Peptic Ulcer Case Study

Improved Essays
Being able to offer the highest quality of care to our patients involves understanding certain conditions that may cause a need to modify treatment. When treating a patient in the dental office that presents with peptic ulcers having an understanding about the disease can help you provide better care. This can be accomplished by having a understanding of what exactly a peptic ulcer is, etiological factors causing it, occurrence, physical characteristics and symptoms, medical management, oral characteristics observed and finally dental management and oral hygiene care.

First one must understand what exactly a peptic ulcer is. Peptic meaning, “a description relating to digestion in the upper digestive system (the stomach and small intestine)”
…show more content…
Three main etiological factors cause the formation of peptic ulcers. The first and most important is due to a bacterial infection of Helictobacteria pylori. This bacteria damages the mucous lining causing weakness and allowing the acids through to the tissues below. The exact cause of how a patient becomes infected is unknown. The thought is it transmits through tainted water and food sources, unsanitary dining and transferring of bodily fluids. (Crowe and Peura, D, 2014) The next factor is the extended use of NSAIDs nonsteroidal anti-inflammatory drugs. Commonly used NSAIDs are aspirin and ibuprofen. NSAIDs work in the body by blocking enzymes in the body that help alleviate pain, fever and inflammation. Unfourtonelty, these enzymes also produce chemicals that help protect the lining so when blocks the enzymes from producing chemicals it then weakens the defenses of the lining allowing an ulcer to form. (Crowe and Peura, D, 2014) The last cause is not as common and is due to a tumor either cancerous or non-cancerous located in the stomach, pancreas or duodenum. (Crowe and Peura, D, 2014) Common belief was that stress and spicy foods caused peptic ulcers which is false, they make the ulcer worse but do not cause it. (Crowe and Peura, D, …show more content…
Peptic ulcers are able to be cured if treatment is completed properly. But there is a increased risk of developing a peptic ulcer again. First, you must identify the factor causing the ulcer. This is important due to the different treatments that may be necessary. The first tests and procedures are conducted to identify if the patient is infected by bacteria. Testing of the blood, stool or breath test to confirm or deny the presence of H. pylori. The breath test measures the amount of carbon dioxide in the breath. To accomplish this the patient will consume a drink containing urea, which if present the bacteria will convert into carbon dioxide. (Crowe and Peura, D, 2014) Another procedure is a Upper Gastrointestinal Endoscopy, this procedure is the most accurate. (Crowe and Peura, D, 2014) A special camera with a light called an endoscope is inserted through the oral cavity and down digestive tract. This camera is able to take photos and provide a live video. During the procedure small samples are collected from the lining of the stomach or duodenum. This is called a biopsy and can be examined to identify if there is the presence of H. pylori. The final procedure is Upper Gastrointestinal Series. In this procedure the patient is positioned in front of an x-ray machine while consuming liquid called barium. This liquid will line the tract allowing doctors to identify ulcers. (Crowe and Peura, D, 2014) This particular test is not used when diagnosing the

Related Documents

  • Improved Essays

    This technique is used because the gram negative and gram positive bacteria both have different cells wall structures and also respond differently depending on which type of antibiotic they are given. For example, penicillin which is a type of antibiotic will prevent the synthesis of the cell wall in gram positive bacteria however will not work in gram negative bacteria. Penicillin can be used to treat many different infections such as skin infections. Penicillin is an antibiotic that works against gram positive bacteria as it prevents the peptidoglycan from being formed. Daptomycin is another antibiotic which is used against gram positive bacterial infections.…

    • 1140 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Common Cold Case Study

    • 1275 Words
    • 6 Pages

    One of the more understood pertussis toxins is called the lymphocytosis-promoting factor which is responsible for causing a decrease in the amount of neutrophils to the lungs making them susceptible to other bacterial infetions. It also leads to the inflammation of the respiratory tract that which in turn inhibits the clearing of pulmonary secretions. Another toxin is the adenylate cyclise toxin which is responsible for suppressing the activation of T cells in the respiratory tract, making it more susceptible to other infections. It also plays a role in aiding the Bordetella pertussis bacteria to resist clearance facilitated by…

