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#duodnealulcer Duodenal ulcer mostly present in first part of duodenum. commonly O+ve blood group is more prone for this. Links 🔗- for NOTES AND any QUERY CONTACT.. Instagram Id learnwithdrshipra https://www.instagram.com/learnwithdr... Whatsapp channel- https://whatsapp.com/channel/0029VagP... Telegram- https://t.me/learnwithdrshipra Cause- Stress, Anxiety, Hurry, Worry H-pylori NSAIDs, steroids alcohol, smoking Clinical features- Duodenal ulcer : Gastric ulcer = 30:1 common in all socioeconomic group Pain- Hunger pain, Night pain (before food & early morning) decreased after taking food Common in male Heart burn & vomiting hematemesis weight gain due to frequent meal Investigation- Barium meal X-ray-deformed or absence of duodenal cap Gastroscopy Rapid Urease test Biopsy- from Duodenum , Body, Pylorus, Antrum Serum Gastrin level Serum Calcium level Treatment- Aim- Relieve Symptoms, to heal ulcer, Prevent Recurrency General- avoid alcohol, NSAIDs, Smoking, Spicy food Specific- Intragastric Ph= above 5 (maintained) Drugs- H2 blocker- reduce acid secretion (4-8 week) Proton pump inhibitor- Omeprazole Antacids- Neutralize HCl Anti-Helicobacter pylori regime Surgery- Truncal vagotomy Selective Vagotomy Highly selective vagotomy (HSV) #Duodenal_ulcer_in_hindi #Duodenal_ulcer_cause #Duodenal_ulcer_symptoms #Duodenal_ulcer_Treatment #duodenal_ulcer_complication #surgery_for_duodenal_ulcer #duodenal_ulcer_management Copyright Disclaimer under section 107 of the Copyright Act of 1976, allowance is made for “fair use” for purposes such as criticism, comment, news reporting, teaching, scholarship, education and research. Fair use is a use permitted by copyright statute that might otherwise be infringing. Non-profit, educational or personal use tips the balance in favour of fair use.