Diagnosis Peptic ulcers are always suspected in patients with persistent dyspepsia (bloating, belching, and abdominal pain). Symptoms of dyspepsia occur in 20 - 25% of people who live in industrialized nations, but only about 15 - 25% of those with dyspepsia actually have ulcers. It takes several steps to accurately diagnose ulcers. Medical and Family History The doctor will ask for a thorough report of a patient's dyspepsia, as well as: Other important symptoms, such as weight loss or fatigue Present and past medication use (especially long-term NSAID use) Family members with ulcers Drinking and smoking habits Ruling out Other Disorders Many other conditions, including gastroesophageal reflux disease (GERD) and irritable bowel syndrome, cause dyspepsia. Peptic ulcer symptoms, particularly abdominal pain and chest pain, may resemble the symptoms of other conditions, including: GERD. About half of patients with GERD also have dyspepsia. With GERD or other problems in the esophagus, the main sympt...
Risk Factors About 10% of people in the U.S. are expected to develop peptic ulcers at some point in their lives. Peptic ulcer disease affects all age groups, but it is rare in children. Men have twice the risk of ulcers as women. The risk of duodenal ulcers tends to rise starting at age 25, and continuing until age 75. The risk peaks between ages 55 and 65. Peptic ulcers are less common than they once were. Research suggests that ulcer rates have even declined in areas where there is widespread H. pylori infection. The increased use of proton pump inhibitor (PPI) drugs may be responsible for this trend. Treatments have also led to a reduction in the rate of H. pylori complications that require a hospital stay. The hospitalization rate for peptic ulcer disease dropped 21% between 1998 and 2005, and hospital stays for H. pylori infection dropped 47% during that same time period. Risk Factors for H. pylori H. pylori bacteria are most likely transmitted directly from person to person. Yet lit...
About once or
twice a month, I see a young male in his late teens or early 20s who come to me
to evaluate a bump or lesion on his penis. Interestingly, many of these men
have sought evaluation before and STILL don't know what they have.
Here are the
most common causes of this symptom:
grouped lesions on the penis that are painful? Think about genital herpes as the cause. These lesions can also occur on the buttocks or anal area. The
initial outbreak may be associated with fever. Herpes is the most common STD in
and most genital lesions in men are herpes.
Have a bump
that looks like a wart or has a cauliflower appearance? You may have genital
warts. Warts are caused by certain strains of human papillomavirus --
different ones than those that cause cervical cancer in women. In most cases,
the warts do not cause symptoms, but occasionally they can burn, itch or be
tender. They can also produce a discharge. The lesions may be tan, pink or
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