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regarding your question :

can you use 2 capsules of omeprazole 20 mg  ?

yes ,you can use 2 capsules at once

What is the treament of peptic ulcer ?

1.omeprazole 20mg twice daily for 14 days
2.Metronidazole 500mg three times daily 14 days
3. Clarithromycin 500mg three times daily

 what is a peptic ulcer disease(PUD)?

it’s a painful sores or ulcers in the lining of the stomach or the first part of small intestine (duodenum).
Most of peptic ulcer caused by bacterial infection (h.pylori) infection than can be transmitted  by blood ,food , or stool of infected patient

Thera are many risk factors for peptic ulcer that are  :

1.Excessive usage of analgesia like non-steroidal anti-inflammatory drugs like trofen or diclofen
2.Usage of aspirin
3.Smoking
4. Excessive alcohol drinking

Signs  :

1.heart burn
2. vomiting
3. bloating
4. vomiting of blood in severe untreated cases
5.severe abdominal pain due to perforation of stomach or small intestine in sever cases
5. dark or brown stool (melena) due to bleeding

Diagnosis :

Peptic ulcer can be diagnosed by taking full medical history of the patient , then do the following test :
1.CBC test to determine the amount of hemoglobin
2. doing H.pylori stool antigen test
3. do endoscopy in old patient above 50 to exclude cancer .
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