When To Call A Healthcare Provider
If the ulcer is large or deep, growing in size, incredibly painful, or if you have any signs of infection , you notice a bad smell coming from your ulcer, or youre running a fever, call your healthcare provider right away.
Youll also want to call your healthcare provider if your ulcer, no matter how minor, isnt showing signs healing after a week to 10 days.
In most cases, the ulcer will be dressed to protect the wound. However, if your ulcer is draining considerably, your healthcare provider may recommend leaving the wound uncovered. Dressing the ulcer if its draining considerably can impede healing.
If your ulcer is painful, pain medication can be prescribed. Antibiotics may also be prescribed either prophylactically to prevent infection or to treat an already infected wound.
Debridement is done to remove dead tissue from more serious ulcers. For deep ulcers or those that arent healing after a long period of time, skin grafts may be needed. In the most severe cases, part of the foot, leg, or other appendage may have to be amputated.
Restoring good circulation is key in treating and preventing ulcers. This includes elevating the legs, wearing compression stockings, reducing pressure on ulcer-prone areas, superficial vein surgery. Leg ulcers, in particular, are incredibly likely to reoccur, so compression stockings are often needed to be worn for life.
Stomach Cancer And Other Conditions Associated With H Pylori
H pylori is strongly associated with certain cancers. Some studies have also linked it to a number of non-gastrointestinal illnesses, although the evidence is inconsistent.
Stomach cancer, also called gastric cancer, is the third leading cause of cancer death worldwide. In developing countries, where the rate of H pylori is very high, the risk of stomach cancer is six times higher than in the United States. Evidence now suggests that H pylori may be as carcinogenic to the stomach as cigarette smoke is to the lungs.
Infection with H pylori promotes a precancerous condition called atrophic gastritis. The process most likely starts in childhood. It may lead to cancer through the following steps:
- The stomach becomes chronically inflamed and loses patches of glands that secrete protein and acid.
- New cells replace destroyed cells. But the new cells do not produce enough acid to protect against carcinogens.
- Over time, cancer cells may develop and multiply in the stomach.
Although the evidence is mixed, some research suggests that early elimination of H pylori may reduce the risk of stomach cancer to that of the general population. It is important to follow patients after treatment for a long period of time.
H pylori also is weakly associated with other non-intestinal disorders, including migraine headache, Raynaud disease , and skin disorders such as chronic hives.
Do The Medicines Cause Side Effects
Because you have to take so many medicines at the same time, you may have some side effects. Minor side effects of H. pylori medicines include a black color on your tongue, black stools, diarrhea, nausea, and headaches. Some of the medicines leave a bad taste in your mouth. These side effects are usually minor and go away on their own.
You can cure H. pylori infection only if you take the medicines just the way your doctor tells you. If you forget to take some of your medicines or stop taking them because of side effects, the infection will not be cured. You may get another ulcer in the future. Let your doctor know right away if you have side effects with your medicines or if you have any questions about how to take them. Your doctor may suggest something to make the side effects better, or may give you different medicines.
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How Is It Diagnosed
See your doctor if you have persistent signs and symptoms that worry you. Over-the-counter antacids and acid blockers may relieve the gnawing pain, but the relief is short-lived. If the stomach ulcer pain persists, see your doctor.
Your doctor will ask you about your symptoms, medical history and give you a physical examination.
To be sure of a stomach ulcer diagnosis, you will need to undergo diagnostic tests, such as:
- Tests for H. pylori: These tests include your blood, stool and breath
- An endoscopy: A scope is used to examine your upper digestive system. Your doctor passes a hollow tube equipped with a lens down your throat and into your oesophagus, stomach and small intestine. If an ulcer is detected, small tissue samples may be removed for examination in a lab.
- X-ray of your upper digestive system: Sometimes called a barium swallow or upper gastrointestinal series, this series of X-rays creates images of your oesophagus, stomach and small intestine.
How Are Peptic Ulcers Diagnosed
If your doctor suspects you might have a peptic ulcer, he will take a full medical history and perform a physical exam. Diagnostic tests you might take include:
- Lab test for H. pylori A blood, stool, or breath test may be used to determine whether H. pylori bacteria are present in your body.
- Endoscopy During this procedure, a hollow tube with a lens will be passed down your throat to your esophagus, stomach, and small intestine. This will allow your doctor to look for a peptic ulcer and take a biopsy if one is present.
- Barium swallow For this test, you will swallow a white liquid containing barium, which coats your digestive tract. A series of X-rays of your upper digestive system will be taken and the liquid makes the ulcer more visible.
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What Over The Counter Medicine Is Best For Stomach Pain
Video answer: How to choose the right over-the-counter pain medication for you
9 other answers
Best OTC Products for Digestive Problems. Prilosec OTC, TUMS, Emetrol and MiraLAX are recommended by many pharmacists for a range of digestive issues. By Ruben Castaneda.
