Question:
When to test for h. Pylori
Answer:
Consider testing before prescribing H2 receptor antagonists/PPIs.
Baseline data to obtain prior to prescribing H2RA includes H.pylori testing.
Baseline data for PPI includes H.pylori testing and a magnesium level.
Question:
How to treat h. Pylori
Answer:
Antibiotics are not recommended for asymptomatic individuals who test
positive for H. pylori.
, The antibiotics employed most often are clarithromycin, amoxicillin,
bismuth, metronidazole, and tetracycline. None is effective alone.
the guidelines recommend using at least two antibiotics, and preferably three.
An antisecretory agent—PPI or histamine-2 receptor antagonist (H2RA)—
should be included as well. Eradication rates are good with a 10-day course
and slightly better with a 14-day course.
Question:
PUD
Lifestyle modifications to support ulcer healing
Answer:
Change in eating pattern - 5-6 small meals
Smoking cessation
No aspirin or NSAID use
Reduce alcohol
Reduce stress and anxiety
Question:
What is PUD?
Answer:
refers to a group of upper gastrointestinal (GI) disorders characterized by
varying degrees of erosion of the esophagus, stomach, and small intestine.
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