Question

Lance had been experiencing burning pains in his stomach. The pain would be worse if he didn’t eat for awhile and it seemed to be worse at night. The pain is temporarily relieved when he takes antacids but it would come back. He went to the doctor and the doctor ordered a series of tests including an upper GI x-ray, an endoscopy and a blood test. With these tests, the doctor noted multiple lesions on the inner lining of his stomach. The blood test came back positive for Helicobacter pylori antibodies.

1. According to the symptoms and test results, what condition does Lance have?

2. Why is the finding of Helicobacter pylori antibodies significant to his diagnosis?

3. Why does Helicobacter pylori cause this condition?

4. What are the common treatments for this condition?

5. Why does taking aspirin or ibuprofen make the condition worse?

Answer 1

Question no 1

The diagnosis is peptic ulcer related to H . pylori infection

Question no 2

The antibodies in blood is significant as they are important for the diagnosis and show evidence that the body is having an H pylori infection. It is produced againt the antigen of H pylori .

Question no 3

Helicobacter pylori attack the stomach wall and cause damage to the stomach wall . This will cause the acid from degredation of stomach. Wall there by causing ulcer as well as cancer , gastritis etc

Question no 4

Proton pump inhibitors and H2 receptor blocker will be used for helping healing wounds

Amoxicillin , tetracycline and metronidazole can be used in treatment of infection

Question no 5

These are NSAIDS that interferes in the protection of stomach against acid so both H pylori and NSAID can worsen situation