There are two main types of OTC medications used to treat nausea and vomiting: Bismuth subsalicylate, the active ingredient in OTC medications like Kaopectate® and Pepto-Bismol, protects your stomach lining. Bismuth subsalicylate is also used to treat ulcers, upset stomach and diarrhea.
Considered by most users as the best medicine for bloating, Imodium Multi-Symptom Relief Caplets target not just flatulence, but also all other symptoms of stomach disturbance. This includes cramps, pressure, and diarrhea. Imodium is one of the most popular brands for gastrointestinal relief, which is why it has developed a wide base of consumers.
Best for Stomach Aches: Pepto Bismol LiquiCaps at Amazon “Effective in remedying excessive gas experienced in conjunction with an upset stomach.” Best Gummy: Alka-Seltzer Heartburn + Gas Relief Chews at Amazon “For folks who struggle with swallowing pills, a tasty gummy that helps relieve excessive gas, heartburn, acid indigestion, and more.”
Over-the-Counter Medications For gas pain, medicine that has the ingredient simethicone can help get rid of it. For heartburn from gastroesophageal reflux disease , try an…
For Nausea and Vomiting
What Is An Ulcer
Ulcers are open sores on the inner lining of the lower esophagus, stomach, or the upper portion of the small intestine. They are often painful, particularly after eating, and can bleed into the stomach or intestines.
Ulcers are identified by the location of the sore:
- Esophageal ulcers occur on the lower part of the esophagus, the muscular tube that connects the throat to the stomach.
- Gastric ulcers form in the stomach lining.
- Duodenal ulcers form in the lining of the small intestine near the stomach called the duodenum.
Esophageal, gastric, and duodenal ulcers are collectively called peptic ulcers or peptic ulcer disease . They are closely related both in causes and treatments. Compared to gastric and duodenal ulcers, esophageal ulcers may arise from different causes and require different treatments in some cases.
Peptic ulcers are due to an erosion of the defenses the stomach or intestinal tissues use to protect themselves against harmful stomach acid. When these defenses are compromised, the acid can eat away at the lining of the stomach or duodenum, causing sores.
Lifestyle factors, such as eating spicy foods or stress, are no longer considered risk factors for developing peptic or esophageal ulcers, but they may worsen ulcer symptoms.
Peptic ulcer disease is very common. Anywhere from 5% to 10% of the population will develop a peptic ulcer at some time during their lives. About 2% to 7% will experience an esophageal ulcer in their lifetime, mostly due to GERD.
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Zandu Pancharishta: Cures Stomach Ache
- Composition Extracts of various Ayurvedic herbs
- Popularity level 6
- Zandu Pancharishta Syrup improves the digestive system s functions and body s overall appetite. It contains draksha or raisins to improve body s ability to form bowel movements in a proper manner. Dashmool is also added to reduce stress levels in the body.
- Zandu Pancharishta Syrup is designed to strengthen the digestive system by reducing the stress on this part of the body.
- Dosage A person must consume two tablespoons used with water. For best results, it should be consumed twice daily after meals. The digestive syrup can be consumed for as long as needed to improve bodys overall digestive processes.
- Price A bottle of 450ml costs 115.
What Else Can I Do
If certain foods bother you, do not eat them. You may heal faster if you do not smoke or use aspirin or ibuprofen. Acetaminophen will not hurt your stomach.
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What If A Peptic Ulcer Doesn’t Heal
Most often, medicines heal a peptic ulcer. If an H. pylori infection caused your peptic ulcer, you should finish all of your antibiotics and take any other medicines your doctor prescribes. The infection and peptic ulcer will heal only if you take all medicines as your doctor prescribes.
When you have finished your medicines, your doctor may do another breath or stool test in 4 weeks or more to be sure the H. pylori infection is gone. Sometimes, H. pylori bacteria are still present, even after you have taken all the medicines correctly. If the infection is still present, your peptic ulcer could return or, rarely, stomach cancer could develop. Your doctor will prescribe different antibiotics to get rid of the infection and cure your peptic ulcer.
Are Prescription Nsaids Better
NSAIDs are available both over-the-counter and as a prescription medication. It is very important to understand that while there are differences between prescription and non-prescription NSAIDs, this difference is not the potential relief of symptoms. Many patients find their best response from over-the-counter NSAIDs.
There has been no study showing that newer NSAIDs , prescription NSAIDs, or more expensive NSAIDs treat pain or swelling any better than more traditional NSAID medications. Most of the research evaluating the effects of NSAIDs has been done using over-the-counter ibuprofen.
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What Are The Symptoms Of A Stomach Ulcer
Symptoms vary from person to person, and some people may have no symptoms at all. Abdominal pain is common, and that associated with stomach ulcers tends to worsen after food. Other common symptoms include:
- Bloating or belching
- Weight loss.
