Treating The Causes Of Peptic Ulcers
Doctors treat the underlying causes of peptic ulcers to help the ulcers heal and prevent them from coming back.
Helicobacter pylori infection
Doctors treat H. pylori infection with a combination of medicines. These medicines most often include
- two or more antibiotics
- in some cases, bismuth subsalicylate
Your doctor may avoid prescribing antibiotics youve taken in the past because the H. pylori bacteria may have developed antibiotic resistance to those antibiotics.
If you are given medicines, take all doses exactly as your doctor prescribes. If you stop taking your medicine early, some bacteria may survive and persist in your stomach. In other words, H. pylori bacteria may develop antibiotic resistance.
To find out if the medicines worked, your health care professional may recommend testing you for H. pylori at least 4 weeks after youve finished taking the antibiotics.2 If you still have an H. pylori infection, your doctor may prescribe a different combination of antibiotics and other medicines to treat the infection. Making sure that all of the H. pylori bacteria have been killed is important.
Nonsteroidal anti-inflammatory drugs
If you have a peptic ulcer caused by taking NSAIDs, your doctor may recommend changing your medicines. Depending on the reason you have been taking NSAIDs, your doctor may suggest stopping NSAIDs, taking a different NSAID, taking a lower-dose NSAID, or taking a different medicine for pain.
Other causes
Research On The Prevention Of Peptic Ulcers
A group of researchers from the an international network of researchers wanted to find out which medications can prevent the development of peptic ulcers. To do so, they looked for studies where NSAIDs were combined with PPIs, H2 blockers or misoprostol. The researchers found 41 suitable studies with a total of more than 21,000 participants.
The people in the studies were mainly men and women who had osteoarthritis or a rheumatic disease. All of them took one or several NSAIDs for at least three weeks and had a fairly high risk of getting a peptic ulcer. A number of the studies compared proton pump inhibitors, H2 blockers or misoprostol with a placebo or with each other. The participants were observed for up to one year. Regardless of whether they had symptoms, in almost all of the studies the participants had a gastroscopy to see whether they had an ulcer in their stomach or duodenum.
Pay Attention To Your Diet For Ulcer Pain Relief
While there are ongoing debates about food and ulcer pain, the truth is you need to pay attention to foods that hurt you while your ulcer is healing.
Some people find eliminating dairy, nuts, alcohol and fatty foods helps ease their pain. Other people who try the elimination diet find that other foods just seem to trigger gnawing or dull ulcer pain. Some people report they can eat spicy foods and that doesnt trigger pain.
Obviously, a whole food, nutrient-dense diet of vegetables, fruits and whole grains is ideal. But the rule of thumb should be: dont eat it if it causes your discomfort.
Its important to remember not to skip meals. Youll find ulcer pain relief more quickly if you can eat small, healthy meals or snacks throughout the day. This helps make sure your stomach doesnt get empty.
This approach is more ideal than eating 2-3 big meals per day as your stomach ulcer heals. You may also want to start taking a probiotic or try natural remedies to help reduce your risk of further complications and support a healthy digestive tract long-term.
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Living With Stomach Ulcers
Stomach ulcers are painful and can significantly affect your quality of life. Coping strategies to help you manage chronic ulcers include:
- Avoid NSAIDs as they can increase your risk of ulcers. Talk with your healthcare provider about which pain medications are safe for you.
- Manage stress, which has been linked with an increased risk of ulcers. Incorporate stress-relieving activities such as mindfulness or yoga into your routine.
- Change your diet and try avoiding foods that can worsen them. A bland diet is safest when you have an ulcer.
- Eat small meals throughout the day instead of three large ones to reduce the pain.
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How Long To Take It For
If you buy pantoprazole from a pharmacy, you can usually take it for up to 2 weeks.
After 2 weeks:
- if your symptoms have improved, you can take it for another 2 weeks
- if your symptoms have not improved or they are worse, speak to a doctor before taking any more pantoprazole
Do not take pantoprazole for more than 4 weeks without speaking to your doctor first. If your symptoms have not improved, you may need some tests to find out what’s causing them.
If you take pantoprazole on prescription, you may only need to take it for a few weeks or months, depending on your condition. Sometimes your doctor may advise you to take it for longer, even for many years.
Some people do not need to take pantoprazole every day and take it only when they have symptoms. Once you feel better , you can stop taking it.
Taking pantoprazole just on days when you have symptoms is not suitable for everyone. Speak to your doctor about what’s best for you.
What Are The Risks For People With Ulcers
Why do painkillers raise the risk of gastrointestinal problems? The same chemicals that amplify pain — which some pain medicines block — also help maintain the protective lining of the stomach and intestines. When a painkiller stops these chemicals from working, the digestive tract becomes more vulnerable to damage from gastric acids.
