Wednesday, February 22, 2012

In addition to taking a complete history ...

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Ulcer pain, that means an open, painful wound. Ulcers related to ulcers in the stomach or upper small intestine called the duodenum. Ulcer of the stomach is called gastric ulcers and ulcers in the duodenum is called duodenal ulcers. Helicobacter Pylori (H.)


is a bacterium that causes ulcers. Gastritis is an irritation or inflammation of the gastric mucosa. Helicobacter infection untreated can lead to gastritis. Both gastric ulcer and duodenal ulcer, when the result pylorus H. bacteria or drugs weaken the protective mucous membrane of the stomach and duodenum, allowing acid to reach the sensitive lining beneath. Bacteria H. pylori to survive in stomach acid because they produce enzymes that neutralize the acid. This mechanism allows the bacterium H. pylori to make its way to the "safe" place a protective lining. Once there, a spiral form of bacteria help them burrow through the lining. Both acid and bacteria can irritate the lining and cause ulcers to be formed. Exact transmission of Helicobacter pylori is unknown, but it is suspected that transmission occurs through body fluids. If left untreated, the infection H. pylori can cause gastritis. Gastritis can occur suddenly (acute gastritis) or gradually (chronic gastritis). Gastritis may be caused by prolonged use of aspirin and anti-inflammatory drugs. Untreated helicobacter infection may also cause ulcer or stomach cancer in later life. In the past, with peptic ulcer disease means living with a chronic condition for several years or even life. But today, better understand the causes of peptic ulcer disease and how to treat means that most people can be treated. Discomfort in the abdomen is the most common symptom of peptic ulcer. This discomfort usually feels dull, gnawing pain. The pain usually occurs two to three hours after eating or in the middle of the night when stomach is empty. The pain may appear and disappear within days or weeks. Discomfort relieved by food and antacids drugs. Some people experience only very mild symptoms or no. In addition to taking a complete history from you and your child, and do a thorough physical examination of your child, your child's pediatric GI specialist may conduct tests to confirm if your child's symptoms are the result of an ulcer. This test will show the size and shape (known as the anatomy) of the upper gastrointestinal tract by x-rays. Before testing, the child will not have anything to eat or drink for eight hours before the scheduled test, depending on age. When a child comes to trial in the X-ray region (known as radiology) in the hospital, he / she will be given a white liquid called barium to drink. This liquid will cover the gastrointestinal tract and to identify the esophagus, stomach and small intestine, and also show an ulcer. If the child can not or does not want to drink barium, tubes can be placed through the nose into the esophagus, and barium is given through a tube. This test allows the gastroenterologist to consider children lining the esophagus, stomach and duodenum (first part of the small intestine) with the camera in a flexible tube called an endoscope. The procedure is performed in operating under general anesthesia, so that the child will not feel any pain. Your child's doctor will go through the endoscope his / her mouth and examine the esophagus, stomach and duodenum. After examining the upper gastrointestinal tract and images, the doctor will collect a biopsy (very small pieces of tissue lining) to be sent to a pathologist (a doctor who examines tissue, blood and other samples) to study under the microscope, inflammation and other symptoms. If ulcer bleeding, the doctor uses an endoscope for injecting drug users who contribute to clotting or direct heat probe that prypikaye ulcers. Before treatment the doctor speak with you and your child and answer your question. Some children may get medicine to help them relax before taken in the operating room. After the procedure your child will be taken to the postoperative ward, allowed to fully wake up, and brought to you. The doctor will discuss the preliminary results of the procedure and show pictures taken during the procedure. Your child will be allowed to return home as soon as he / she is fully awake and able to drink liquids. The total time spent in hospital will depend on the testing and the time for the baby to wake up. The best expect to spend four or five o'clock strattera without prescritpion in the hospital. If the ulcer is, children's specialist GI will check your child for H.pylori. This test is important because treatment for an ulcer caused by helicobacter differs from the treatment of ulcers caused by other things. H. pylori is diagnosed through blood, breath, stool, and tissue tests. The most common is a blood test is done using a finger stick. For the breath test, the child drinks solution. They exhaled collected and tested to confirm the presence or absence of H.pylori. If you were asked to hold stool, you will be given a set of stool collection to take home. You will receive a user selection of samples to the lab for testing. H. pylori peptic ulcers treated with drugs that kill bacteria, reduce stomach acid and protects gastric mucosa. Antibiotics are used to kill bacteria. Bismuth subsalitsilat, a component of Pepto-Bismol, is used to protect the stomach from acid. It also kills H. pylori. Two types of acid suppression drugs can be used:


blockers H2 - work by blocking histamine, which stimulates the secretion of acid. They help reduce ulcer pain after a few weeks. Proton pump inhibitors - to suppress acid production to stop the mechanism that pumps acid into the stomach. Treatment usually includes a combination of antibiotics, acid suppressors, and stomach defenders. Antibiotic therapy is recommended for patients may differ in different regions of the world because different areas have begun to resist the particular antibiotics. Gastritis treatment based on the cause of inflammation. Medications to reduce stomach acid production can be written. Ulcers is pain in the mucosa of the stomach or duodenum. Most ulcers are caused by bacteria H.pylori. H. pylori can be transmitted from person to person through close contact and exposure to feces or vomit. Teach children always wash their hands after using the toilet and before eating. The combination of antibiotics and other drugs is the most effective treatment for ulcers H. pylori ulcers. Gastritis (inflammation of the stomach) often caused by helicobacter bacteria and the use of aspirin or anti-inflammatory drugs. North American Society for Pediatric Gastroenterology, Hepatology and Nutrition -


Children's Digestive Health Nutrition Foundation -.

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