    • 1275 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Antacids are used to neutralize stomach acid, which may provide quick relief, however will not heal an inflamed esophagus. Some brand names include Maalox, Rolaids and Tums. (Staff,…

    • 752 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Holland (2012) reported that large amounts of ketones found in the urine can mean the patient’s diabetes is not being regulated. If the ketones in your body are not corrected, it can cause serious health problems and be poisonous to the body. Using the dipstick is very important in detecting ketones and helping diagnose the patient from potential harmful conditions (Holland,…

    • 1084 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    This is an infection caused by the bacterium Vibrio Cholerae. You can get the bacterium by drinking contaminated water or by eating uncooked food, such as sushi or even raw vegetables. CTX is a potent toxin that causes the deadly symptoms. You should not worry too much though, because you need to ingest over…

    • 781 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Heal Leaky Gut Syndrome Naturally If you 're living with autoimmune disease, allergies, or chronic pain, these conditions could be your body 's way of telling you that you have leaky gut syndrome. Under ordinary circumstances, your gut has just enough permeability to allow the absorption of vital nutrients. However, certain dietary and environmental factors can greatly increase your intestinal permeability, allowing bacteria, undigested food, microbes, and candida to leak into the rest of your body. This can result in chronic illness. Leaky gut syndrome is most commonly triggered by: Inflammatory Foods – Gluten is an inflammatory food, and for those who are intolerant to it, it can cause serious gut problems.…

    • 1002 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    So let 's go back to the basics of anatomy, the upper urinary tract starts with what organ, the kidney. The kidney is responsible for filtering so this is where the liquid waste comes from. It starts in your kidney and travels from the ureter to the bladder and out of your urethra. So in turn an upper urinary tract infection can also be called a kidney infection, or pyelonephritis. This type of urinary tract infection is very dangerous if left untreated it can cause septicaemia.…

    • 757 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    When the concentration of simvastatin becomes too high for the body, the drug can be toxic to the body (Lynn, 2012). OBJECTIVE #5 - Alternate treatment choices that would have avoided this serious adverse drug event • The physician may have prescribed a variety of alternative antibiotics to treat Saskia’s pneumonia to eliminate drug-drug interactions that occurred with her current medications. The antibiotic prescribed cannot inhibit the CYP3A4 isoenzyme because it allows simvastatin to be excreted from the body. For example: Azithromycin (Drug Bank, 2016). • The physician could have prescribed an alternative statin to lower Saskia’s cholesterol that could be effectively excreted from the body while taking clarithromycin for pneumonia.…

    • 1074 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    The physician or health care professional will start first by assessing the wound. During the assessment, the physician will obtain the patient medical history as well as assessing the wound. The assessment of the ulcers includes the characteristics of the wound, such as color, odour, and drainage (Zaiontz& Sharon, 2014). Assessing the wound is the first step of the treatment process; however, finding the stage of pressure ulcers is essential in knowing the right treatment. The main goal of treatment is to diminish pressure ulcers, reduce the pain, and control the infection (Berman&Slon, 2012).…

    • 985 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Cystitis Research Paper

    • 781 Words
    • 4 Pages

    Cystitis is the inflammation of the bladder; generally the inflammation is caused by a bacterial infection known as a urinary tract infection or a UTI. A bladder infection can cause many problems and can eventually spread to the kidneys causing severe pain depending on the severity of the bacterial infection. The most common bacteria that is responsible for cystitis is, Escherichia coli (E. coli). Pyelonephritis is an example, cystitis and pyelonephritis share many similarities the difference between the two is where the infection is located. A lower urinary tract infection is cystitis and a few days of antibiotics will take care of the infection.…

    • 781 Words
    • 4 Pages
    Improved Essays