Which finding is an indication of ulcer perforation in a client with peptic ulcer disease
OverviewPeptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is stomach pain. Show
Peptic ulcers include:
The most common causes of peptic ulcers are infection with the bacterium Helicobacter pylori (H. pylori) and long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). Stress and spicy foods do not cause peptic ulcers. However, they can make your symptoms worse. Symptoms
The most common peptic ulcer symptom is burning stomach pain. Stomach acid makes the pain worse, as does having an empty stomach. The pain can often be relieved by eating certain foods that buffer stomach acid or by taking an acid-reducing medication, but then it may come back. The pain may be worse between meals and at night. Many people with peptic ulcers don't even have symptoms. Less often, ulcers may cause severe signs or symptoms such as:
When to see a doctorSee your doctor if you have the severe signs or symptoms listed above. Also see your doctor if over-the-counter antacids and acid blockers relieve your pain but the pain returns. Subscribe for free and receive your in-depth guide to digestive health, plus the latest on health innovations and news. You can unsubscribe at any time. To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. If you are a Mayo Clinic patient, this could include protected health information. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. CausesPeptic ulcers occur when acid in the digestive tract eats away at the inner surface of the stomach or small intestine. The acid can create a painful open sore that may bleed. Your digestive tract is coated with a mucous layer that normally protects against acid. But if the amount of acid is increased or the amount of mucus is decreased, you could develop an ulcer. Common causes include:
Risk factorsIn addition to having risks related to taking NSAIDs, you may have an increased risk of peptic ulcers if you:
Alone, these factors do not cause ulcers, but they can make ulcers worse and more difficult to heal. ComplicationsLeft untreated, peptic ulcers can result in:
PreventionYou may reduce your risk of peptic ulcer if you follow the same strategies recommended as home remedies to treat ulcers. It also may be helpful to:
Peptic ulcer care at Mayo Clinic June 11, 2022
RelatedAssociated ProceduresNews from Mayo ClinicProducts & ServicesWhat are the signs of a perforated ulcer?Call 911 for any warning signs of perforation, internal bleeding, or intestinal obstruction. These include vomiting blood, bloody stools, severe pain in the upper abdomen, clammy skin, fast heartbeat, and fainting.
Which finding is an indication of ulcer perforation in a client with peptic ulcer?The clinical presentation of a perforated peptic ulcer is with the sudden onset of severe abdominal pain that quickly generalizes to the entire abdomen and is followed by hypotension and fever. Acute peritonitis typically is accompanied by a rigid, boardlike abdomen, absent bowel sounds, and leukocytosis.
What indicates perforation of peptic ulcer?Core tip: The classic triad of sudden onset of abdominal pain, tachycardia and abdominal rigidity is the hallmark of perforated peptic ulcer. Early diagnosis, prompt resuscitation and urgent surgical intervention are essential to improve outcomes.
What is the most common site of perforation in patient with peptic ulcer disease?The incidence of duodenal perforation is 7–10 cases/100,000 adults per year [9,15,16,19,20,21,22]. The perforation site usually involves the anterior wall of the duodenum (60%), although it might occur in antral (20%) and lesser-curvature gastric ulcers (20%) [19].
|