A 33-year old businessman goes to his doctor complaining of a burning pain in hi

Question

A 33-year old businessman goes to his doctor complaining of a burning pain in his stomach, as if something were burrowing a hole through his stomach lining. His doctor suggests a drug containing bismuth, which suppresses stomach acid. After a week of trying that, the man returns complaining that the pain is returning more often. The doctor prescribes a 2-wk course of omeprazole, tetracycline in combination with the bismuth. The man begins that treatment regimen. The pain does not diminish right away, but over time, his stomach lining begins to heal. What did the man have and what was the causative agent?

Explanation / Answer

Peptic ulcer disease (PUD) is a lesion of the mucosal layer in the stomach or duodenum that may be caused by pathogenic bacteria or pepsin and other gastric acids. The most common causes of peptic ulcers include the infection caused by the bacterium Helicobacter pylori or H. Pylori. It gives positive test result for CLO (Campylobacter like the organism) test.

In the given case, the patient is suffering from PUD caused by H. Pylori, which is treated with antibiotics and antacids.

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