Dealing with back pain for over 30 years I resorted to taking tons of ibuprofen, often on empty stomach. I was also a heavy drinker. Got misdiagnosed several times resulting in appendectomy and later gall bladder removal. Two weeks after returning to work I went straight to the emergency room where they found I had a massive duodenum ulcer. They didn’t operate. They just put me on PPI’s. Over the next six years I went from 230 pounds to 160 pounds. Had two back surgeries and now heavy pain meds. Every time I start feeling better and putting weight back on, I relapse. I no longer drink and haven’t had any NSAIDS for years but still fighting with this. It’s a vicious cycle with the vomiting and bloated feeling and lack of sleep. Going back to gastrointestinal dr because everything I’ve tried on my own isn’t working.
make video on pharmacotherapy please and make your lecture a little bit longer may be 15 minute but part by part i am saying this because it helps us a lot to learn more about our subject matter i personally highly dependent on youtube lecturer than my college lecturers specially you...
@@aaronjoseph6650 treatment for pylori... I did it like 5 years back and I'm sure it never worked and now i think i have an ulcer or worse as I've had abdominal pain for months...will see gastro next month
Urease enzyme produce field around h pylori and its allow its waste product NO to penetrate deep into the mucosal lining in that's way its damage mucosal lining Urease sensitive test is positive for h pylori along with nitric oxide waste product of h pyroli too?
You can eradicate by undergo antibiotic course some times goes with 2 types on antibiotic and some cases espichaly resistance once you may goes for 3 antibiotic with pump protune inhibter. I do recommmend to follow Vegan dite during the tratmment.
May I please get advice, I was diagnosed with duodenal ulcers 2 years ago and was treated with antibiotics. I've been fine ever since then until yesterday when that pain returned but its mild compared to the 1st time I experienced the pain. So I want to try using probiotics because apparently they are also effective. Is Acidophilus Lactobacillus or Bifidobacterium really effective in healing ulcers. I don’t want to take antibiotics again TIA
I'm 20 years old, and my mom just told me a few weeks ago that hunger pangs aren't painful. I was so shocked. My stomach pain usually comes if I haven't eaten in 3-4 hours, and if I don't eat anything, my pain and symptoms feel EXACTLY like appendicitis. Like to a tee-extreme abdominal pain, not being able to stand up straight, and the pain is slightly reduced by pressure. The only thing is I no longer have an appendix lol. I've been dealing with these stomach pain problems since I was probably 7 years old. This is my norm. So I'm not quite sure if it's something as grandiose as ulcers, or maybe it's something else entirely. Duodenal ulcers are the closest thing to my symptoms though. Except the stomach pain keeps me from falling asleep at night because it hurts so bad, but it never wakes me up. I just can't afford to go to a doctor right now, but I'm kind of fed up with over-eating constantly because I feel hungry 24/7.
@azurerisus4256 I found out that I do have stomach ulcers but I lost my health insurance before I could finish treating them, so they're coming back unfortunately. I found an OTC antacid that helps a little bit. The pain is nowhere near a few months ago, so I'm hoping it just doesn't get that bad again
Great video, thanks so much. Question, does the frequent sloughing of duodenal cells also increase cancer risk due to more frequent cell division and possible errors/mutation during cell division? Or perhaps I am not understanding it correctly.
I have duodenal ulcer. I did a test and it showed positive for H.Pylori . My doctor give me “Esomeprazole Magnesium”, Amclavin-625, and Emgly. Please any help on how to eradicate this! Cause when I take pepper I feel a discomfort for a period then it stops. I can’t live like this.!!! Help me!
1:49 could someone make sure for me what MP is saying? Is it that blood is *cathartic* (meaning that it purges the bowels)? I love this guy it's just hard to hear what he's saying sometimes
I've been smoking weed often. I get these hunger pangs even a few hours after I eat. The pain can last for 6 hours or more if I don't eat. Once I eat the pain goes away. THen the pain comes pack a few hours later and it goes through Excrutiating to mild to nothing. Then repeats. Is it the smoking? I also eat marijuana edibles! iS IT JUST MARIJUANA ITSELF!? I don't wanna quit as it marijuana has been helping me in so many facets. Looks like I may have to though. Easy to get wrecked in this life.
@@MedicosisPerfectionalispeptic ulcers are not malignant while gastric ulcers are malignant and they rupture and spread the local area mucosal damage and gi bleeding and perforation and abdominal pain and peritonitis
5:31, to the eradication of H-pylori we must do stool examination of H-pylori antigen , and then must be treted by anitbiotic (clarithromycin, metronidazole, and amoxicillin. ).
