Am I At Risk For Esophageal Cancer
There are two main types of esophageal cancer: squamous cell cancer and adenocarcinoma of the esophagus. Squamous cell cancers occur most commonly in individuals who smoke cigarettes, use tobacco products and drink alcohol. In addition, African Americans are also at increased risk of developing this type of cancer. This cancer is also very common in many areas in Asia. The frequency of squamous cell cancer of the esophagus in the United States has remained the same. Another cancer, adenocarcinoma of the esophagus, occurs most commonly in people with GERD. It is also very common in Caucasian males with increased body weight. Adenocarcinoma of the esophagus is increasing in frequency in the United States.
The most common symptom of GERD is heartburn, a condition that 20 percent of American adults experience at least twice a week. Although these individuals are at increased risk of developing esophageal cancer, the vast majority of them will never develop it. In a few patients with GERD , a change in the lining of the esophagus develops near the area where the esophagus and stomach join. When this happens, the condition is called Barretts esophagus. Doctors believe that most cases of adenocarcinoma of the esophagus begin in Barretts esophagus.
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.
Causes Of Gastrointestinal Bleeding In The Esophagus
Bleeding in the esophagus has several possible causes. Since some bleeds can be large and fatal, it’s very important that you be evaluated by a healthcare provider for any gastrointestinal bleeding. And if you have any of the symptoms of acute GI bleeding, you should seek emergency treatment immediately. It’s also important to know the symptoms of chronic GI bleeding and to see your healthcare provider if you experience them.
What Are The Treatment Options For Esophageal Ulcers
Before treating an esophageal ulcer, it is important for the doctor to know what caused it. In most cases, esophageal ulcers are treated with drugs, while on rare occasions surgery is needed. Sometimes these ulcers, like peptic ulcers, are caused by gastroesophageal reflux disease . Generally, there are two types of drugs that are used to treat esophageal ulcers in that case-drugs that fight bacteria and those that control acid. These drugs include:
- Antibiotics, which fight the H. pylori bacteria that may be responsible for the ulcer.
- Antacids, which neutralize the stomach’s acidity, allowing for faster ulcer healing and reducing the painful symptoms of esophageal ulcers.
- Proton pump inhibitors, which shut down the stomach acid “”pumps.””
- Acid blockers, which decrease the amount of acid in the affected area.
Stomach surgery may also be used to prevent acid from backing up from the stomach into the esophagus.
An esophageal ulcer may also be a rare side effect from drugs like used to treat cancer or HIV infection. In this case the doctor will have to decide whether to try a different drug so the ulcer can heal. Surgery may be required if the ulcer does not heal on its own, but this is not typical.
Hiatus Hernia And Heartburn
A hiatus hernia itself rarely has any noticeable symptoms. However, it can cause a problem called gastro-oesophageal reflux disease .
GORD is where stomach acid leaks into the oesophagus . It can occur if a hiatus hernia prevents the valve at the bottom of the oesophagus from working properly.
Your oesophagus can become severely irritated, because it’s not protected against stomach acid. This can cause symptoms such as heartburn, chest pain, an unpleasant sour taste in your mouth, and swallowing problems .
You should see your GP if you have frequent and severe symptoms of GORD.
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Complications Of Hiatus Hernia
Complications from a hiatus hernia are rare, but they can be serious.
Hiatus hernias that slide in and out of the chest area can cause gastro-oesophageal reflux disease . This is where stomach acid leaks into the oesophagus . This can damage the oesophagus, increasing the risk of the problems described below.
When Should I Call My Healthcare Provider
See your healthcare provider right away if you have any of these symptoms:
- Vomiting blood or dark material that looks like coffee grounds
- Extreme weakness or dizziness
- Nausea or vomiting that doesnt get better, or gets worse
- A sudden, severe pain that may spread to your back
- Losing weight without even trying
Untreated peptic ulcers may cause other health problems. Sometimes they bleed. If they become too deep, they can break through your stomach.
Ulcers can also keep food from going through your stomach.
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How Are Esophageal Ulcers Caused
The main causes of esophageal ulcers are:
Exposure to stomach acid: This causes chronic inflammation and irritation of the esophagus, allowing ulcers to develop. Stomach acid exposure most often occurs in people with other gastrointestinal conditions. These can include hiatal hernias and GERD, or gastrointestinal reflux disease, more commonly referred to, as severe heartburn.
Caustic injury: Esophageal ulcers may be caused by ingesting a corrosive substance. This type of injury mostly affects children, but it can also occur in adults who experience psychosis, suicidal tendencies, or who are abusing alcohol.
Certain types of gastric surgery or foreign bodies can also cause esophageal ulcers.
