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.
Can Ulcers Cause Diarrhea In Horses
Can Ulcers Cause Diarrhea In Horses? If a horses stomach is ulcerated or otherwise compromised, it doesnt fully break down food, such as concentrated feeds. This can lead to undigested starch reaching the hindgut, which negatively impacts the bacterial population and may subsequently lead to diarrhea, among other potentially serious conditions.
What causes watery diarrhea in horses? Diarrhea in adult horses can be acute or chronic. Infectious agents that have been cited as potential causes of acute diarrhea in adult horses include numerous Salmonella serovars, Neorickettsia risticii, Clostridium difficile, C perfringens, Aeromonas spp, coronavirus, and cyathostomiasis.
Can peptic ulcer disease cause diarrhea? Therefore, more complete acid suppression accomplished by proton-pump inhibitors is important for esophageal ulcer healing. Proton-pump inhibitors are well tolerated. Side effects are uncommon they include headache, diarrhea, constipation, nausea and rash.
How do you get rid of horse ulcers? There is currently only one pharmaceutical treatment omeprazole approved by the U.S. Food and Drug Administration for gastric ulcers in horses. Omeprazole is available as a paste formulation and has been very effective in preventing and treating gastric ulceration in all types of horses.
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Ruling Out Other Disorders
Many other conditions, including gastroesophageal reflux disease and irritable bowel syndrome, cause dyspepsia.
Peptic ulcer symptoms, particularly abdominal pain and chest pain, may resemble the symptoms of other conditions, including:
Dyspepsia may also occur with gastritis, stomach cancer, or as a side effect of certain drugs, including NSAIDs, antibiotics, iron, corticosteroids, theophylline, and calcium blockers.
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Peptic Ulcer Disease And The Risk Of Bladder Cancer In A Prospective Study Of Male Health Professionals
Dominique S. Michaud, Pauline A. Mysliwiec, Walid Aldoori, Walter C. Willett, Edward Giovannucci Peptic Ulcer Disease and the Risk of Bladder Cancer in a Prospective Study of Male Health Professionals. Cancer Epidemiol Biomarkers Prev 1 February 2004 13 : 250254.
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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What Is The Best Diet For Ulcerative Colitis
Theres no single diet that works best for ulcerative colitis. If the disease damages the lining of the colon, your body might not absorb enough nutrients from food. Your healthcare provider may recommend supplemental nutrition or vitamins. Its best to work with your provider and nutritionist to come up with a personalized diet plan.
How Can I Be Sure Its An Ulcer
The only way to be sure an ulcer is causing your discomfort is with a medical diagnosis. We will evaluate your medical history and conduct a thorough physical examination.
To determine the root cause of your ulcer, we may run blood, stool, or breath tests. These tests are designed to look for signs of helicobacter pylori, the bacteria linked to ulcers.
Depending on your unique symptoms, we may also order an endoscopy. During an endoscopy, we insert a tube with a tiny camera down your throat and into your stomach to take pictures of any potential damage and collect tissue samples for analysis.
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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.
The Majority Of Food Allergies Are Triggered By Certain Proteins In:
Shellfish, such as shrimp, lobster and crabPeanuts
Family history. Youre at increased risk of food allergies if asthma, eczema, hives or allergies such as hay fever are common in your family.A past food allergy. Children may outgrow a food allergy, but in some cases it returns later in life.Other allergies. If youre already allergic to one food, you may be at increased risk of becoming allergic to another. Likewise, if you have other types of allergic reactions, such as hay fever or eczema, your risk of having a food allergy is greater.Age. Food allergies are most common in children, especially toddlers and infants. As you grow older, your digestive system matures and your body is less likely to absorb food or food components that trigger allergies. Fortunately, children typically outgrow allergies to milk, soy, wheat and eggs. Severe allergies and allergies to nuts and shellfish are more likely to be lifelong.Asthma. Asthma and food allergy commonly occur together. When they do, both food allergy and asthma symptoms are more likely to be severe.Factors that may increase your risk of developing an anaphylactic reaction include:
Having a history of asthmaBeing a teenager or youngerWaiting longer to use epinephrine to treat your food allergy symptomsNot having hives or other skin symptoms
If your doctor has prescribed an epinephrine autoinjector:
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Will Surgery Cure A Peptic Ulcer
Medical therapy works in most people with peptic ulcers. Sometimes, medical therapy does not work, or a person canât take the therapy for some reason. Surgery is an alternative to medical therapy for these people.
