Peptic (Gastric) Ulcers

Patient's Problem:

A 40-year-old male patient, Mr. Kachot, presented to Dr. Jitendra Desai at Desai Surgical Hospital with a history of intermittent epigastric pain, often described as a burning or gnawing sensation. The pain was typically relieved by antacids but would recur, particularly when the patient was on an empty stomach or after consuming spicy or acidic foods.

Diagnosis:

Dr. Desai conducted a thorough examination, including a physical assessment and detailed questioning about the patient’s symptoms, medical history, and family history. Based on the patient’s presentation and initial assessment, Dr. Desai suspected a peptic ulcer.

To confirm the diagnosis, the following tests were ordered:

Upper Endoscopy: This procedure involves examining the oesophagus, stomach, and duodenum using a thin, flexible tube with a camera. The endoscopy revealed an ulceration in the lining of the stomach.

Helicobacter pylori (H. pylori) Test: A stool test was performed to check for the presence of H. pylori, a bacteria that is often implicated in the development of peptic ulcers.

Treatment:

Based on the diagnosis of peptic ulcer and the presence of H. pylori, Dr. Desai prescribed a comprehensive treatment plan that included:

Medication: The patient was given a combination of antibiotics to eradicate the H. pylori infection and medications to reduce stomach acid and promote ulcer healing.

Dietary Changes: The patient was advised to avoid spicy, acidic, and greasy foods that could irritate the stomach.

Lifestyle Modifications: The patient was recommended to avoid smoking and excessive alcohol consumption, as these habits can worsen peptic ulcers.

Procedures:

Upper Endoscopy: As mentioned earlier, this procedure was performed to visualize the stomach lining and confirm the diagnosis of peptic ulcer.

Result:

With the prescribed treatment and lifestyle modifications, Mr. Kachot experienced significant improvement in his symptoms. The epigastric pain gradually subsided, and he was able to resume his normal diet without discomfort. Dr. Desai continued to monitor the patient’s progress and ensure complete eradication of the H. pylori infection.

Note: This case study is for illustrative purposes only and should not be considered a substitute for professional medical advice. If you have concerns about your health, please consult with a qualified healthcare provider.