How Are Stomach Ulcers Treated
Ulcers can heal if they are given a rest from the factors that created them. Healthcare providers treat uncomplicated ulcers with a combination of medicines to reduce stomach acid, coat and protect the ulcer during healing and kill any bacterial infection that may be involved. Medicines may include:
- Antibiotics. If H. pylori was found in your digestive tract, your healthcare provider will prescribe some combination of antibiotics to kill the bacteria, based on your medical history and condition. Commonly prescribed antibiotics include tetracycline, metronidazole, clarithromycinand amoxicillin.
- Proton pump inhibitors . These drugs help reduce stomach acid and protect your stomach lining. PPIs include esomeprazole,dexlansoprazole,lansoprazole, omeprazole,pantoprazole and rabeprazole.
- Histamine receptor blockers . These reduce stomach acid by blocking the chemical that tells your body to produce it . H2 blockers include famotidine, cimetidine and nizatidine.
- Antacids. These common over-the-counter medicines help to neutralize stomach acid. They may bring some symptom relief, but they arent enough to heal your ulcer. They also might interfere with some antibiotics.
- Cytoprotective agents. These medicines help to coat and protect your stomach lining. They include sucralfate and misoprostol.
- Bismuth Subsalicylate. This over-the-counter medicine, commonly found as Pepto-Bismol, can help coat and protect your ulcer from stomach acid.
When Should I See A Doctor If I Think I Have A Peptic Ulcer
- If you have burning pain in your upper stomach that is relieved by eating or taking antacids, call a health-care professional for an appointment. Don’t assume you have an ulcer. Certain other conditions can cause similar symptoms.
- If you vomit blood or have other signs of gastrointestinal bleeding, go to an emergency department right away. Peptic ulcers can cause massive bleeding, which requires blood transfusion or surgery.
- Severe abdominal pain suggests perforation or tearing of an ulcer. This is an emergency that may require surgery to fix a hole in your stomach.
- Vomiting and abdominal pain also can be a sign of an obstruction, another complication of peptic ulcers. This also may require emergency surgery.
When To Seek Medical Advice
You should visit your GP if you think you may have a stomach ulcer.
Contact your GP or NHS 111 immediately if:
- you are passing dark, sticky, tar-like stools
- you have a sudden, sharp pain in your tummy that gets steadily worse
Go to your nearest accident and emergency department or call 999 if:
- you are vomiting blood the blood can appear bright red or have a dark brown, grainy appearance, similar to coffee grounds
These could be a sign of a serious complication, such as internal bleeding.
Signs You May Have An Ulcer
Did you know that stomach ulcers also called peptic ulcers affect at least 1 in 10 Americans over the course of their lives? And while stomach ulcers can be treated easily when caught early, lack of medical care can lead to serious complications.
Understanding the signs of stomach ulcers is important in helping you get the treatment you need. At Prima Medicine in Fairfax and South Riding, Virginia, our care team has the experience and knowledge to diagnose and treat stomach ulcers. Weve curated this guide to help you recognize the warning signs of an ulcer and understand what you can do about it.
Can Ulcers Cause Diarrhea
Mention the word juice and most people will think of apple, orange, tomato, or maybe even tropical punch. There are all sorts of juices, and everyone seems to have their favorite. Digestive juices get called juices too, but of course theres nothing tasty or enjoyable about them and their role is not to quench your thirst or tickle your tastebuds. Stomach bile and others are there to help your body break down and digest the food you eat, and anyone with GERD or acid reflux will tell you it is a bad situation when those juices dont stay in the stomach. Whats equally unpleasant is when you get an ulcer and those digestive acids start to cause pain and burning there. But can ulcers cause diarrhea?
Ulcers can cause diarrhea, although it is not the ulcer itself that is causing that to happen. A person with an ulcer who eats 4 cans of refried beans and washes it all down with 12 vodka sodas may feel like a million bucks for a short while, but they will have explosive bowel movements not long after. And it will have nothing to do with their ulcer. There are lots of reasons why people get ulcers, and that can be because of stress, not getting enough sleep, intestinal disease, vitamin deficiencies, or food allergies.
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Can Peptic Ulcer Disease Be Prevented Or Avoided
Stress and spicy foods dont cause ulcers. However, they can make them worse. Smoking and alcohol can cause a peptic ulcer. Men should limit alcohol to no more than 2 drinks per day. Women should have no more than 1 drink per day. Talk to your doctor if you take aspirin, ibuprofen, or naproxen regularly.
Black Or Dark Colored Stool
If you think you may have an ulcer, a good way to tell is to look at your stool. If you notice that when you use the restroom your stool is extremely dark in color, or even black, chances are you are right about what is ailing you. If this is the case, you should absolutely go to the hospital immediately.
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Can Stomach Ulcers Cause Diarrhea
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What Are The Complications Of Peptic Ulcers
With modern treatment, people with ulcer disease can lead normal lives without lifestyle changes or dietary restrictions. Cigarettesmokers have been found to have more complications from ulcers and treatment failure.
Eradication of the bacteria H. pylori not only heals ulcers but also prevents the recurrence of ulcer disease.