Surgical operations often used in peptic ulcers include the following:
- Vagotomy: Cutting the vagus nerve, which transmits messages from the brain to the stomach, can reduce acid secretion. However, this can also interfere with other functions of the stomach. A newer operation cuts only the part of the nerve that affects acid secretion.
- Antrectomy: This is often done in conjunction with a vagotomy. It involves removing the lower part of the stomach . This part of the stomach produces a hormone that increases production of stomach acid. Adjacent parts of the stomach may also be removed.
- Pyloroplasty: This procedure also is sometimes done with vagotomy. It enlarges the opening between the stomach and duodenum to encourage passage of partially digested food. Once the food has passed, acid production normally stops.
- Tying off an artery: If bleeding is a problem, cutting off the blood supply to the ulcer can stop the bleeding.
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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Ulcerative Colitis Risk Factors
Most people with UC dont have a family history of the condition. However, about 12 percent of people with UC do have a family member with IBD, according to research from 2014.
UC can develop in a person of any race, but its more common in white people. If youre of Ashkenazi Jewish descent, you have a greater chance of developing the condition than most other groups.
Young people with IBD may also be dealing with acne at the same time. Some older studies have suggested a possible link between the use of the cystic acne medication isotretinoin and UC. However, newer research has yet to find a definitive causal relationship.
Theres no solid evidence indicating that your diet affects whether you develop UC. You may find that certain foods and drinks aggravate your symptoms when you have a flare-up, though.
Practices that may help include:
- drinking small amounts of water throughout the day
- eating smaller meals throughout the day
- limiting your intake of high fiber foods
- avoiding fatty foods
- lowering your intake of milk if youre lactose intolerant
Also, ask a doctor if you should take a multivitamin.
What Does A Stomach Ulcer Feel Like
The classic symptoms of peptic ulcers are stomach pain and indigestion. Ulcer pain feels like burning or gnawing inside your stomach, which is between your breastbone and your belly button. It may improve temporarily when you eat or drink or when you take an antacid, medication to reduce stomach acid. It may feel worse between meals and at night when stomach acid builds up without food to digest. It may also make you feel like you dont want to eat.
How do I know if I have an ulcer or gastritis?
Gastritis and gastric ulcers share many symptoms and often go hand in hand. Gastritis can be a precursor to stomach ulcers, caused by the same conditions that will eventually cause ulcers, including H. pylori infection and mucous erosion. You may also have both.
Both gastritis and stomach ulcers can cause stomach pain, as well as symptoms of indigestion. Usually, the pain from an ulcer will feel more localized like its coming from one particular spot. But since some ulcers are silent, you might not feel it if you do have one.
If you have symptoms of either gastritis or stomach ulcer, you should seek medical care. Gastritis can lead to ulcers if it hasnt already. It can also indicate an infection or other condition that needs to be treated. Medical testing can quickly determine the causes of your stomach pain.
How can I tell if I have ulcer pain or heartburn?
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Treatment Approach To Patients Who Are Not Taking Nsaids
If an endoscopy is performed soon after the patient first visits a doctor for symptoms, treatment is based on the results of the endoscopy:
- If an ulcer is seen and the patient is infected with H pylori, treatment for the infection is started, followed by 4 to 8 weeks of treatment with a proton pump inhibitor . Most patients will improve with this treatment.
- If an ulcer is seen but H pylori are not present, patients are usually treated with PPIs for 8 weeks.
- If no ulcer is seen and the patient is not infected with H pylori, the first treatment attempt will usually be with PPIs. These patients do not need antibiotics to treat H pylori. Other possible causes of their symptoms should also be considered.
Most patients who do not have risk factors for complications are treated without first having an endoscopy. The type of treatment is decided based on a patient’s symptoms, and on the results of H pylori blood or breath tests.
