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TODAY’S TEST QUESTION:
CORRECT ANSWER
B) Duodenal ulcer pain is often relieved temporarily after eating a meal. BUT the pain usually returns 2-3 hours later.
MORE INFO:
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Most ulcers are caused from either from H. pylori infections or NSAIDs.
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There are gastric ulcers & duodenal ulcers.
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Gastric ulcers are a little different than duodenal ulcers, as the gastric ulcers don’t quite follow a consistent pattern of pain.
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Sometimes food can actually make gastric ulcers feel worse.
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Duodenal ulcers tend to cause more consistent pain and are usually relieved with food.
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Pain however, usually returns 2-3 hours after eating.
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These patients have a tendency to wake during the night due to the pain.
OTHER ANSWERS:
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IBS certain foods flare it and cause the pain.
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Gastroenteritis patients will often have nausea, vomiting, fever, and diarrhea.
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They also usually have poor PO (food/drink) intake because food may actually flare their symptoms.
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PUD is not usually associated with diarrhea or fever.
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Although an individual who has PUD and associated diarrhea, may have Zollinger-Ellison Syndrome; a gastrin producing tumor which causes the stomach to produce too much acid.
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GERD can definitely cause similar epigastric burning pain.
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Certain specific foods/drinks can worsen/exacerbate symptoms- chocolate, peppermint, garlic, alcohol, spicy foods, greasy foods.
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These patients may have cough & a hoarse voice.
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MORE TEST QUESTIONS:
- Steroid Cream
- Sitz Bath
- Cluster Headache
- Pronator Drift
- End Stage Renal Disease Diet
- Lochia Rubra
- Beefy Red Tongue
- Crutches
- Medication & Juice
- Teeth Clenching
- HELLP Syndrome
- Baby’s First Stool
- AND MORE TEST QUESTIONS
REFERENCE:
- Merck Manual Professional Version https://www.merckmanuals.com/professional/gastrointestinal-disorders/gastritis-and-peptic-ulcer-disease/peptic-ulcer-disease
- Medscape Distinguishing GERD from PUD https://www.medscape.com/viewarticle/460308
- Epocrates- PUD