Acid Peptic Disease among Patients with Acute Abdomen Visiting the Department of Emergency Medicine in a Tertiary Care Centre

Authors

  • Rashmi Thapa Department of Emergency Medicine, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
  • Mohir Pokharel Department of Emergency Medicine, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
  • Saroj Paudel Department of Emergency Medicine, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
  • Tunam Khadka Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
  • Priyanka Sapkota Universal College of Medical Sciences, Bhairahawa, Rupandehi, Nepal
  • Rohit Rana Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
  • Moneec Pokharel Birat Medical College and Teaching Hospital, Biratnagar, Morang, Nepal
  • Dinesh Chhetri Everest Hospital, New Baneshwor, Kathmandu, Nepal

DOI:

https://doi.org/10.31729/jnma.8228

Keywords:

acute abdomen; gastroenteritis; Helicobacter pylori; peptic ulcer.

Abstract

Introduction: Acid peptic disease is caused by excessive acid secretion or weakened mucosal defense. Symptoms include epigastric pain, bloating, and nausea. Factors like gastric acid, Helicobacter pylori infection, alcohol consumption, smoking, and stress contribute to peptic ulcers. Imbalances between offensive and defensive factors can lead to ulcers. Acid-related disorders impact the quality of life and mortality. Accurate diagnosis and prompt treatment are vital. This study aimed to find out the prevalence of acid peptic disease among patients with acute abdomen in the Department of Emergency Medicine in a tertiary care centre.

Methods: A descriptive cross-sectional study was conducted from 2 April 2022 and 2 April 2023 among the patients presented in the Department of Emergency Medicine in a tertiary care centre. Ethical approval was obtained from the Institutional Review Committee. All patients presenting with acute abdominal pain in the Emergency Department were included in the study. Patients not giving consent were excluded from the study. Convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.

Results: Out of the 400 patients with acute abdomen, the prevalence of acid peptic disease was found to be 87 (21.75%) (17.71-25.79, 95% Confidence Interval).

Conclusions: The prevalence of acid peptic disease among patients with acute abdomen was found to be lower than in other studies performed in similar settings.

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Published

2023-08-01

How to Cite

Thapa, R. ., Pokharel, M. ., Paudel, S. ., Khadka, T. ., Sapkota, P. ., Rana, R. ., Pokharel, M. ., & Chhetri, . D. . (2023). Acid Peptic Disease among Patients with Acute Abdomen Visiting the Department of Emergency Medicine in a Tertiary Care Centre. Journal of Nepal Medical Association, 61(264), 636–638. https://doi.org/10.31729/jnma.8228

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