What is a peptic ulcer? (a) Why is antibiotic-bismuth therapy used? (b) What are

ID: 822645 • Letter: W

Question

What is a peptic ulcer? (a) Why is antibiotic-bismuth therapy used? (b) What are the possible consequences if Gary fails to follow this treatment regimen?
Francis, a middle-age salesman, has come into clinic this morning complaining of a burning pain in the "pit of his stomach". He tells you it usually begins about two hours after eating and feels better after he drinks a class of milk. When you ask him to show you where it hurts, he points to his epigastric region.
You report these findings to the clinic's Gastroenterologist, Dr Jones, and he sends Gary down to Xray for a fluroscopy, which reveals a peptic ulcer. When Gary returns to the clinic, Dr Jones prescribes an antibiotic-bismuth therapy.
(a) Why is antibiotic-bismuth therapy. Used? (b) What are the possible consequences if Gary fails to follow this treatment regimen? What is a peptic ulcer? (a) Why is antibiotic-bismuth therapy used? (b) What are the possible consequences if Gary fails to follow this treatment regimen? What is a peptic ulcer? (a) Why is antibiotic-bismuth therapy used? (b) What are the possible consequences if Gary fails to follow this treatment regimen?
Francis, a middle-age salesman, has come into clinic this morning complaining of a burning pain in the "pit of his stomach". He tells you it usually begins about two hours after eating and feels better after he drinks a class of milk. When you ask him to show you where it hurts, he points to his epigastric region.
You report these findings to the clinic's Gastroenterologist, Dr Jones, and he sends Gary down to Xray for a fluroscopy, which reveals a peptic ulcer. When Gary returns to the clinic, Dr Jones prescribes an antibiotic-bismuth therapy.
(a) Why is antibiotic-bismuth therapy. Used? (b) What are the possible consequences if Gary fails to follow this treatment regimen?

Explanation / Answer

PEPTIC ULCER

it is a chronic non specific ulcer occuring in the alimentary tract bathed by acid peptic juice

1. antiboitic bismuth therapy is used because

antibiotics combinations usually kill Helicobacter pylori (H. pylori) bacteria that are the cause of many peptic ulcers. Two antibiotics are used because combination treatment works better and is less likely to fail because of resistanceto the antibiotics.

Combination drug therapy that includes at least two antibiotics, an acid reducer, and sometimes a bismuth compound is recommended for people who have peptic ulcer disease and are known to be infected with Helicobacter pylori

Helicobacter pylori (H. pylori) infections are cured 70% to 85% of the time when the right combination drug treatment is used

Generic Name

Brand Name

bismuth subcitrate potassium and metronidazole and tetracycline

Pylera

bismuth subsalicylate and metronidazole and tetracycline

Helidac

lansoprazole (a PPI) and amoxicillin and clarithromycin

Prevpac

Side Effects

The side effects of antibiotics may include: