General Recommendations H pyloriAssociated and NSAIDlnduced Ulcers

1. Assess the severity of signs and symptoms. Identify the presence of any alarm signs and symptoms.

2. Educate the patient on monitoring for alarm signs and symptoms.

3. Obtain a history of prescription medication, over-the-counter medication, and dietary supplement use.

4. Encourage lifestyle modifications such as reducing tobacco use and ethanol ingestion and decreasing psychological stress.

5. Determine the appropriate duration for acid-suppressive therapy.

6. Define the current impact of PUD on the patient's quality of life and the improvement in these outcomes sought with drug therapy.

7. Evaluate current drug therapy for potential adverse drug reactions and drug interactions.

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