Surgery And Other Procedures
If bleeding from an ulcer does not stop with medication and supportive care , a physician called a gastroenterologist will perform an endoscopy. He first identifies the ulcer and the area that is bleeding, then injects medications to stop the bleeding and stimulate the formation of a blood clot. If the bleeding recurs or you have a perforated ulcer or an obstruction, surgery may be required. About 30% of people who come to the hospital with a bleeding ulcer need endoscopy or surgery.
Reduce Stress In Daily Life
Stress reduction techniques can help control signs and symptoms. To relieve stress, try:
Identify stressors in your current life. Learn how to manage stress. Exercise, if your doctor confirms its safe, and listening to soothing music can help.
Learn and practice relaxation techniques. May include relaxing breathing, meditation, yoga, and muscle relaxation.
Pursue relaxing activities. Spend time doing things you enjoy, such as hobbies or sports.
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What Is The Best Home Remedy For An Ulcer
An ulcer needs time to heal, so the best home remedies help guard the stomach against unnecessary irritation and work to lower stomach acid. Here are some examples:
- Avoid foods that increase stomach acid such as dairy, coffee, and soft drinks
- Avoid foods that irritate or damage the stomach such as alcohol, spicy foods, and fatty foods
- Eat small meals throughout the day
- Smoking also increases stomach acid, so stop smoking
- Avoid NSAIDs for pain if youre at risk of getting an ulcer. They reduce prostaglandins that protect the stomach lining from stomach acids. Use acetaminophen instead
- Stress and nervousness may increase stomach acid, so manage stress with relaxation exercises, stretching, yoga, and other stress management techniques
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When Should I Call The Doctor
- sudden, sharp, lasting belly pain
- bloody or black bowel movements
- bloody vomit or vomit that looks like coffee grounds
These could be signs of a serious problem for a child whos had a peptic ulcer, such as:
If your child takes NSAIDs and shows signs of a peptic ulcer, get medical help right away. Delaying diagnosis and treatment can lead to more problems and, possibly, the need for surgery. But with quick treatment, almost all peptic ulcers can be cured.
Is There A Peptic Ulcer Diet Plan
No particular diet is helpful for people with peptic ulcers. At one time, a bland diet and avoidance of spicy or greasy foods was recommended. Milk and dairy food have been used in the past for ulcer symptoms, but have not been proven to be effective. We now know diet has little effect on ulcers. In some people, however, certain foods seem to aggravate stomach ulcer symptoms. Keep a food diary with your intake and the resulting symptoms and avoid eating any foods that aggravate symptoms.
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How Is A Stomach Ulcer Treated
Treatment for stomach ulcers usually involves a combination of medications which reduce acid secretion, protect the mucosa, and kill H. pylori bacteria .
This allows ulcers to heal and reduces the chance of them will come back. All medications should be taken exactly as prescribed.
Examples of medications that may be considered to treat stomach ulcers include:
- Antibiotics to kill H. pylori
- H2 receptor blockers that reduce stomach acid production
- Proton pump inhibitors to block stomach acid production
- Protectants that coat the ulcer and protect it against acid and enzymes, enhancing healing
- Bismuth .
Rarely, surgery may be needed.
If NSAIDs have caused your stomach ulcer, your doctor may advise you to stop taking them, reduce their dosage, or switch to an alternative medicine. Follow his/her advice. Talk to your doctor before taking antacids as these may reduce the absorption of some other medications.
How Is An Ulcer Diagnosed
Your doctor will ask you about your symptoms. They may do an endoscopy. This procedure involves inserting a thin, flexible tube attached to a camera down your throat and into your stomach. Your doctor will test your blood, breath or stool for H. pylori. They also can test a sample of your stomach lining. Your doctor also will ask you if you regularly take aspirin or anti-inflammatory medicines.
Duration Of Peptic Ulcers
Ulcers caused by Helicobacter pylori heal when the bacteria is killed. The typical course of treatment includes two weeks of antibiotics along with acid-suppressing medicine. This is followed by an additional four to eight weeks of the acid-suppressing medicine alone.
Its possible for an ulcer to heal temporarily without antibiotics, but it will likely recur or another one will form nearby if the bacteria is not killed.
Peptic ulcers caused by medication usually heal shortly after you stop taking the medication. Doctors typically recommend taking antacids for two to six weeks to assist with healing and relieve pain.
Treating Helicobacter Pylori Infection
If your stomach ulcer’s caused by a Helicobacter pylori bacterial infection, you’ll be given:
- a course of antibiotics
- a medication called a proton pump inhibitor
This is also recommended if it’s thought your stomach ulcer’s caused by a combination of an H. pylori infection and non-steroidal anti-inflammatory drugs .