Patients with ulcers generally function quite comfortably.
Some ulcers probably heal even without medications . Therefore, the major problems resulting from ulcers are related to ulcer complications. Complications include
- obstruction of emptying of the passage of food.
Patients with bleeding ulcers may report
- a sense of light-headedness or ay even pass out upon standing ,
- and vomiting blood . Initial treatment involves rapid replacement of fluids intravenously.
Patients with persistent or severe bleeding may require blood transfusions. An endoscopy is performed to establish the site of bleeding and to stop active ulcer bleeding with the aid of specialized endoscopic instruments.
Duodenum A peptic ulcer that forms in the narrow outlet from the stomach, it can obstruct the flow of stomach contents into the duodenum. Duodenal ulcers sometimes also may obstruct the flow of intestinal contents.
Patients with obstruction often report
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Bleeding Ulcers Symptoms And Causes
Bleeding ulcers are a big deal. Often having endoscopy is diagnostic and therapeutic. A gastroenterologist can use a fiberoptic camera to view the inside of the stomach and duodenum, searching for a source of bleeding.
Symptoms of a bleeding ulcer include:
- Abdominal discomfort after eating
- Upper abdominal burning or hunger pain 1 to 3 hours after eating or in the middle of the night
How Do H Pylori Cause A Peptic Ulcer And Peptic Ulcer Disease
H. pylori are spiral-shaped bacteria that can cause peptic ulcer disease by damaging the mucous coating that protects the lining of the stomach and duodenum. Once H. pylori have damaged the mucous coating, powerful stomach acid can get through to the sensitive lining. Together, the stomach acid and H. pylori irritate the lining of the stomach or duodenum and cause a peptic ulcer.
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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.
If Your Ulcer Was Caused By An Anti
If possible, you should stop taking the anti-inflammatory medicine. This allows the ulcer to heal. You will also normally be prescribed an acid-suppressing medicine for several weeks. This stops the stomach from making acid and allows the ulcer to heal. However, in many cases, the anti-inflammatory medicine is needed to ease symptoms of arthritis or other painful conditions, or aspirin is needed to protect against blood clots. In these situations, one option is to take an acid-suppressing medicine each day indefinitely. This reduces the amount of acid made by the stomach and greatly reduces the chance of an ulcer forming again.
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How Is A Peptic Ulcer Diagnosed
Your doctor will ask about your symptoms, whether you take NSAIDs and other drugs, and medical history. TheyÃ¢ll also check you for bloating in the belly and pain. That may be enough to make a diagnosis.
The only way your doctor can tell for sure if you have an ulcer is to look. They may use a series of X-rays or a test called an endoscopy. This test allows them to pass a thin, bendy tube down your throat and into your stomach and small intestine. The tube has a camera at the end so they can check the lining for ulcers. They may also take a small piece of the lining to test for H. pylori. Blood, breath, and stool sample tests also can screen for the bacteria.
How Is Ulcerative Colitis Diagnosed
A thorough physical exam and a series of tests may be required to diagnose ulcerative colitis.
Blood tests may be done to check for anemia, which could indicate bleeding in the colon or rectum. Blood tests may also uncover a high white blood cell count, which is a sign of inflammation somewhere in the body. By testing a stool sample, the doctor can detect bleeding or infection in the colon or rectum.
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What Are Stomach Ulcers
There are two kinds of stomach ulcers: gastric ulcers and duodenal ulcers. Gastric ulcers are sores on the lining of your stomach. Duodenal ulcers are sores on the upper section of your small intestine.
Your body creates a protective layer of mucus to shield the linings of your stomach and small intestine from the harsh stomach acid required to break down food. When the mucus layer is worn away or doesnt function properly, the acid begins to damage the lining of the stomach or small intestine, creating an ulcer. Many people believe spicy foods or stress cause ulcers, but while these can exacerbate existing ulcers, they dont actually cause them.
Ulcers are usually caused by an infection from a common bacteria called helicobacter pylori or from the habitual use of nonsteroidal anti-inflammatory drugs, such as aspirin. Other factors, such as being older than age 50, smoking, genetics, steroid use, and frequent alcohol use, can increase your risk of developing an ulcer.
Can I Get Surgery For My Ulcerative Colitis
Surgery is an option if medications arent working or you have complications, such as bleeding or abnormal growths. You might develop precancerous lesions, or growths that can turn into colorectal cancer. A doctor can remove these lesions with surgery or during a colonoscopy.
Research shows that about 30% of people with ulcerative colitis need surgery sometime during their life. About 20% of children with ulcerative colitis will need surgery during their childhood years.
There are two kinds of surgery for ulcerative colitis:
Proctocolectomy and ileoanal pouch
The proctocolectomy and ileoanal pouch is the most common procedure for ulcerative colitis. This procedure typically requires more than one surgery, and there are several ways to do it. First, your surgeon does a proctocolectomy a procedure that removes your colon and rectum. Then the surgeon forms an ileoanal pouch to create a new rectum. While your body and newly made pouch is healing, your surgeon may perform a temporary ileostomy at the same time. This creates an opening in your lower belly. Your small intestines attach to the stoma, which looks like a small piece of pink skin on your belly.
