Aklan State University

School of Arts and Sciences

Bachelor of Science in Nursing
Banga, Aklan

Name: Lourenz S. Bontia

Date: February 16, 2016

Duodenal Ulcer

Definition:
A duodenal ulcer is a type of peptic ulcer that occurs in the duodenum, the beginning of
the small intestine. Peptic ulcers are eroded areas in the lining of stomach and duodenum,
which result in abdominal pain, possible bleeding, and other gastrointestinal symptoms. The
most common cause of duodenal ulcer is a stomach infection associated with the Helicobacter
pylori (H pylori) bacteria.
Other risk factors for duodenal ulcers include overuse of alcohol, tobacco, and medications such
as aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs). Severe illness has also been
implicated as a risk factor in the development of duodenal ulcer.i
Signs and Symptoms:ii
Abdominal bloating

Nausea with or without vomiting

Belching

Unexplained weight loss

Burning

stomach

or

upper

abdominal pain that may be severe

Bloody stool (blood may be red,

black, or tarry in texture)

Feeling of fullness

Severe abdominal pain

Loss of appetite

Vomiting blood

Pathophysiology:
Peptic ulcer disease encompasses gastric, duodenal, and esophageal ulcers,
with common etiologies of Helicobacterpylori infection, NSAID use, and stress-related
mucosal damage. Due to the more invasive involvement of the gastric muscularis
mucosa, PUD differs from the more superficial acid-related disorders such as erosions
and gastritis. Peptic ulcers are typically named for their anatomical location, such as
gastric or duodenal ulcers, and increased gastric acid is the primary cause. For the
purpose of this article, only etiologies of H pylori and NSAID-induced PUD will be
discussed. In addition to these etiologies, other controversial environmental risk factors
including cigarette smoking, psychological stress, caffeine intake, and alcohol ingestion
may increase the risk for the development of PUD.ii
Recommended Diet:iii
Foods to avoid

Foods to eat

Hot cocoa and cola

Garlic and onions

Chicken and Turkey

Grains, like cereals (bran and oatmeal),
bread, rice, pasta, and crackers

Black and red pepper

Olive and canola oil

Spicy or strongly flavored cheeses, such as

Water

jalapeno or black pepper

Tomato products, such as tomato paste,

Lean meats

tomato sauce, or tomato juice

Green and black tea, with or without caffeine

Eggs and nuts

Meal Plan:
Meal
Breakfast

Food Choices
3 glass water
1 bowl rice

Lunch

Chicken soup
1 cup rice

Snacks

Chicken soup
1 rice cake

Dinner

1 low fat yogurt

1 slice of bread topped with 1 slice of fat-free
cheese
1 apple

i What is Duodenal Ulcer? (n.d.). Retrieved February 16, 2016, from Health Grade:
http://www.healthgrades.com/conditions/duodenal-ulcer

ii Peters, G. L. (n.d.). Overview of Peptic Ulcer Disease. Retrieved February 16, 2016, from
Medcsape: http://www.medscape.com/viewarticle/734791_2

iii Diet For Ulcers And Gastritis. (n.d.). Retrieved February 16, 2016, from Drugs.com:
http://www.drugs.com/cg/diet-for-ulcers-and-gastritis.html