Symptoms such as vomiting, severe pain or blood in the stools are rare with stomach ulcers and should be reported to your doctor.
Most ulcers occur in the first layer of the inner lining. A hole that goes all the way through is called a perforation and will cause severe pain and bleeding. It is a medical emergency.
How Else To Control Inflammation
Medications are not the only solution to control inflammation and discomfort. As we become increasingly aware of and sensitive to the possible side-effects of any medication, more patients and healthcare providers alike are interested in non-pharmacologic methods to control inflammation.
There are many ways that people address inflammation. Some have better scientific support than others, but most all are safe to try.
A good place to start is with R.I.C.E. treatment of inflammation, which stands for rest, ice, compression, and elevation. Other treatments that may be helpful include the foods and supplements you ingest, topical treatments to the painful area, and the activities we perform.
An often neglected method to control inflammation is rest. Not only does this mean resting from athletics, but often this means allowing an injured body part to rest from normal activities which may prolong inflammation.
Busy lives may not allow for rest, but ignoring the signs of inflammation may prolong the problem. Therefore, look for ways to rest your injured body part to allow the inflammation to subside and the recovery process to unfold.
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Prevention Of Peptic Ulcers
Using alternatives to NSAIDs, like acetaminophen, to relieve pain can help prevent peptic ulcers. If you need to use an NSAID, opt for the lowest dose and take it with a meal.
Peptic ulcers caused by infection with Helicobacter pylori are not usually preventable, but good hygiene such as washing your hands thoroughly before eating and after using the bathroom may help limit the spread.
If Your Ulcer Was Caused By Helicobacter Pylori
Most stomach ulcers are caused by infection with H. pylori. Therefore, a main part of the treatment is to clear this infection. If this infection is not cleared, the ulcer is likely to return once you stop taking acid-suppressing medication. For more information, see the separate leaflet called Helicobacter Pylori.
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Can A Peptic Ulcer Come Back
Yes, a peptic ulcer can come back. If you smoke or take NSAIDs, peptic ulcers are more likely to come back. If you need to take an NSAID, your doctor may switch you to a different medicine or add medicines to help prevent a peptic ulcer. Peptic ulcer disease can return, even if you have been careful to reduce your risk.
Causes And Risk Factors
- In most cases, peptic ulcers are caused by a bacterial infection with Helicobacter pylori , and not by stress or spicy foods. Between 10% and 20% of those infected with H pylori will have a peptic ulcer during their lifetime.
- Long-term use of nonsteroidal anti-inflammatory drugs is the second most common cause of ulcers. Women and older adults seem to be more susceptible.
- Compared to other NSAIDs, COX-2 inhibitors may pose less risk for bleeding, but still increase the risk of bleeding compared with no NSAID use at all.
- Alcohol and smoking are also common risk factors for peptic ulcer.
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What Are Its Symptoms
The most common symptom of a stomach ulcer is a burning or gnawing pain in the centre of the abdomen. This is caused by the ulcer and is aggravated by stomach acid coming in contact with the ulcerated area. The pain typically may:
- Be felt anywhere from your navel up to your breastbone
- Be worse when your stomach is empty
- Flare up at night
- Often be temporarily relieved by eating certain foods that buffer stomach acid or by taking an acid-reducing medication
- Disappear and then return for a few days or weeks.
Less often, ulcers may cause severe signs or symptoms such as:
- The vomiting of blood
- Dark blood in stools or stools that are black or tarry
- Nausea or throwing up blood
- Unexplained weight loss
- Appetite changes.
People who have stomach ulcers generally continue to function quite comfortably and some ulcers heal spontaneously without medication.
However, left untreated, stomach ulcers can cause complications, including bleeding, perforation and obstruction of the gastric system.
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 person’s 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.
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Bismuth: Cures Cramping In The Stomach Due To Diarrhoea
- Brand name Kaopectate, Peptobismol
- Composition Bismuth subsalicylate
- Popularity level 7
- Bismuth is an antidiarrhoeal drug that acts by decreasing PG synthesis in the intestinal mucosa due to which chloride secretion and loss of water from the intestines deceases.
- Dosage It is taken as a suspension, 60 ml in every 6 hours.
- Price Kaopectate costs $14.00 per pill or unit.
Famotidine: Cures Stomach Ache Due To Hyperacidity
- Brand name Pepcid AC
- Popularity level 6
- Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed. This medication is also used to treat certain stomach and throat problems . It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesnt go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers.
- Dosage Take this medication by mouth with or without food as directed by your doctor, usually once or twice daily. If you are taking this medication once daily, it is usually taken at bedtime.
- Price The cost for Pepcid AC oral tablet 10 mg is around $28 for a supply of 90 tablets.
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