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History Of Ulcer Causes
Ulcers have a unique and interesting history when it comes to their suspected causes. For decades, stomach ulcers were considered to be psychosomatic, meaning a high-stress lifestyle was to blame. At the time doctors started identifying high rates of ulcers in hard-working businessmen who smoked a lot of cigarettes and were likely sleep-deprived, and then animal studies further confirmed stress-triggered ulcers. Rats producing high amounts of stomach acid experienced a decrease in stomach ulcer symptoms when researchers fed them antacids, so a connection was then drawn between ulcers, chronic stress and an increase in stomach acid, which changed ulcer treatment approaches forever.
A bacterium called Helicobacter pylori was then discovered that seemed to be present in nearly everyone suffering from ulcers. It was also found to runin families and was connected to other digestive disorders, including stomach cancer. In patients given medications/antibiotics to kill H. pylori, ulcers were often resolved at least for a period of time.
However, today its more common to treat ulcers using less risky acid-reducing drugs in combination with lifestyle and dietary changes, rather than prescribing antibiotics to kill H. pylori, which can come with complications and lead to antibiotic resistance. Antibiotics used to combat H. pylori can work short term to lower the bacteria, but dont seem to keep it from returning without other interventions.
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Common Questions About Pantoprazole
Pantoprazole is a type of medicine called a proton pump inhibitor .
Proton pumps are enzymes in the lining of your stomach that help it make acid to digest your food.
Pantoprazole prevents proton pumps from working properly. This reduces the amount of acid the stomach makes.
You should start to feel better within 2 to 3 days. It may take up to 4 weeks for pantoprazole to work properly so you may still have some symptoms during this time.
If you bought pantoprazole without a prescription, and feel no better after 2 weeks, tell your doctor. They may want to do tests or change you to a different medicine.
If you’ve bought pantoprazole from a pharmacy without a prescription, do not take it for more than 4 weeks without speaking to your doctor.
If you take pantoprazole for more than 3 months, the levels of magnesium in your blood may fall.
Low magnesium can make you feel tired, confused and dizzy and cause muscle twitches, shakiness and an irregular heartbeat. If you get any of these symptoms, tell your doctor.
Taking pantoprazole for more than a year may increase your chances of certain side effects, including:
- bone fractures
- gut infections
- vitamin B12 deficiency symptoms include feeling very tired, a sore and red tongue, mouth ulcers and pins and needles
If you take pantoprazole for longer than 1 year your doctor will regularly check your health to see if you should carry on taking it.
- having problems swallowing
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What Is The Treatment For Peptic Ulcers
The choice of treatment depends on whether or not the ulcer is caused by infection with H pylori. Correct diagnosis is key to whether a treatment works or not. If the bacteria are the cause, treatment focuses on killing the infection. Regardless of whether the bacteria are the cause, reducing acid in the stomach is another important focus of treatment.
The following treatments are recommended for ulcers:
- Lifestyle changes: Quit smoking, avoid alcohol, aspirin, and NSAIDs
- Acid-blocking medications
- Medications that protect the lining of the stomach and duodenum
- Triple-therapy or dual-therapy regimens for ulcers caused by H pylori
No single medication works to get rid of H pylori infection. Two combinations have been found that work well in most people.
These treatments are generally given for two weeks.
Once H pylori bacteria are eradicated from a persons digestive tract, usually it will not come back. The ulcers usually heal completely and do not return.
Treatment for bleeding ulcers depends on the severity of blood loss and includes:
It is important to remember that treatment may not work if the diagnosis is not correct. If the doctor diagnoses an ulcer, it is important to determine whether the ulcer is caused by infection with H pylori.
Safe Home Remedies For A Stomach Ulcer Pain Relief
Currently, there are many people experiencing a stomach ulcer at some points in their lives. Stomach ulcers are the open sores within the lining of the stomach. This condition happens due to the presence of acid in the stomach. The damage may occur and cause pain to the patients.
If you are suffering from this common digestive issue, you should not skip this article since we will uncover top effective home remedies for a stomach ulcer pain. Read on below!
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Cure : Supplements & Home Remedies For Stomach Ulcer
Home remedies and supplements, in this case, go hand in hand. Home remedies could provide instant relief from the pain and the symptoms. However, using the supplements on a long term basis could not only cure your stomach ulcer, but it could also promote digestive health, thereby preventing the occurrence of an ulcer.
Peptic Ulcer Disease Treatment
Your doctor may begin by prescribing medicine. Your doctor may suggest other treatments for other causes.
If you have H. pylori, your doctor will treat the infection with triple therapy. This is a combination of 2 antibiotics and bismuth subsalicylate . H. pylori can be stubborn. Take all your medicine as prescribed.
Your doctor may recommend medicines to neutralize your stomach acid. This will protect the lining in your stomach, too. These include:
- Protein pump inhibitors. This includes esomeprazole or lansoprazole .
- Histamine receptor blockers. This includes famotidine .
- Cytoprotective agents. This includes sucralfate .
If NSAIDs cause your ulcer, you may need to stop or reduce the amount you take. You may need to switch to another type of medicine for pain.
