Question

A client with peptic ulcer disease asks the nurse what the difference is between a gastric ulcer and a duodenal ulcer. How should the nurse respond

Answer 1

To make the patient to understand the nurse should avoid using the medical terminologies.At first the patient should know what is an ulcer.

ULCER

It is a defect of gastric or duodenal mucosa.Here mucosa is a secreaion of mucus membrane which protect the organ from the internal injuries.

These ulcers are mainly arised by the presence of acid gasterc content.

CLASSIFICATION

ACUTE	CHRONIC
Smooth non elevated borders and smooth base Majoe bleeding into the upper GIT	Rushed and elevated borders and inflammation with hypertrophic and fibrotic proliferation is present. The most freequent form of ulcer disease

DIFFERANCE BETWEEN DUODENAL AND GASTRIC UCER

GASTRIC ULCER	DUODENAL ULCER
Occur in stomach	Occur in duodenum
Common i the age group of 50	Common in the age group between 30-60
Male to female ratio is 2:1	Male to female ratio is 4:1
More common in patients with blood group A	More common in patients with blood group O
Associated with increase use of NSAIDs(Non Steroid Anti-Inflammatory Drugs)	Associated with increase serum pepsinogen
15% peptic ulcers are gasterc	80% of peptic ulcers are duodenal
Normal secreation of stomach acid (Hcl)	Hyper secreation of stomach aci (Hcl)
Weight loss	Weight gain
Pain occurs half an hour after meal	Pain occurs 2-3hours after meal
Rarely occurs at night	Awakened between 1-2 am because of pain
Ingestion of food does not relieve the pain and sometimes increases the pain	Ingestion of food relievs pain
vomiting is common	Vomiting is uncommon