Stress ulcer: Difference between revisions
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{{Infobox medical condition | |||
| name = Stress ulcer | |||
| synonyms = Stress-related mucosal disease | |||
| field = [[Gastroenterology]] | |||
| symptoms = [[Gastrointestinal bleeding]], [[abdominal pain]] | |||
| complications = [[Perforation (medical)|Perforation]], [[peritonitis]], [[sepsis]] | |||
| onset = Acute | |||
| duration = Variable | |||
| causes = [[Physiological stress]], [[critical illness]], [[trauma (medicine)|trauma]], [[burns]], [[sepsis]] | |||
| risks = [[Mechanical ventilation]], [[coagulopathy]], [[shock (circulatory)|shock]] | |||
| diagnosis = [[Endoscopy]], [[clinical evaluation]] | |||
| differential = [[Peptic ulcer disease]], [[gastritis]], [[esophagitis]] | |||
| prevention = [[Proton pump inhibitors]], [[H2 receptor antagonists]] | |||
| treatment = [[Acid suppression therapy]], [[endoscopic intervention]], [[surgery]] | |||
| prognosis = Variable, depends on underlying condition | |||
| frequency = Common in [[intensive care unit]] patients | |||
}} | |||
'''Stress ulcer''' is a type of [[peptic ulcer]] that is a mucosal defect which can be caused by an imbalance between the aggressive and defensive factors in the stomach. Stress ulcers are often associated with severe illness, multi-organ failure, or major surgery. They are distinct from [[gastric ulcers]] and [[duodenal ulcers]], which are primarily linked to [[Helicobacter pylori]] infection or non-steroidal anti-inflammatory drug (NSAID) use. | '''Stress ulcer''' is a type of [[peptic ulcer]] that is a mucosal defect which can be caused by an imbalance between the aggressive and defensive factors in the stomach. Stress ulcers are often associated with severe illness, multi-organ failure, or major surgery. They are distinct from [[gastric ulcers]] and [[duodenal ulcers]], which are primarily linked to [[Helicobacter pylori]] infection or non-steroidal anti-inflammatory drug (NSAID) use. | ||
== Causes == | == Causes == | ||
Stress ulcers are caused by an imbalance between the aggressive and defensive factors in the stomach. Aggressive factors include acid, pepsin, and [[Helicobacter pylori]] infection. Defensive factors include mucus, bicarbonate, blood flow to the stomach lining, prostaglandins, and the stomach lining's ability to regenerate and repair itself. | Stress ulcers are caused by an imbalance between the aggressive and defensive factors in the stomach. Aggressive factors include acid, pepsin, and [[Helicobacter pylori]] infection. Defensive factors include mucus, bicarbonate, blood flow to the stomach lining, prostaglandins, and the stomach lining's ability to regenerate and repair itself. | ||
== Symptoms == | == Symptoms == | ||
The symptoms of stress ulcers can vary, but they often include abdominal pain, nausea, vomiting, and sometimes bleeding. In severe cases, stress ulcers can lead to complications such as perforation of the stomach or intestines, which can be life-threatening. | The symptoms of stress ulcers can vary, but they often include abdominal pain, nausea, vomiting, and sometimes bleeding. In severe cases, stress ulcers can lead to complications such as perforation of the stomach or intestines, which can be life-threatening. | ||
== Diagnosis == | == Diagnosis == | ||
The diagnosis of stress ulcers is typically made based on the patient's symptoms and medical history. In some cases, an [[endoscopy]] may be performed to visualize the ulcers and confirm the diagnosis. | The diagnosis of stress ulcers is typically made based on the patient's symptoms and medical history. In some cases, an [[endoscopy]] may be performed to visualize the ulcers and confirm the diagnosis. | ||
== Treatment == | == Treatment == | ||
The treatment of stress ulcers typically involves medications to reduce stomach acid and protect the stomach lining. These may include proton pump inhibitors (PPIs), H2 receptor blockers, and sucralfate. In severe cases, surgery may be required. | The treatment of stress ulcers typically involves medications to reduce stomach acid and protect the stomach lining. These may include proton pump inhibitors (PPIs), H2 receptor blockers, and sucralfate. In severe cases, surgery may be required. | ||
== Prevention == | == Prevention == | ||
Prevention of stress ulcers is often focused on reducing the risk factors for ulcer development. This may include avoiding NSAIDs, treating [[Helicobacter pylori]] infection, and managing stress. | Prevention of stress ulcers is often focused on reducing the risk factors for ulcer development. This may include avoiding NSAIDs, treating [[Helicobacter pylori]] infection, and managing stress. | ||
== See also == | == See also == | ||
* [[Peptic ulcer]] | * [[Peptic ulcer]] | ||
| Line 22: | Line 34: | ||
* [[Helicobacter pylori]] | * [[Helicobacter pylori]] | ||
* [[Endoscopy]] | * [[Endoscopy]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Digestive diseases]] | [[Category:Digestive diseases]] | ||
[[Category:Stomach disorders]] | [[Category:Stomach disorders]] | ||
{{stub}} | {{stub}} | ||
{{No image}} | {{No image}} | ||
Latest revision as of 02:55, 4 April 2025
| Stress ulcer | |
|---|---|
| Synonyms | Stress-related mucosal disease |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Gastrointestinal bleeding, abdominal pain |
| Complications | Perforation, peritonitis, sepsis |
| Onset | Acute |
| Duration | Variable |
| Types | N/A |
| Causes | Physiological stress, critical illness, trauma, burns, sepsis |
| Risks | Mechanical ventilation, coagulopathy, shock |
| Diagnosis | Endoscopy, clinical evaluation |
| Differential diagnosis | Peptic ulcer disease, gastritis, esophagitis |
| Prevention | Proton pump inhibitors, H2 receptor antagonists |
| Treatment | Acid suppression therapy, endoscopic intervention, surgery |
| Medication | N/A |
| Prognosis | Variable, depends on underlying condition |
| Frequency | Common in intensive care unit patients |
| Deaths | N/A |
Stress ulcer is a type of peptic ulcer that is a mucosal defect which can be caused by an imbalance between the aggressive and defensive factors in the stomach. Stress ulcers are often associated with severe illness, multi-organ failure, or major surgery. They are distinct from gastric ulcers and duodenal ulcers, which are primarily linked to Helicobacter pylori infection or non-steroidal anti-inflammatory drug (NSAID) use.
Causes[edit]
Stress ulcers are caused by an imbalance between the aggressive and defensive factors in the stomach. Aggressive factors include acid, pepsin, and Helicobacter pylori infection. Defensive factors include mucus, bicarbonate, blood flow to the stomach lining, prostaglandins, and the stomach lining's ability to regenerate and repair itself.
Symptoms[edit]
The symptoms of stress ulcers can vary, but they often include abdominal pain, nausea, vomiting, and sometimes bleeding. In severe cases, stress ulcers can lead to complications such as perforation of the stomach or intestines, which can be life-threatening.
Diagnosis[edit]
The diagnosis of stress ulcers is typically made based on the patient's symptoms and medical history. In some cases, an endoscopy may be performed to visualize the ulcers and confirm the diagnosis.
Treatment[edit]
The treatment of stress ulcers typically involves medications to reduce stomach acid and protect the stomach lining. These may include proton pump inhibitors (PPIs), H2 receptor blockers, and sucralfate. In severe cases, surgery may be required.
Prevention[edit]
Prevention of stress ulcers is often focused on reducing the risk factors for ulcer development. This may include avoiding NSAIDs, treating Helicobacter pylori infection, and managing stress.
