Chandler was admitted to the hospital. Stool-antigen test and urease breath test were positive for H pylori. Oesophagogastroduodenoscopy confirmed multiple bleeding gastric ulcers.
A nasogastric tube was inserted for 4th hourly aspiration. He was kept nil by mouth for two days with IV fluid therapy. Chandler was given antiemetic, antiobiotic and medications to decrease stomach acidity via the intravenous route. Nasogastric tube was removed after two days and Chandler was commenced on soft diet. IV fluid therapy was stopped on day 3. His condition improved and Chandler was discharged from the hospital after seven days with a referral to local GP clinic for review every six months.
1. Discuss the pathophysiology of gastric ulcer and the contributing factors for the disease condition in Chandler’s case
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