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PUD and gastritis

  • Dx labs

    • upper endoscopy
    • H pylori testing
  • Tx

    • omeprazole 20 to 40 milligrams daily 30-60 mins prior to a meal
    • or ranitidine 75-150 mg bid if mild
    • antacids prn
    • triple therapy for H pylori x 10-14 days
      • omeprazole 20 mg bid
      • clarithromycin 500 mg bid
      • amoxicillin 1 g bid or metronidazole 500 mg bid if pen allergy
    • f/u with endoscopy
    • return if worsening sx, can't tolerate PO med, GI bleeding, fever or chest pain

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