Question

A 76 year old male has been admitted through the ER with severe abdominal pain and vomitting. No significant findings were evidient of the diagnosis. Six hours later, the patient began to have a major drop in blood pressure with a rapid pulse. Exploratory surgery was performed and revealed a peptic ulcer.

1. Lifestyle factors can contribute to peptic ulcers. What are these lifestyle factors, and what do they cause to happen in the body? Fully answer this in detail please.

2. What is the name of the bacteria that is thought to play a role in peptic ulcers?

3. How is this bacteria tested for? (NOT in the textbook, research)

4. Why might peptic ulcers be difficult to diagnose?

Answer 1

1.The lifestyle factors refers to the activities associated with daily living like eating ,drinking Others like smoking (active or passive) medication, alcohol,stress, medical conditions,substance abuse, etc.,

When a contaminated food with the causative organism when consumed leads to direct invasion of the microorganism innthe body and causing ulcer

The long term use of medication, OTC drug,NSAIDS,alcohol will erode the gastrointestinal lining and cause peptic ulcer

Certain medical conditions (autoimmune disease) leads to increased gastric sectretion and leading to ulcer.

Stress can also lead to ulcer because of the alteration in the secretion of the intestinal fluids by the diminished or increased activation of the CNS.

2.The H.Pylori(Helicobacter pylori) is the bacteria which cause peptic ulcer. It invades the body through contaminated food products

3.The bacteria is usually taken from the biopsy of the gastrointestinal tract during an endoscopic procedure .

Urea breath test reveals the excretion of CO2 in breath

Stool test reveals the presence of antigen

4.The diagnosis of peptic ulcer may be difficult due to the following read on

• Symptoms similar or relating to other disorder
• People neglecting the pain unless it disturbs their daily activity yo seek medical help
• People seeking medical help only when there is sign of weight loss
• Lifestyle factors like increased workload makes one to put less importance to health.