Successful Treatment of Gastric Ulcer in a 64-Year-Old Patient Using Quadruple Therapy

A 64-year-old male patient presented with intermittent epigastric pain, bloating, and belching approximately 12 hours prior to Seek medical attention. After undergoing a comprehensive evaluation at our hospital, including endoscopy and abdominal CT scan, he was diagnosed with multiple gastric ulcers. Following a two-week course of quadruple therapy, which included tetracycline tablets, metronidazole tablets, bismuth potassium citrate capsules, and omeprazole enteric-coated tablets, the patient experienced significant improvement in symptoms and mucosal healing.

Patient Profile

- Age: 64

- Gender: Male

- Diagnosis: Multiple gastric ulcers

- Hospital: The First Affiliated Hospital of China Medical University

- Treatment Period: 2 weeks of inpatient care followed by one month of outpatient follow-up

- Outcome: Stable condition and symptom relief

Initial Consultation and Diagnosis

The patient arrived at the hospital experiencing unexplained upper abdominal discomfort. An ECG showed normal results, ruling out cardiac issues. Further imaging and endoscopic examination revealed diffuse inflammation and multiple ulcerations in the stomach and duodenum. These findings led to a diagnosis of multiple gastric ulcers, prompting immediate treatment.

Therapeutic Approach

Following admission, blood tests and Helicobacter pylori culture confirmed infection and systemic inflammation. A standard 14-day quadruple therapy regimen was initiated after obtaining informed consent from the patient. In addition to medication, dietary advice was provided to support recovery, emphasizing regular meals, low-fat foods, and adequate nutrient intake.

Positive Response to Treatment

After completing the prescribed course, follow-up tests indicated normalization of inflammatory markers. Endoscopic re-evaluation showed near-complete healing of ulcerated areas, with marked reduction in pain, bloating, and other gastrointestinal symptoms. This outcome underscores the efficacy of quadruple therapy in managing H. pylori-associated peptic disease.

Key Recommendations for Long-Term Management

To prevent recurrence, patients are advised to manage stress effectively, maintain good eating habits, and avoid unnecessary use of NSAIDs or corticosteroids without medical supervision. Regular follow-ups and lifestyle modifications play a crucial role in maintaining long-term digestive health.

Gastric ulcers can lead to serious complications such as perforation or hemorrhage if left untreated. Early recognition and prompt intervention significantly improve prognosis. This case highlights the importance of timely medical attention—seeking care within 24 hours of symptom onset allowed for effective management and prevented further deterioration.