Peptic Ulcer /अन्नद्रवशूल

अन्नद्रवशूल 

परिचय -

पाचन के बाद या पाचन हो रहा हो तब और अजीर्ण (पाचन से पहले ) जो शूल उत्पन होता है अथवा पथ्य व अपथ्य प्रयोग से , भोजन ले तथा न ले तब भी शूल शांत न हो निरंतर चलता रहे उसे अन्नद्रवशूल  कहते है। 

जब विदग्ध पित्त की मात्रा वमन के द्वारा बाहर निकल जाता है तो रोगी को शांति मिलती है। 

Peptic Ulcer

Definition-

An ulcer in the lining of small intestine that is duodenum is called peptic ulcer.

Ulcer in esophagous is called- Esophadeal ulcer.

Ulcer in stomach is called- Peptic ulcer, Stomach ulcer, Gastric ulcer.

Ulcer in duodenum is called - Duodenal ulcer.

Ulcer in stomach and duodenum is called- Gastroduodinal ulcer.

Causes-

Helicobacter pylori - bacteria

Frequent use of NSAID drug,

Stress and strain,

Alcohol, Smoking,

GERD all causes.

Pathophysiology-

All causes increase HCl  which damage mucosal layer which leads to erosion in lining of stomach and causes Ulcer.

Sign and Symptom-

• Burning and abdominal pain in epigastric area normally in night which called Blood Nocturnal pain.
• Vomiting with Haematimasis
• Nausea
• Blood stool 
• Anorexia
• Weight loss.

Investigation-

Endoscopy (upper GI )

Pylori infection blood test

Complication-

• Stomach wall penetration
• Internal bleeding
• Hematimesis
• Melana
• Hard abdomen.