Patients who are not infected with H pylori are given a diagnosis of functional dyspepsia. These patients are most commonly given 4 to 8 weeks of a PPI. If this dose is not effective, doubling the dose will occasionally relieve symptoms. If there is still no symptom relief, patients may have an endoscopy. However, it is unlikely that an ulcer is present. In this group of patients, symptoms may not fully improve.
When Should You Call Or See A Doctor
If you think you have a stomach ulcer, call your doctor. Together you can discuss your symptoms and treatment options. If you dont already have a physician, you can use the Healthline FindCare tool to find a provider near you.
Its important to get a stomach ulcer taken care of because without treatment, ulcers and H. pylori can cause:
- bleeding from the ulcer site that can become life-threatening
- penetration, which occurs when the ulcer goes through the wall of the digestive tract and into another organ, such as the pancreas
- perforation, which occurs when the ulcer creates a hole in the wall of the digestive tract
- obstruction in the digestive tract, which is due to swelling of inflamed tissues
- stomach cancer, specifically
Symptoms of these complications can include those listed below. If you have any of these symptoms, be sure to call you doctor right away:
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Red Flags For Swollen Stomach And Back Pain
Bloating causes a distended stomach when the abdomen fills up with gas or air. This discomforting sensation can also cause pain that may be felt in the back. Together, a swollen stomach and back pain can make you feel not only distressed but perhaps a bit self-conscious as well.
The two symptoms are tied together because the back provides support and stabilizes the body. However, abdominal bloating causes pressure and pain in the area which can spread to the back. The pain may vary in severity and type from sensations of dull throbbing to sharp and pinching pain.
When the two symptoms are experienced separately they are fairly common and not usually a cause for concern. But in instances where a bloating stomach pain is also accompanied by back pain, they could be indicative of a more serious condition. These should not be taken lightly as they can include the following:
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Bacteria And Stomach Ulcers
Not everyone who is infected with H. Pylori develops stomach ulcers, but those who do often experience burning pain anywhere from their navel to breastbone. Stomach ulcer symptoms are frequently worse between meals and at night, with pain lasting minutes or hours. The pain can come and go for several days or weeks.
Stomach ulcers, or sores, form when the acids that help digest food damage the walls of the stomach or small intestine. H. pylori bacteria enable this process by attacking the stomach lining, which is meant to protect the stomach from its own gastric juices. Once the bacteria have caused significant damage, acid can get through the lining and cause ulcers.
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Can Stomach Ulcers Just Go Away
Some ulcers follow a chronic pattern of healing temporarily on their own and then returning. This might happen if the factors contributing to your ulcer, such as NSAID use, smoking and alcohol, are temporarily reduced and then resumed. You wont completely heal your ulcer until you eliminate the cause, whether that is chronic NSAID use, H. pylori infection or an overactive stomach. Even after successful treatment, you can get another ulcer.
Ronald Hsu Md Facg Facp Dds
Sutter Roseville Medical Center
Its impossible to ignore the gnawing, aching abdominal pains that accompany a stomach ulcer. About 25 million Americans suffer from an ulcer at some point in their lifetime, according to the Centers for Disease Control and Prevention.
Contrary to popular belief, ulcers are not caused by psychological stress or the ingestion of spicy foods. Ronald Hsu, M.D., a gastroenterologist with the Sutter Roseville Medical Center, says two Australian researchers discovered in the early 1980s that a bacterium called Helicobacter pylori is the root cause of most stomach ulcers.
Nobody believed them when this was discovered, Dr. Hsu says. The conventional thinking at that time was that bacteria couldnt live in the stomach on account of the strength of gastric acid.
Eventually, the medical community realized the two men were correct in their findings. Pathologist J. Robin Warren and physician Barry J. Marshall were awarded the Nobel Prize for Medicine and Physiology in 2005 for their discovery of H. pylori. Dr. Marshall famously infected himself with the bacterium in an attempt to prove its link to stomach inflammation and ulcers. It is now firmly established that the bacterium causes more than 90 percent of duodenal ulcers and up to 80 percent of gastric ulcers.
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