قرحة المعدة.. الأسباب و التشخيص و العلاج


Peptic ulcer, between causes, diagnosis and treatment Hello, with you Jihad Saadeh from Al Enaiah Medical Lab- Sharjah and today we will talk about Peptic Ulcer what cases it, how we diagnose it, and how to treat it Before we start I would like to congratulate you on the occasion of Ramadan May Allah the almighty bless you and your beloved ones Please stay tuned to the end of this video to the end to know more about our special offer during the Holy Month back to our topic what is the peptic ulcer? peptic ulcer is caused by a bacteria meaning, there is a kind of bacteria we call it H.pylori (Helicobacter pylori) is the main causative agent of peptic ulcer Ok, how this bacteria causes the peptic ulcer? This type of bacteria is capable to resist the stomach acidity and the harsh environment which usually inhibits bacterial growth yet this bacteria multiplies and grow due to its ability to secrete substances that neutralizes the acidity of the stomach in addition to colonizing the lining cells of the stomach the fact this bacteria colonizes the lining cells is actually what causing the “Ulcer” How we get infected? usually we acquire the infection during childhood it is well established that about 60% of human population suffer from being infected and they are not necessarily exhibiting symptoms especially in early stages what happens is that we might consume, during childhood likely, food that is contaminated with human feces and have not been washed properly the source of contamination could be the soil itself or the food handlers and we get infected Some recent studies also suggest that this infection can also be acquired though “kissing” meaning, if it is colonizing a certain person and get transmitted through his/her saliva to another person where it will be ingested and colonizes the GIT of the other person Ok.. usually this bacteria multiplies without causing any symptoms, they do so for a certain time , after which, as they increase in number the symptoms starts to appear what are these symptoms that might give an indication if we are infected or not? infected persons usually suffer from heart-burn constant pain in the stomach specially when hungry, and if we eat we feel better excessive acidity we could also suffer from excessive burbling also we might suffer from excessive gases in addition to constant discomfort in the abdominal area some studies also showed the taste of mouth or saliva actually changes due to the secretion of “Urea” due to the bacterial multiplication very well then.. what is the importance and how dangerous this bacteria is? meaning if we neglect the treatment and try to live with it, do we get hurt or not? of course neglecting the treatment of this bacteria and allowing it to grow more and more in the stomach on the long run will cause you “Peptic Ulcer” which is not only painful to live with but also some studies show these ulcers, if left untreated, they might develop into stomach cancer God forbid since the diagnosis is fairly easy either through symptoms or though the medical lab and since it can be successful treated there is no reason behind neglecting taking an action against the disease as for the diagnosis and how it is done in the lab, we have 3 different tests available for the diagnosis of the causative bacteria of peptic ulcer in addition of course some GI doctors might do an endoscopy As the lab is concerned, we have the Antibodies test This test is fast and relatively not expensive but it does not provide a good information; the reason: if the bacteria does exist and we detect the antibodies, that does not necessary mean that this bacteria is ACTIVE & growing as the antibodies will remain for life even if treated what i am trying to say here if the antibodies in this test are POSITIVE it does NOT confirm the activity of the infection and can NOT measure the efficiency of treatment later however, if the antibodies are Negative then that means for sure we do not have the H pylori bacteria to begin with the Second available test is the stool where we test for the existence of this bacteria since it grows in the GI so we test if this bacteria present in the stool sample or not this test is highly accurate , if the bacteria is multiplying & is detected in the stool it means it is highly active and require treatment The one drawback in this type of test is that it does not give us how progressed the infection is the Third test and the best of all is what is known as Urea Breath Test the UBT is a simple lab test where the patient is given a capsule to swallow this capsule breakdown in the stomach where the content of it binds to the urea element which is produced by the bacteria as they multiply where we can quantitatively measure it in the lab though a machine and it is considered as very effective way for the diagnosis as well as the treatment success follow ups Ok, what about the treatment? this bacteria, likely, is usually easy to treat though what is called the triple or the quadruple therapy your treating doctor prescribes a combination of 3 antibiotics or in some cases, a cocktail or 4 antibiotics please don’t ask me what are these antibiotics because each case is different and must be taken under doctor’s supervision for a specific period of time so please refer to your doctor in this regard The majority of us, once we start an antibiotic course, due to the length of treatment which may last , according to the case, from 2 weeks up to 2 months and due to the side effects of these antibiotics and unpleasant feeling the majority may give up the treatment before completion which will lead to a bigger problem Please keep in mind always once you start an antibiotic treatment, you MUST complete it regardless.. If you have been diagnosed for H pylori and took the necessary treatment it is always recommended to re-do the Urea Breath Test again after you conclude your treatment the reason why we do that is to know if we were successfully treated the infection or do we need to alter the treatment plan or increase its length Once we start the treatment we will eradicate some of the bacteria but if we did not eradicate it completely it will re-grow in a more violent and highly resistant to medication and will cause more trouble few months later I hope this video was useful and now I will tell you about our special offer where during Ramadan we are offering you a general health check up in addition to the HbA1C, vitamin D and vitamin B12 in addition to the TSH, all in all at 500 AED only We also have something else to tell you and we need your help in that One of the Restaurants , Aroos AL Sham- Sharjah- attracted my attention with his initiative where he displayed a sign in the restaurant that sign reads: Free Meal for everyone who cannot afford to buy it I think this is a very humanitarian gesture I was deeply touched by this sign and for this, we are following the same step in the lab if you kindly know anyone though a charity organization who is in need of lab tests we are welling during Ramadan to offer that person free general health check up for anyone who is in need and through a charity organization like Dar El Bir or Al Ehsan under the condition of inability, because we are offering this for those who are truly in need Ramadan Kareem and wish you good health

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