Recurrent Duodenal Ulceration —More Than Simple Peptic Ulcer Disease?
Question: A 77-year-old man with a pertinent medical history of dementia, recurrent small bowel obstruction resulting in small bowel resection secondary to intraabdominal adhesions related to a previous hernia repair resulting in small bowel resection, and nonsteroidal antiinflammatory drug (NSAID) –associated peptic ulcer disease presented with sharp epigastric abdominal pain, nausea, watery nonbloody diarrhea (approximately 4 bowel movements daily), weight loss, and intolerance to oral intake. Before admission, his medication regimen was 40 mg oral omeprazole daily, 1 g metformin twice dai ly, 1000 U cholecalciferol daily, 10 mg donepezil daily, and 5 mg metoclopramide as needed twice daily.
Source: Gastroenterology - Category: Gastroenterology Authors: Govind Kallumkal, Justin McCallen, Michael Contarino Tags: Electronic Curbside Consult Source Type: research
More News: Dementia | Donepezil | Fortamet | Gastroenterology | Gastroschisis Repair | Hernia Repair | Metformin | Metoclopramide | Omeprazole | Pain | Peptic Ulcer | Prilosec | Vitamin D3 | Weight Loss