Wayne, age 27, calls the doctor’s office to report abdominal pain and cramping, “funny-looking” diarrhea, nausea, and vomiting.

Wayne, age 27, calls the doctor’s office to report abdominal pain and cramping, “funny-looking” diarrhea, nausea, and vomiting. He asks what antidiarrheal medication he should take. He also says he has always worried about developing Crohn disease, which he remembers his grandfather struggling with, and that his great-grandfather had colon cancer. What do you tell Wayne to do? What screening questions do you ask him? What conditions might the doctor think most likely, and why?

Discuss the differences between gastric and duodenal peptic ulcers, their causes, and their treatment. Discuss the role of stress in causing peptic ulcers.