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The Best Otc Drugs For Ulcers
According to the University of Maryland Medical Center, 10 out of every 100 Americans will suffer an ulcer in their lifetime 3. Many over-the-counter medications are available to relieve your pain and assist the healing process. Each medication has a separate function, though the drugs serve the same purpose: pain relief and acid digestion. You can choose from acid neutralizers, acid blockers and drugs that stop acid production altogether.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
What Are Peptic Ulcers
Peptic ulcers are open, painful sores that affect the stomach and the upper part of the small intestine, called the duodenum . Ulcers in the stomach are also called stomach ulcers or gastric ulcers. Those in the duodenum are also called duodenal ulcers. Peptic ulcers are rare in kids.
In the past, peptic ulcers could last for several years or even a lifetime. But a better understanding of what causes them and how to treat them means that most can be cured.
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What Is The Cause Of Peptic Ulcers
When you eat, your stomach produces hydrochloric acid and an enzyme called pepsin to digest the food.
- The food is partially digested in the stomach and then moves on to the duodenum to continue the process.
- Peptic ulcers occur when the acid and enzyme overcome the defense mechanisms of the gastrointestinal tract and erode the mucosal wall.
- Now it is understood that people with ulcers have an imbalance between acid and pepsin coupled with the digestive tract’s inability to protect itself from these harsh substances.
- Research done in the 1980s showed that some ulcers are caused by infection with a bacterium named Helicobacter pylori, usually called H pylori.
- Not everyone who gets an ulcer is infected with H pylori. Aspirin and nonsteroidal anti-inflammatory drugs can cause ulcers if taken regularly.
Some types of medical therapy can contribute to ulcer formation. The following factors can weaken the protective mucosal barrier of the stomach increasing the chances of getting an ulcer and slow the healing of existing ulcers.
- Aspirin, nonsteroidal anti-inflammatory drugs , and newer anti-inflammatory medications
- Radiation therapy:-used for diseases such as cancer
People who take aspirin or other anti-inflammatory medications are at an increased risk even if they do not have H pylori infection.
Home Remedies For Peptic Ulcer Slippery Elm
Slippery elm is another effective home remedy for peptic ulcers. Especially, it helps calm and soothe inflammation and pain due to mucilage property in the inner bark of the slippery elm. Moreover, the mucilage also helps get rid of excess fats in the intestines. To see best results, you can use it as follows.
- Take the inner bark of the slippery elm and then grind it into a powder.
- Mix this powder in one cup of warm water.
You had better drink this mixture three times a day for one week.
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What Tests Are There For A Stomach Ulcer
If your doctor thinks you may have a stomach ulcer, the initial tests will include some blood tests. These tests will help to check whether you have become anaemic because of any bleeding from the ulcer. The blood test will also check to see that your liver and pancreas are working properly.
The main tests that are then used to diagnose a stomach ulcer are as follows:
- A test to detect the H. pylori germ is usually done if you have a stomach ulcer. The H. pylori bacterium can be detected in a sample of stool , or in a breath test, or from a blood test, or from a biopsy sample taken during a gastroscopy. See the separate leaflet called Helicobacter Pylori for more details.
- Gastroscopy is the test that can confirm a stomach ulcer. Gastroscopy is usually done as an outpatient day case. You may be given a sedative to help you to relax. In this test, a doctor looks inside your stomach by passing a thin, flexible telescope down your gullet . The doctor will then be able to see any inflammation or ulcers in your stomach.
- Small samples are usually taken of the tissue in and around the ulcer during gastroscopy. These are sent to the laboratory to be looked at under the microscope. This is important because some ulcers are caused by stomach cancer. However, most stomach ulcers are not caused by cancer.
What Are The Symptoms Of Peptic Ulcers
Each persons symptoms may vary. In some cases ulcers dont cause any symptoms.
The most common ulcer symptom is a dull or burning pain in your belly between your breastbone and your belly button . This pain often occurs around meal times and may wake you up at night. It can last from a few minutes to a few hours.
Less common ulcer symptoms may include:
- Feeling full after eating a small amount of food
- Bloody or black stool
- Vomiting blood
Peptic ulcer symptoms may look like other health problems. Always see your healthcare provider to be sure.
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What Happens After Treatment
A repeat gastroscopy is usually advised a few weeks after treatment has finished. This is mainly to check that the ulcer has healed. It is also to be doubly certain that the ‘ulcer’ was not due to stomach cancer. If your ulcer was caused by H. pylori then a test is advised to check that the H. pylori infection has gone. This is done at least four weeks after the course of combination therapy has finished.
When To See A Doctor
Anyone who thinks they may have an ulcer in their stomach should consult their doctor. Any stomach symptoms that last for more than a few days or keep happening need evaluation and treatment.
A slow-bleeding ulcer can be signaled by symptoms of anemia, such as being tired and breathless. More serious bleeding is an urgent medical problem and can be signaled if blood is vomited up, or stools are black and sticky.
Perforation, or a hole in the stomach, is also an emergency. Without quick treatment, the wall of the stomach can become infected. Sudden stomach pain that gets worse can indicate perforation, and any signs of being very unwell with infection need treatment as soon as possible.
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