@Medicosis Perfectionalis then it must take it combined with a PPI or ranitidine bismuth citrate and amoxicillin or metronidazole, eradication rates of more than 95% of the tested organism , is that right??? What do think ?. Maybe I'm saying nonsens 😂
how nondividing duodenal or git cell cause diarrhea..i dont get this concept of chemotherapy induced nausea , vomiting n diarrhea..can some one explain this?
Many Chemotherapeutic agents inhibit cell division...Gues which cells will be affected the most? -Answer: The most rapidly dividing ones...So cancer cells will stop dividing (awesome), but also your hair cells, bone marrow cells, and GI cells will stop dividing (not so awesome)...That’s why the common side effects of chemo include: hair loss, cytopenias, and nausea/vomiting/diarrhea respectively! Does that make sense?
@@khoalaanwer8011 if your GI cells wont divide means then how come Gastrin be formed and how it can help in digestion by secreting enzymes and hormones if these processes dont occur means then absorption process will be failed so secretory diarrhoea occurs
Secretory diarrhea is also called malabsorption diarrhea if git cells don't divide they don't produce gastrin and decrease absorption leads to secretory diarrhea
@@khoalaanwer8011 i tought that more blood is in spleen during stress, but now, when you ask, i dont see reason why. I think theres something with spleen bllod flow during exercise, but yes i cant find mechanism that could dilatate blood vessels there.
70% or 90% is like ALL OF THEM.. Tell that to those who suffer from non hPylori ulcers Such generalization is wrong and doesnt help people looking for specific answer's
sorry my english i'm from brazil and i'm using google translator, i have duodenal ulcer and my exam was also negative for h pylory did you find out the cause of your ulcer? What treatment was it with medicine??
sorry my english i'm from brazil and i'm using google translator, i have duodenal ulcer and my exam was also negative for h pylory did you find out the cause of your ulcer? What treatment was it with medicine??
🤒 Autacoids Pharmacology Course: www.medicosisperfectionalis.com/
Im not even a med student just wanted to know about my stomach pain but the ways this guy explains it makes me wanna learn more about it.
Wow 🤩
Thank you 🙏
Best of luck to you!
Be well!
I wish i was u not a medical student
Treatment generally includes ACM( Amoxycillin, Clarithromycin and Metronidazole) along with any PPI.
What’s a PPI??
Proton pump inhibitor like omeprazole, pantoprazole @@parkerlee3912
Second line treatment is Omeprazole bismuth subsalicylate clarithromycin and amoxicillin
@@parkerlee3912its Omeprazole
@@parkerlee3912proton pump inhibitors
Dealing with back pain for over 30 years I resorted to taking tons of ibuprofen, often on empty stomach. I was also a heavy drinker. Got misdiagnosed several times resulting in appendectomy and later gall bladder removal. Two weeks after returning to work I went straight to the emergency room where they found I had a massive duodenum ulcer. They didn’t operate. They just put me on PPI’s. Over the next six years I went from 230 pounds to 160 pounds. Had two back surgeries and now heavy pain meds. Every time I start feeling better and putting weight back on, I relapse. I no longer drink and haven’t had any NSAIDS for years but still fighting with this. It’s a vicious cycle with the vomiting and bloated feeling and lack of sleep. Going back to gastrointestinal dr because everything I’ve tried on my own isn’t working.
I am so very sorry.
Amoxicillin ,Clarithromycin, Tetracycline, Metronidazole for the Anti H pylori drugs along with Pantoprazole for peptic ulcer
I am sick with duodenitis and have tried everything to no avail. Your explanation is excellent, but it lacks treatment
Another "why" question ⁉️
Why our professors never explain such logic point
I have no idea 😊😊.
I only learned about this 2 months ago.
That's why they are professors
Thank you for this! Your explanations really help as I go through my Nurse Practitioner program.
Triple antibiotics: Amoxicillin, Clarithromycin, Metronidazole + PPI: Omeprazole
Excellent!
You are my best reference in med., good luck 🔥
Thank you!
make video on pharmacotherapy please and make your lecture a little bit longer may be 15 minute but part by part i am saying this because it helps us a lot to learn more about our subject matter i personally highly dependent on youtube lecturer than my college lecturers specially you...
Thank you!
I have many Pharmacology lectures on my website: www.medicosisperfectionalis.com/
Beautiful teaching thank you.
My pleasure 😇
Great explanation! Love your lectures!!!!
Thank you 😊
With the amoxicillin, claritromicin and Omeprazole triple therapy or cuádruple therapy with bismutol based 😁 Urease test most sensitive 🤓
Excellent!
What does this even mean?
