Digestive health set
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This document provides information on several digestive health supplements from Shaklee: 1. Peppermint-Ginger Plus contains peppermint and ginger to reduce bloating, gas, and help with irritable bowel syndrome. 2. Herb-Lax contains senna leaf as a gentle, occasional laxative to encourage bowel regularity. 3. Alfalfa Complex uses high-quality alfalfa as a storehouse of nutrients absorbed from deep in the soil through its long taproot. 4. ESP Soy Protein Isolate Powder promotes heart, prostate, and blood sugar health while maintaining muscle tone and normal cholesterol levels.
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JUNE 2025 ONCOLOGY CARTOONS BY DR KANHU CHARAN PATRODrug use in Peptic Ulcer_A complete review.pptx
Drug use in Peptic Ulcer_A complete review.pptxBaasir Umair Khattak
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Open PPT for detail description: Peptic Ulcer Disease (PUD)
Peptic ulcer disease refers to mucosal erosions equal to or greater than 5 mm in the stomach or proximal duodenum, caused primarily by an imbalance between gastric acid/pepsin secretion and mucosal defense mechanisms. The most common etiologies include Helicobacter pylori infection, chronic use of NSAIDs, and physiological stress.
Classification of Peptic Ulcers
? Based on Location
Gastric Ulcers ¨C Occur in the stomach lining.
Duodenal Ulcers ¨C Occur in the first part of the small intestine (duodenum).
? Based on Etiology
H. pylori¨CAssociated Ulcers
NSAID-Induced Ulcers
Stress-Related Mucosal Disease (SRMD)
Zollinger¨CEllison Syndrome (gastrinoma-related)
Cushing¡¯s Ulcer (due to intracranial injury)
Curling¡¯s Ulcer (seen in burn patients)
Pharmacological Management
? 1. Acid Suppression Therapy
Class Examples Mechanism
Proton Pump Inhibitors (PPIs) Omeprazole, Pantoprazole Irreversibly inhibit H+/K+ ATPase pump
H2-Receptor Antagonists Ranitidine, Famotidine Block histamine-mediated gastric acid secretion
? 2. Mucosal Protective Agents
Class Examples Mechanism
Prostaglandin Analogues Misoprostol Increases mucus & bicarbonate; decreases acid; protects mucosa
Mucosal Coating Agents Sucralfate Forms protective barrier over ulcer site
Bismuth Compounds Bismuth subsalicylate Antimicrobial, mucosal protective, and anti-inflammatory
? 3. Eradication Therapy (for H. pylori)
Combination of:
PPI + Two Antibiotics (e.g., amoxicillin + clarithromycin OR metronidazole + tetracycline)
Duration: 7¨C14 days depending on local guidelines
See BNF regimens above for detailed protocols
? 4. Cytoprotective/Adjunctive Agents
Class Examples Role in PUD
Somatostatin Analogues Octreotide Used in bleeding ulcers; reduces splanchnic blood flow and gastric secretions
Antacids Magnesium hydroxide, Aluminium hydroxide Neutralize gastric acid; provide symptomatic relief
Non-Pharmacologic Measures
Avoid NSAIDs, smoking, alcohol, and spicy foods
Small, frequent meals in symptomatic patients
Stress reduction
Endoscopic therapy in case of bleeding or perforation
Surgical Indications (rarely needed)
Perforated ulcer
Gastric outlet obstruction
Refractory ulcers not responding to medical therapy
Severe bleeding unresponsive to endoscopic management
? Summary
Peptic ulcer disease is primarily driven by H. pylori infection and NSAID use, with duodenal ulcers more common than gastric. Treatment is tailored based on etiology and includes acid suppression, H. pylori eradication, and mucosal protection. Advanced cases may require somatostatin analogues for hemorrhage control or surgery for complications. Prostaglandin analogues like misoprostol are especially valuable in preventing NSAID-induced ulcers.whooping cough community health nursing.
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Digestive health set
- 1. DIGESTIVE HEALTH SET TOTAL WELLNESS CONNECTION A healthy digestive system is the fundamental to healthy body. Constipation, bad breath, smelly stools, food carvings, flatulence, gas & bloating are common digestive problem that many people are still struggling with. Unhealthy digestive This set helps to system will cause: improve digestive health to stay healthy 1. Weight gain Benefit 2. Gastric problem 1. Ease constipation 3. Protruding belly 2. Improves digestion 4. Colon cancer 3. Support Colon Health 5. Indigestion 4. Helps in losing weight 6. Poor immune 5. Soothing on upset stomach system
- 2. PEPPERMINT-GINGER PLUS 1. Reduce bloating and gas 2. Ginger and peppermint is Clinical studies show that effective on Irritable Bowel supplementing the diet with Syndrome (IBS) ginger may help maintain a calm stomach. 1. Unique 4 herbs formulation 2. Great for travelers who get Ginger queasy stomachs in a car, boat, or aeroplane Peppermint
- 3. HERB-LAX Gental laxative for occasional use A diet rich in fiber, plenty of liquids, and regular exercise all Encourages a mild cleansing contribute to bowel irregularity action to aid the body¡¯s natural processes. For occasional periods of irregularity, gentle Herb-Lax can Senna leaf has been used help. traditionally for many years as a natural laxative Senna leaf
- 4. ALFALFA COMPLEX Alfalfa complex is a Shaklee Signature Formula originally Alfalfa is a storehouse of developed by Dr. Shaklee in the nutrients. Its tap root reaches 1950s down as deep as 6 meters, searching out nutrients and We use only the finest alfalfa minerals from deposits in the grown in California, ensuring a soil. wide range of nutrients. Its leaves gather large amounts of chlorophyll through the photosynthesis Calcium of 1 serving (10tablets) = calcium of 1
- 5. ESP SOY PROTEIN ISOLATE POWDER Promote heart and prostate health Helps to maintain normal blood sugar. Maintain muscle tone, tissue repair, retain normal cholestrol levels