Signs and symptoms:
Gnawing or burning, nonradiating, recurring pain that is often episodic
Relieved by food or antacids
PPIs have higher efficacy than H2 blockers. 95% of duodenal ulcers heal on PPI therapy within 4 weeks.
Omeprazole 20 mg/day PO; lansoprazole 30 mg/day PO; ...
H. pylori eradication: expected in >90% (with double antibiotic regimen): Confirm eradication with urea breath test or fecal antigen test.
K27.9 Peptic ulc, site unsp, unsp as ac or chr, w/o hemor or perf
K26.9 Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K25.9 Gastric ulcer, unspecified as ...
PPIs have higher efficacy than H2 blockers for healing duodenal ulcers.
In patients with PUD, eradicate H. pylori to assist healing and reduce the risk of recurrence.
Upper endoscopy is ...
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