@@aaronjoseph6650 treatment for pylori... I did it like 5 years back and I'm sure it never worked and now i think i have an ulcer or worse as I've had abdominal pain for months...will see gastro next month
Continue those medicine cause acute kidney problem... Better goto vegetables and control non digestive food , spicy, oily, salty and sweet food
Urease enzyme produce field around h pylori and its allow its waste product NO to penetrate deep into the mucosal lining in that's way its damage mucosal lining Urease sensitive test is positive for h pylori along with nitric oxide waste product of h pyroli too?
I have bad ulcer, but tested negative for pylori.
I smoke lightly and drink coffee.
Is your pain under your lower ribs?
@@slowjamcdub yes. Mostly left of bellybutton. Sometimes light irritation on right
@@JohnQPublic345 above the belly button? More up towards the ribs?
@@slowjamcdub only happened there a few short times (seems to move when it was bad). Pain was left of bellybutton (my left), just below rib line.
@@JohnQPublic345 how long have you had this pain?
You can eradicate by undergo antibiotic course some times goes with 2 types on antibiotic and some cases espichaly resistance once you may goes for 3 antibiotic with pump protune inhibter. I do recommmend to follow Vegan dite during the tratmment.
2:21 "So vampires get diarrhea all the time." 🤣
Facts!
Where is the playlist for this great lecture please ?
It’s not in a playlist.
I have upper back pain when I'm hungry I already have ulcerative colitis and I'm in remission
Best explanation 👍
Thank you 😊
I undergoes antibiotics therapy with amox and clari and ppi but am still in bad pain.
Very helpful video... Keep making more videos sir
I will!
Thank you 😊
I love your lectures❤️❤️❤️
Thank you 😊
May I please get advice, I was diagnosed with duodenal ulcers 2 years ago and was treated with antibiotics. I've been fine ever since then until yesterday when that pain returned but its mild compared to the 1st time I experienced the pain.
So I want to try using probiotics because apparently they are also effective. Is Acidophilus Lactobacillus or Bifidobacterium really effective in healing ulcers. I don’t want to take antibiotics again
TIA
I'm 20 years old, and my mom just told me a few weeks ago that hunger pangs aren't painful. I was so shocked. My stomach pain usually comes if I haven't eaten in 3-4 hours, and if I don't eat anything, my pain and symptoms feel EXACTLY like appendicitis. Like to a tee-extreme abdominal pain, not being able to stand up straight, and the pain is slightly reduced by pressure. The only thing is I no longer have an appendix lol. I've been dealing with these stomach pain problems since I was probably 7 years old. This is my norm. So I'm not quite sure if it's something as grandiose as ulcers, or maybe it's something else entirely. Duodenal ulcers are the closest thing to my symptoms though. Except the stomach pain keeps me from falling asleep at night because it hurts so bad, but it never wakes me up. I just can't afford to go to a doctor right now, but I'm kind of fed up with over-eating constantly because I feel hungry 24/7.
how are you now?
@azurerisus4256 I found out that I do have stomach ulcers but I lost my health insurance before I could finish treating them, so they're coming back unfortunately. I found an OTC antacid that helps a little bit. The pain is nowhere near a few months ago, so I'm hoping it just doesn't get that bad again
Great video, thanks so much. Question, does the frequent sloughing of duodenal cells also increase cancer risk due to more frequent cell division and possible errors/mutation during cell division? Or perhaps I am not understanding it correctly.
Yes
@@dr.shadmbbsdphmasco thanks for your reply!
I have duodenal ulcer, my ulcer is a non h. Pylori ulcer. Please how do I treat that
How many years it take erosive gastritis turn to ulcer
I have duodenal ulcer. I did a test and it showed positive for H.Pylori . My doctor give me “Esomeprazole Magnesium”, Amclavin-625, and Emgly. Please any help on how to eradicate this! Cause when I take pepper I feel a discomfort for a period then it stops. I can’t live like this.!!! Help me!
@@deepkumar4227 am still managing although not as worse as before
1:49 could someone make sure for me what MP is saying? Is it that blood is *cathartic* (meaning that it purges the bowels)? I love this guy it's just hard to hear what he's saying sometimes
“Cathartic” is the opposite of “constipating”.
Cathartic = causes diarrhea!
@@MedicosisPerfectionalis thanks, I love you Dr. Daddy
1- Why diarrhea can occurs with peptic ulcer?
2- Why malignant can not occur in duodenal ulcer?
The answers was not clear, please reply ❤️
Great 👍
Thank you!
Remarkable !
looooooool i am happy i found this channel thank you for that
My pleasure! Welcome aboard!
need more videos on GIT medicine plz...
Thank you for letting me know!
Can you give me some examples?
