"THE HEART OF THE MATTER"
a special program of the National Emergency Medicine Association (NEMA)


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Week: 599.2 

Guest: Dr. Frank Hamilton, National Institute of Diabetes & Digestive & Kidney Diseases, National Institutes of Health 

Topic: Digestive ulcer treatments 

Host/Producer: Steve Girard 

NEMA: Treating that ulcer...coming up... 

SPOT: 15 years in the prevention of heart disease, stroke and trauma- the National Emergency Medicine Association. Call 800-332- 6362. 

NEMA: Ulcers are still no fun...but they are much easier to diagnose and treat. Dr. Frank Hamilton of the National Institutes of Health says there’s a common cause for most ulcers...the helicobacter pylori bacterium... 

HAMILTON: It’s been found that H pilori was discovered by doctor...two Australian physicians...Dr. Marshall and Dr. Warren...and they found that this organism on a biopsy specimen, and they felt that this organism gets into the gastric lining and sits there and multiplies and further breaks down, or weakens the lining of the stomach...therefore making it easier for acid and pepsin to break down further the lining of the stomach, and therefore the creation of an ulcer. 

NEMA: Diagnosis is usually made with x-rays or an upper endoscopy... 

HAMILTON: Patients who have ulcers should be tested for H-pilori, and if they are found to be positive, they should be treated with antibiotics for at least two weeks, and then placed on anti-secretory agents such as zantac, Pepcid...for at least 4 to 6 weeks...to assure that the ulcer has healed. 

NEMA: I’m Steve Girard at The Heart of the Matter.