For people with ulcers, the risky pain relievers are nonsteroidal anti-inflammatory drugs, or NSAIDs. They include aspirin, ibuprofen, naproxen sodium, and ketoprofen, the active ingredients in medicines such as Advil, Aleve, and Bufferin.
Other pain relievers may be less dangerous. Acetaminophen works differently and poses a much lower risk of GI problems. But like any drug, it does have side effects of its own. You shouldn’t take any over-the-counter painkiller for more than 10 days without your health care provider’s approval.
The risks from NSAIDs are quite serious. Studies show that people who use NSAIDs are about three times as likely to have gastrointestinal bleeding. Even at low doses, NSAIDs can make mild ulcers much worse.
Aspirin has additional risks. “Aspirin can help prevent blood clotting, which is why it helps people at risk of heart attacks and strokes,” says Cryer. “But in people with ulcers, it can lead to more serious gastrointestinal bleeding.”
What if you have an ulcer and a high risk of heart attack or stroke?Balancing the benefits and risks of these medicines can be tricky, Cryer notes
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Home Remedies For Stomach Ulcers
When trying the home remedies below, itâs important to keep a few things in mind. Not all of these remedies will work for everyone, as reactions to different remedies can also be different from person to person. What works for your friend may not work for you, and vice versa.
You also need to watch for allergic reactions. Just because a remedy may help your ulcer, it doesnât mean you wonât have an allergic reaction to it. Itâs best to test some of these remedies out first, as the last thing you want to do is deal with is both an ulcer and an allergic reaction.
Keeping those in mind, here are some helpful remedies that might be able to soothe your stomach ulcer.
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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
Peptic ulcer symptoms may look like other health problems. Always see your healthcare provider to be sure.
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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
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.
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What Are The Possible Complications Of Peptic Ulcer Disease
An ulcer left untreated may cause serious complications, including:
- Internal bleeding: While most people with ulcers wont have bleeding, this is the most common complication that can occur. A slow bleeding ulcer can cause anemia or even severe blood loss.
- Perforation: An ulcer that is continuously eroded by acid can eventually become a hole in the stomach or intestinal wall. This is intensely painful and also dangerous. It allows bacteria from the digestive tract to enter the abdominal cavity, which can lead to an infection of the abdominal cavity called peritonitis. From there, the infection is at risk of spreading to the rest of the body . This can lead to a life-threatening condition called .
- Obstruction: An ulcer in the pyloric channel, the narrow passageway that leads from the stomach into the duodenum, can become an obstruction that blocks the flow of food into the small intestine. This can happen after the ulcer has healed. Ulcers that have gone through a healing process may build up scar tissue that enlarges them. An ulcer that is big enough to obstruct the small intestine can stall the digestive process, with numerous side effects.
- Stomach cancer: Some gastric ulcers can become malignant over time. This is more likely when your ulcer is caused by H. pylori infection. H. pylori is a contributing cause of gastric cancer, though fortunately this is uncommon.
What Are The Signs & Symptoms Of Peptic Ulcers
Stomach pain is the most common sign of an ulcer. It usually feels like sharp aches between the breastbone and the belly button. This pain often comes a few hours after eating. It can also happen during the night or early in the morning, when the stomach is empty. Eating something or taking acid suppressor medicine sometimes eases the pain.
Other symptoms of ulcers can include:
- loss of appetite
- bloody or blackish bowel movements
Anyone who thinks they might have an ulcer needs to see a doctor. An ulcer thats not treated can grow larger and deeper. This can lead to other problems, such as bleeding in the digestive system or a hole in the wall of the stomach or duodenum, which can make someone very sick.
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What Should I Do If I Think I Have A Stomach Ulcer
Always seek medical care for a stomach ulcer. While you may be able to manage symptoms temporarily with over-the-counter medications, these wont heal the ulcer. You need to identify and treat the underlying cause. An untreated ulcer can lead to serious complications, even if your symptoms are mild. The major cause of stomach ulcers, H. pylori infection, can also lead to other complications.
Care Of Surrounding Skin
General care of the skin surrounding an ulcer is essential to maintain skin integrity and minimize the risk of further ulceration. Gentle washing and emollients have been shown to be effective in all forms of eczema/dermatitis. They help to restore the barrier function and reduce the role of infective organisms as a cause of damage. Washing for about 10 min twice a day is optimal. Water just above body temperature is most desirable, and more natural the emollient soap, more supportive it is of the epidermis .
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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.
Causes Of Stomach Ulcers
A stomach ulcer can be caused by a variety of factors, including:
- Helicobacter pylori bacteria is thought to be responsible for around 60 per cent of stomach ulcers and at least 90 per cent of duodenal ulcers.
- Certain medications which include aspirin or clopidogrel, taken regularly to help prevent heart attack or stroke, and drugs for arthritis. Anti-inflammatory medications are thought to cause around two fifths of stomach ulcers.
- Cancer stomach cancer can present as an ulcer, particularly in older people.
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