Early intervention is key to preventing complications from esophageal ulcers.
In cases of acid reflux, treatment may include:
- Medication, such as antacids, H-2-receptor blockers, and proton pump inhibitors .
- Dietary and lifestyle changes, to aid digestion.
- Surgery, for severe cases. Types of surgeries include to tighten the LES valve near the top of the stomach or to insert a magnetic device to help the LES valve function.
Eat Broccoli If You Have Ulcers
Another best natural food to eat if you have ulcers is broccoli. It contains sulforaphane, a compound that exhibits anti-H. Pylori activity.
It also help prevent cancer, diabetes, blood pressure, obesity, and helps in weight loss.
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How Soon After Treatment Will I Feel Better
If you take all medicines as prescribed and avoid irritating the ulcer with NSAIDs, alcohol or smoking, your ulcer should heal well within a few weeks. Surgical cases may take a few weeks more. Your healthcare provider will follow up with you at the end of your course of medication to make sure the ulcer has healed and any infection has cleared. They will probably take follow-up tests, including an upper endoscopy to look at the site of the ulcer and tests for H. pylori, if you had it, to make sure the infection is gone.
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How Is A Peptic Ulcer Treated
Some peptic ulcers heal on their own. But if you donât treat them, the ulcers tend to come back.
They can erode the blood vessel wall in your stomach or small intestine. The ulcers also can eat a hole through the lining and get infected. Or they can cause swelling, which may block food from moving from your stomach into your small intestine.
If H. pylori is the culprit, your doctor may prescribe a mix of antibiotics to kill it. If aspirin and other NSAIDs are behind the ulcer, you may need to cut down on them, stop taking them altogether, or switch to another pain reliever.
Your doctor may also give you antacids to fight stomach acid, or prescribe medicine to lessen the acid your body makes. Prescription drugs called cytoprotective agents can help protect the lining of the stomach or small intestine so the ulcer can heal.
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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.
What To Do About Throat Ulcers
Throat ulcers are potentially life-threatening, so it is critical to get treatment for them. An ulcer can swell and close the throat, making it difficult to breathe. Your doctor will want to deal with the underlying condition causing the ulcer, as well as treat the open wound. For many patients, that will mean finding ways to manage acid reflux.It will start with lifestyle changes. What you eat is a primary concern. Certain foods tend to trigger an episode.
- Acidic foods like tomato sauce
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Fast Facts On Throat Ulcers:
- Treatment and management of throat ulcers will depend on what is causing them.
- Prognosis is typically good, especially for those who take their medications and follow their recommended diets.
- The pain caused by the ulcers can lead to a range of symptoms, such as difficulty eating, drinking, chewing, swallowing, or talking.
In the first instance, doctors will do a physical exam and evaluate a persons symptoms. They may then need to take throat cultures, using mouth swabs. Sometimes blood tests and urine tests may be required.
However, diagnosis of throat ulcers will depend on the suspected cause of the condition and may include:
Ulcers found in the throat may be related to or caused by:
- certain chemotherapy or radiation treatments for cancer
- bacterial infections
- fungal infections such as thrush, which is a yeast infection caused by Candida albicans
- viral infections, such as herpangina , and hand, foot and mouth disease, which are caused by Coxsackie A virus.
- conditions such as Behçets syndrome, which is an inflammatory disease that causes ulcers to form in the mouth, genitals, and other areas of the body
Ulcers found in the esophagus may be related to or caused by conditions such as:
Ulcers or granulomas found on the voice box may be related to or caused by conditions such as:
In some cases, simple lifestyle modifications may be all that is necessary, and these will be discussed in the section below.
Treatment of throat ulcers may include:
What To Eat If You Have A Stomach Ulcer
Since H. pylori bacteria is now known to be an important cause of ulcer formation, scientists are exploring what foods may have a role in fighting against an infection.
In addition to taking the antibiotics and acid-blocking medications recommended by your doctor for your ulcer treatment, eating these foods may also be helpful against the ulcer-causing bacteria:
for ulcer treatment. These foods, such as miso, sauerkraut, and kimchi, may prevent reinfection.
Turmeric is currently being studied as a potential treatment for ulcers as well.
Garlic, decaffeinated green tea, and licorice round out the list of things you might want to incorporate in your diet.
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What Causes A Peptic Ulcer
Causes of peptic ulcers include
- long-term use of nonsteroidal anti-inflammatory drugs , such as aspirin and ibuprofen
- an infection with the bacteria Helicobacter pylori
- rare cancerous and noncancerous tumors in the stomach, duodenum, or pancreasknown as Zollinger-Ellison syndrome
Sometimes peptic ulcers are caused by both NSAIDs and H. pylori.
