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Old 02-08-2005, 14:05   #1
swatsurgeon
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Stress gastritis

I was wondering about how much upper GI bleeding there is 'in theater' from stress gastritis or ulcer disease.
Is this a common occurance and what is done to both prevent it and treat it.......I would intuitively think that medical command would think of these things and provide prophylaxis????

Our trauma patients, that are stressed surgically certainly are at risk as are people that engage in 'stressful' jobs, being active duty in a sandbox/jungle/city certainly qualifies.

Any active duty people what to get this one going?
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(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )

Education is the anti-ignorance we all need to better treat our patients. ss, 2008.

The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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Old 02-08-2005, 14:16   #2
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Can I play too?
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Old 02-09-2005, 07:28   #3
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anyone can play........ I would expect that active duty medics would have something to say on this subject....
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )

Education is the anti-ignorance we all need to better treat our patients. ss, 2008.

The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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Old 02-09-2005, 09:50   #4
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I have no medical training (other than what I picked up from my father, who is an M.D.), but I have a stressful job and have had stomach problems. 20 mg Prilosec 1x daily works for me most of the time. I will occasionally take two if needed.
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Old 02-09-2005, 10:14   #5
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Old 02-09-2005, 11:33   #6
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actually emotional stress, physical with mental stress can cause stress gastritis which is the first (generally) entity that occurs, ususally long before an ulcer is created due to the same stress response....but the ulcer can come later and we want to intercede (when it is just stress gastritis) as to prevent it.
Alot of this is how the body, and mind, deal with stress...there is eu-stress (good stress) that keeps us at the best of our game and dys-stress, that leads to bad things happening to the body, and mind.
If anyone is interested, the book by Hans Selye, 'The stress of Life' is THE book that describes this.
We all thrive on some element of stress, but sometimes there is to much and the body reacts not how we want it to, hence the original question asked.
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )

Education is the anti-ignorance we all need to better treat our patients. ss, 2008.

The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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Old 02-10-2005, 07:36   #7
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Would any of this be related to Irritable Bowel Syndrome (IBS)?
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Old 02-10-2005, 08:59   #8
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IBS can be another entity related to a stress response but no one is 100% certain
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )

Education is the anti-ignorance we all need to better treat our patients. ss, 2008.

The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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Old 02-10-2005, 10:35   #9
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Old 02-10-2005, 11:49   #10
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Quote:
Originally Posted by swatsurgeon
IBS can be another entity related to a stress response but no one is 100% certain
Gotcha'. The only time stress manifested itself in me was considered to be IBS. I wonder how many folks will come back with signs and symptoms like IBS and Docs will look for causes other than stress because of "It can't happen to me" syndrome?
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