Peptic Ulcer Stomch it's break in the normal tissue that lines the stomach if ulcer is in stomach ==== Gastric ulcer if ulcer is in doudenum ==== Dudenal ulcer stoumach + duodenal ulcer :::Causes::: In past: It was belived that life style factors such as stress and diet caused ulcer يعني نوعية الأكل والضغط النفسي والتوتر مش مسبب للقرحة لكن مجرد عامل مساعد أ, بس بيزود الألم مش أكتر أمال ايه السبب؟؟ later: Researcher determined that stomach acids and pepsin are controling the peptic ulcer يعني في عدم توازن بين الأحماض الي بطلعها المعدة (كتير) وبين الطبقة المبطنة للمعدة (ضعيفة أو قليلة) Today: 80% of gastric ulcer and 90 % of duodenal ulcer are devlop due to infection by bacterium called Helicobacter Pylori طلعت في الآخر بكتيريا ايه نظامها البكتيريا دي بقى..؟؟... This H.Pylori is the cause in about 19 in 20 cases This bacterium affects the lining of the duodenum in some way which allows the acid to cause inflammation and ulcers Researchers are not certain how people contract H. pylori, but they think it may be through food or water Researchers have found H. pylori in the saliva of some infected people, so the bacteria may also spread through mouth-to-mouth contact such as kissing :::Risk factor for Gastric Ulcer::: use asprin and (NSAIDs) ie. Non Stroidal Anti Infilamatory Drugs ex:Ibuprofen These medicines sometimes affect the lining of the duodenum and allow acid to cause an ulcer H.Pylori: Which weaken the stomach's protective mucus and make it more susceptible to damage by acid and pepsin as well as produce more acid Smoking Alcohol Caffeine Stress Incresing age ::::Symptoms:::: abdominal pain at night Pain in the upper abdomen just below the sternum (breastbone) يعني ألم أسفل عظمة القص مباشرة relieved by antacid and milk occur 2hr. after meal be worse if you don't eat nausea Bleeding , vomiting blood, Perforation and bloody or black stools When Complications develop Diagnosis