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What Should I Do If I Suspect Indigestion Or A Stomach Ulcer
The first step you should take if you think you may have chronic indigestion or a stomach ulcer is make an appointment with Prima Medicine. Our goal is to provide you with relief from the unpleasant symptoms that both conditions can cause as well as keep you healthy by working to prevent further complications.
To arrive at a diagnosis, your Prima Medicine team member will evaluate your medical history and symptoms and conduct a comprehensive physical exam. Your provider may also order a stool test, breath test, and blood work.
Your provider may also order an endoscopy, in which a flexible tube is inserted through your throat, down your esophagus, and into your stomach to take images and samples. Once your diagnosis is confirmed, your Prima Medicine provider will work with you to create a customized plan to treat your indigestion or ulcer issues.
If youre suffering from chronic indigestion or the symptoms of a stomach ulcer, we can help get you well. To learn more, book an appointment online or over the phone with Prima Medicine today. We can also schedule telehealth appointments.
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Diet For Esophageal Ulcer
Although, there is no strict diet for esophageal ulcer but one should have food which minimizes the acid reflux in the body and this might be helpful to manage the symptoms. One should always consult a doctor when in doubt about planning the diet if suffering from esophageal ulcer. Researches show that a high fiber diet can help in prevention of esophageal ulcers. A very high fiber content diet decreases the possibility of getting infected from esophageal ulcer tremendously. Foods that have a very high content of soluble fiber include oats, legumes, barley, flax seeds, nuts, and some vegetables and fruits, like apples, oranges and carrots help in prevention of inflammation of the gastric tract.
Research has shown that Vitamin A promotes the secretion of mucus inside the gastrointestinal tract. Impaired defense of the mucosal membrane help the ulcers to grow. Hence, vitamin A may help in protecting the esophagus from developing ulcer disease. The good sources of Vitamin A include carrots, sweet potatoes, liver, broccoli, spinach, kale and collard greens.
What Foods Should I Avoid When Dealing With Stomach Ulcers
People every day who are suffering with gut issues have a hard time deciding what they should and should not eat. This can be extremely difficult if you are suffering from health issues such as a stomach ulcer. A stomach ulcer is an open sore on the lining of the stomach. It can cause stomach pain or an upset stomach and it can also lead to internal bleeding.
The foods you eat have a huge impact on your health and how you feel, more so when you have a stomach ulcer. By eating certain foods you can irritate the ulcer and make yourself feel worse, but by eating the right foods you can help reduce your symptoms and even promote healing.
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Contraindications And Use In Pregnancy
BPP may cause upper GI disorders such as dysphagia, esophagitis, and esophageal or gastric ulcer. Oral BPP should not be used in patients with serious esophageal disease. Other contraindications include hypocalcemia, renal insufficiency, osteomalacia, and hypersensitivity to any component of the product.5,912
Risedronate and alendronate are classified as pregnancy category C. At least two of the parenteral BPP, pamidronate and zolendronic acid, are rated pregnancy category D.5 Regarding the oral formulations, there is a theoretical risk of fetal harm, predominantly skeletal, if a woman becomes pregnant during or relatively soon after completing a course of a BPP.9 BPP should be avoided during pregnancy and lactation, and used only when the potential benefit justifies the potential risk to both mother and fetus. A pharmacovigilance study performed in England that involved 11 916 patients reported 2 pregnancies associated with alendronate therapy: in one patient the drug was taken during the first trimester, and in the other it was stopped 2 months before conception. In both cases, the mother and baby were normal.16
A recent systematic search on the risks and safety of BPP revealed 51 cases of exposure to BPP before or during pregnancy . None of them described any skeletal abnormalities or other congenital malformations in the infants.17
Eat Blueberries If You Have Ulcers
This type of berry is rich in antioxidants and anti-inflammatory properties. For that matter, it boosts your bodys immune system to fight against disease infections.
Actually, blueberries has advance health benefits including neutralizing your stomach acids and helps reduce heartburn.
Studies show that eating blueberries may help prevent the risk of developing stomach ulcers,heartburn and stomach cancer.
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Eat Cabbage If You Have Ulcers
It is one of the best natural food to eat if you have ulcers.
Cabbage is rich in antioxidant that helps boost body immune system.
The antioxidant properties present in cabbage help fight off H. pylori the ulcer-causing bacteria infection.
Cabbage is also high in fiber and con promotes gut bacteria that help in digestion and prevent leaky gut.
Therefore eating cabbage can help you reduce stomach ulcers and prevent other chronic diseases such as stomach cancer.
Studies show that eating cabbage improves digestive system and it is also rich in mineral and vitamins that helps in boosting your immune system.