After you heal, waste from your small intestines comes out through the stoma and into an attached bag called an ostomy bag. The small bag lies flat on the outside of your body, below your beltline. Youll need to wear the bag at all times to collect waste. Youll have to change the bag frequently throughout the day.
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Is Colon Cancer A Concern
About 5 percent of people with ulcerative colitis develop colon cancer. The risk of cancer increases with the duration and the extent of involvement of the colon. For example, if only the lower colon and rectum are involved, the risk of cancer is no higher than normal. However, if the entire colon is involved, the risk of cancer may be as much as 32 times the normal rate.
Sometimes precancerous changes occur in the cells lining the colon. These changes are called dysplasia. People who have dysplasia are more likely to develop cancer than those who do not. Doctors look for signs of dysplasia when doing a colonoscopy or sigmoidoscopy and when examining tissue removed during the test.
According to the 2002 updated guidelines for colon cancer screening, people who have had IBD throughout their colon for at least 8 years and those who have had IBD in only the left colon for 12 to 15 years should have a colonoscopy with biopsies every 1 to 2 years to check for dysplasia. Such screening has not been proven to reduce the risk of colon cancer, but it may help identify cancer early should it develop. These guidelines were produced by an independent expert panel and endorsed by numerous organizations, including the American Cancer Society, the American College of Gastroenterology, the American Society of Colon and Rectal Surgeons, and the Crohns & Colitis Foundation of America Inc., among others.For More Information
What Are The Symptoms Of A Peptic Ulcer
Youâll most likely feel a burning pain or discomfort between your belly button and breastbone. You might especially notice it on an empty stomach — such as between meals or at night. The pain may stop for a little while if you eat or take an antacid, but then return. The pain can last for a few minutes or a few hours, and may come and go for many days or weeks.
Other symptoms may include:
Small ulcers may not cause any symptoms. But if you notice any of these signs, talk to your doctor.
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Could I Have An Ulcer And Not Know It
Around 25 million people will have a stomach ulcer in their lifetime, according to the Centers for Disease Control and Prevention. Despite their prevalence, the symptoms of an ulcer can frequently be mistaken for other conditions, like heartburnand some people may not show any signs at all. Its also unlikely that stress or your diet is the culprit. If youre concerned that your stomach pain could be something more serious, read on to find out the causes, proper treatment and prevention methods for peptic ulcers.
How Do Nonsteroidal Anti
NSAIDS are a type of medication used often for headaches, period pains, and other pains. They can also help reduce fever and inflammation. Examples include aspirin and ibuprofen. Many NSAIDs are available without a prescription.
They lower the stomachs ability to make a protective layer of mucus. This it more susceptible to damage by stomach acid. NSAIDs can also affect the flow of blood to the stomach, reducing the bodys ability to repair cells.
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How Common Is It
If you have UC and experiencing diarrhea, youre not alone.
According to the Crohns & Colitis Foundation of America, about 907,000 people are currently living with UC in the United States. Among them:
- 48 percent are in remission
- 30 percent have mild disease activity
- 20 percent have moderate disease activity
- 1 to 2 percent have severe disease
During a flare-up, a person with UC may experience more frequent bowel movements. They may find their stools to be loose and very watery.
According to Crohns and Colitis Canada, people who have extensive inflammation of the colon are more likely to have:
- persistent diarrhea and urgency
What Is The Difference Between Peptic Ulcers Gerd And Gastritis
Peptic ulcers are holes or lesions that form due to too much acid. GERD, which stands for gastroesophageal reflux disease, occurs when a persons stomach acid repeatedly backs up into the esophagus. Gastritis is a group of conditions that cause inflammation in the stomach. While all of these conditions affect the stomach, they are not the same and require different treatments.
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What To Do If You Have Diarrhea Or Stomach Ulcer Disease
The interactions between Helicobacter, Campylobacter and the immune system
Campylobacters are a group of bacteria that are the most common cause of diarrhea worldwide. Under this group is the Helicobacter group of bacteria that causes peptic ulcer disease and gastritis. Among the campylobacters that are important are the campylobacter jejuni and campylobacter coli.
The infection process entails two factors, one for bacterial which accounts for the number of bacteria that can affect the person which is very low from 500-600 and another for the persons immune system status. People on steroids, with cancer or in chemotherapy and people with Human Immunodeficiency Virus or HIV have persistent and severe infections.
The bacteria are widely carried by animals such as birds, pigs, cattle and sheep but the most common are from the chicken. Raw meat is the most common contaminant which could bring the infection. Animals in contact with drinking water can also bring the infection if the water is not chlorinated. A number of infections were also seen in unpasteurized milk. Person to person transmission was also noted through contact with a sick person not observing hygienic processes or not washing hands.
The stomachs acidity fights off the bacteria so that drinking water which dilutes the stomach or consumption of milk which lowers the acidity can make one susceptible to infection by not being able to fight off the bacteria.
Period of Sickness