |||
* Symptoms such as belching, nausea, vomiting may also appear along with these radiating pains. | |||
* In abdominal distension Arg-n is one of the most effective remedies for stomach ulcers. | |||
|- | |||
|Nux-v | |||
| | |||
* Stomach ulcer that stomach region is touch sensitive | |||
* Tightness and pressure may be felt in the stomach after eating. | |||
| | |||
* Eating even the smallest amount of food. | |||
* Spicy food, | |||
* [[Cigarette smoke poisoning|Tobacco]], Coffee | |||
* Alcoholic drinks | |||
| | |||
* Nausea, Vomiting, Eructation's, Flatulence, Heartburn are concomitants | |||
|- | |||
|Kali-bi | |||
| | |||
* '''Gastric round ulcer''' cases with a feeling of heaviness in the stomach soon after eating. | |||
* Stomach load. | |||
| | |||
|Low appetite in stomach ulcers. | |||
|- | |||
| | |||
=== Lyc === | |||
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* Stomach ulcers + Burning, Constrictive pains | |||
* Marked Flatulence Abdominal Fullness/ Bloating | |||
| | |||
* Bloating starts soon after eating. | |||
* Pain amel from taking warm water. | |||
* Agg: Farinaceous food like Cabbage and Beans | |||
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|- | |||
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=== Carb-v === | |||
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* Stomach ulcers + burning pain | |||
* Stomach ulcers + Sour belching/ [[GERD, Gastroesophageal Reflux Disease|Heartburn]]. | |||
* Pain may extend from stomach to back. | |||
| | |||
* Eating the smallest amount of food, even light food, agg the symptoms | |||
| | |||
* Epigastric area may also be sensitive and tender to touch. | |||
|- | |||
|[[Hydr, Hydrastis Canadensis|Hydr]] | |||
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* Treating stomach ulcers + Weight loss/ [[Emaciation]]. | |||
* Key symptom: Constant sore feeling in the stomach. | |||
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| | |||
* Cutting and sharp pain in the stomach may also be present | |||
* Weakness and a loathing of food in epigastrium | |||
* Chronic gastritis | |||
|- | |||
|Graph | |||
| | |||
* Gastric ulcers with vomiting immediately after eating food | |||
| | |||
* Constrictive and burning pain in the stomach is experienced after eating. | |||
| | |||
* Excessive belching, the taste of ingesta is also present | |||
|- | |||
|Phos | |||
| | |||
* When a cold drink relieves pain of stomach ulcers. | |||
|Burning in the stomach after eating | |||
| | |||
* ُour, bitter belching may also be experienced in such cases. | |||
|} | |||
{| class="wikitable" | |||
|+ | |||
! colspan="2" | | |||
== Banerji protocols == | |||
|- | |- | ||
|First line | |First line | ||
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|} | |} | ||
== [[Tissue Salt Remedies]] == | |||
* '''[[NP, Tissue Salt Remedy|NP]]''': His stomach is sour and acidic. Sour vomiting, Eructation and sour reflux, sour diarrhea | * '''[[NP, Tissue Salt Remedy|NP]]''': His stomach is sour and acidic. Sour vomiting, Eructation and sour reflux, sour diarrhea | ||
Revision as of 05:06, 16 December 2023
Clinic
- PUD is a break in the inner lining of the stomach, the first part of the small intestine, or sometimes the lower esophagus
- Gastric/ Stomach ulcer: Pain may worsen with eating.
- Duodenal ulcer: Ulcer of the first part of the intestines : Waking at night with upper abdominal pain + Upper abdominal pain that improves with eating.
- Gastrin is a peptide hormone that stimulates secretion of gastric acid y Parietal cells of the stomach and aids in gastric motility.
Signs/ Symptoms | |
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Causes
Dynamic | Static | Viral | |
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Common |
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DHF |
Uncommon |
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Remedies
Key Sign / Symptom | Modalities
Triggers | ||
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Arg-n |
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Nux-v |
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Kali-bi |
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Low appetite in stomach ulcers. | |
Lyc |
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Carb-v |
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Hydr |
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Graph |
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Phos |
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Burning in the stomach after eating |
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Banerji protocols | |
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First line |
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Second line |
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Third line |
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Tissue Salt Remedies
- NP: His stomach is sour and acidic. Sour vomiting, Eructation and sour reflux, sour diarrhea