Thanks a lot
My pleasure 😇
Thanks medicosis
My pleasure 😇
I've been smoking weed often. I get these hunger pangs even a few hours after I eat. The pain can last for 6 hours or more if I don't eat. Once I eat the pain goes away. THen the pain comes pack a few hours later and it goes through Excrutiating to mild to nothing. Then repeats. Is it the smoking? I also eat marijuana edibles! iS IT JUST MARIJUANA ITSELF!? I don't wanna quit as it marijuana has been helping me in so many facets. Looks like I may have to though. Easy to get wrecked in this life.
For h pylori treatment : 2 PPI and 1 Antibiotics...
Nope!
Why Peptic Ulcer Disease is Malignant?
Gastric cells are Also Labile, isn't it?
Peptic ulcer disease is not malignant.
It might be pre-malignant, but that’s not the same as malignant.
@@MedicosisPerfectionalispeptic ulcers are not malignant while gastric ulcers are malignant and they rupture and spread the local area mucosal damage and gi bleeding and perforation and abdominal pain and peritonitis
Perfect!
Thank you 🙏
5:31, to the eradication of H-pylori we must do stool examination of H-pylori antigen , and then must be treted by anitbiotic (clarithromycin, metronidazole, and amoxicillin. ).
But what if the patient has taken clarithromycin before?
@Medicosis Perfectionalis then it must take it combined with a PPI or ranitidine bismuth citrate and amoxicillin or metronidazole, eradication rates of more than 95% of the tested organism , is that right??? What do think ?. Maybe I'm saying nonsens 😂
so if theres no H-pylori what is the best thing to heal it
Sir why does hypokalemia cause renal tubular damage and nephrogenic diabetes insipidus?
Because due to hypokalemia potassium loss but sodium remain in kidney do nephrotoxicity
The best✨❤️
Thank you 🙏
subscribed!
Broccoli sprouts
how nondividing duodenal or git cell cause diarrhea..i dont get this concept of chemotherapy induced nausea , vomiting n diarrhea..can some one explain this?
Many Chemotherapeutic agents inhibit cell division...Gues which cells will be affected the most? -Answer: The most rapidly dividing ones...So cancer cells will stop dividing (awesome), but also your hair cells, bone marrow cells, and GI cells will stop dividing (not so awesome)...That’s why the common side effects of chemo include: hair loss, cytopenias, and nausea/vomiting/diarrhea respectively!
Does that make sense?
@@MedicosisPerfectionalis but how stopping the cell division is causing diarrhea here..plz explain this?
@@khoalaanwer8011 the intestinal cells die and shed off. Think of it like a foreign body that your bowel is trying to get rid off asap
@@khoalaanwer8011 if your GI cells wont divide means then how come Gastrin be formed and how it can help in digestion by secreting enzymes and hormones if these processes dont occur means then absorption process will be failed so secretory diarrhoea occurs
Secretory diarrhea is also called malabsorption diarrhea if git cells don't divide they don't produce gastrin and decrease absorption leads to secretory diarrhea
Sequential therapy
5 days of PPI + amoxocilin
Then 5 days of PPI + clarithromycin 500 + metronidazole 500
I’m confused- can’t you just take the ppi and amoxicillin and metronidazole all at the same time?
@@Lannie74 no you can't, because resistance of bacteria is difference from one region to another
🤘✌️awesome
Thank you 🙏
I miss your vedios Dr
Thank you 😊
Is everything going well with you?
@@MedicosisPerfectionalis yes, hamdollah i'm going to watch ACEI so interesting
That anatomically, incorrect depiction of the Anatomy of small bowel is an eye sore.
Get it away, move it away.
When we run, why do we have pain in the upper left abdomen ?
Because we are a bunch of fat plebs
Guess its spleen distension from much blood.
Hey Les...I don’t know!
@@nikolamarkovic4845 why would spleen be distended during running?
@@khoalaanwer8011 i tought that more blood is in spleen during stress, but now, when you ask, i dont see reason why. I think theres something with spleen bllod flow during exercise, but yes i cant find mechanism that could dilatate blood vessels there.
70% or 90% is like ALL OF THEM..
Tell that to those who suffer from non hPylori ulcers
Such generalization is wrong and doesnt help people looking for specific answer's
sorry my english i'm from brazil and i'm using google translator, i have duodenal ulcer and my exam was also negative for h pylory did you find out the cause of your ulcer? What treatment was it with medicine??
Antibiotic therapy
Vampires have diarrhea 💀💀
Indeed
amazing 🤣
Thank you 🙏
👍👌
Thank you!
😍🌹
Thank you 🙏
Ur talking about the disease as well as joking.
When u will go through this disease than only you'll come to know what is pain and problem bro.
I'm going through it but I still can laugh. Life is beautiful even when it hurts. But it does really Suck.
sorry my english i'm from brazil and i'm using google translator, i have duodenal ulcer and my exam was also negative for h pylory did you find out the cause of your ulcer? What treatment was it with medicine??