Tuesday, September 27, 2022

Could I Have A Stomach Ulcer

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Are you looking for ulcer diet recommendations? Before incorporating new foods into your diet, get tested for Helicobacter pylori . More than half of all people carry this bacteria that causes peptic ulcers and chronic gastritis. Itâs the most common infection worldwide, contributing to many diseases of the gastrointestinal tract.

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Fruits, vegetables, honey, tea and probiotic foods, such as yogurt and kefir, may help eradicate H. pylori infection and prevent complications.

Make sure you also eat plenty of nuts, fatty fish and olive oil, which are loaded with omega-3s. These healthy fats inhibit bacteria growth and support digestive function.

How Are Peptic Ulcers Diagnosed

Your healthcare provider will look at your past health and give you a physical exam. You may also have some tests.

Imaging tests used to diagnose ulcers include:

  • Upper GI series or barium swallow. This test looks at the organs of the top part of your digestive system. It checks your food pipe , stomach, and the first part of the small intestine . You will swallow a metallic fluid called barium. Barium coats the organs so that they can be seen on an X-ray.
  • Upper endoscopy or EGD . This test looks at the lining of your esophagus, stomach, and duodenum. It uses a thin lighted tube called an endoscope. The tube has a camera at one end. The tube is put into your mouth and throat. Then it goes into your esophagus, stomach, and duodenum. Your health care provider can see the inside of these organs. A small tissue sample can be taken. This can be checked for H. pylori.

You may also have the following lab tests to see if you have an H. pylori infection:

What Is The Best Alcohol To Drink With A Stomach Ulcer

Moreover, they asked about their drinking habits, and how often they smoked and drank coffee. In fact, the results suggest a possible protection against H if moderate amounts of alcohol are consumed. According to the study in The American Journal of Gastroenterology, the patients were infected with H. pylori.

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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.

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How Can My Doctor Diagnose My Stomach Ulcer

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Depending on the availability and cost, following the test, your doctor may ask for

  • Antibody blood test
  • X-ray imaging by swallowing a barium dye
  • Examination by inserting a thin tube, which has a light and camera attached to it, through the incision made onto the stomach
  • A piece of stomach tissue removed by endoscopy and examined in the laboratory
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    What Causes Stomach Ulcers

    The two most common causes are:

    • H. pylori infection. This common bacterial infection affects up to half of people worldwide. It primarily lives in the stomach. In many people, it doesnt seem to cause problems. Their gut immune systems keep it in check. But a portion of those infected have H. pylori overgrowth. The bacteria continue to multiply, eating into the stomach lining and causing chronic inflammation and peptic ulcer disease. H. pylori infection is associated with about 60% of duodenal ulcers and 40% of gastric ulcers.
    • Overuse of NSAIDs. NSAID stands for non-steroidal anti-inflammatory drug.” These include common over-the-counter pain relief medications such as ibuprofen, naproxen and aspirin. NSAIDs contribute to ulcers in several ways. They irritate the stomach lining on contact and repress some of the chemicals that defend and repair the mucous lining. Up to 30% of people who take NSAIDs regularly develop peptic ulcers. Up to 50% of all peptic ulcers are caused by the overuse of NSAIDs.

    Less common causes of stomach ulcers include:

    • Zollinger-Ellison Syndrome. This is a rare condition that causes your stomach to produce too much gastric acid.
    • Severe physiological stress. Severe illness, burns or injuries can produce stress ulcers in the stomach. Physiological stress changes your bodys PH balance, increasing stomach acid. Stress ulcers develop very quickly in response to stress, unlike normal stomach ulcers that develop gradually.

    How Can You Help Prevent An Ulcer

    Dr. Simpson advises, “First you shouldn’t try to treat an ulcer on your own. If you think you have one see your doctor, and you should undergo a test called an endoscopy where they look into your stomach to see if you have a problem. When they look in your stomach they will take a biopsy to see if you have the bacteria, and if you have it they will use antibiotics to treat it. Drinking more than two drinks a day can also cause an ulcer, by disrupting the mucosa of the stomach.”

    According to Dr. Lalezari, “As always an ounce of prevention is better than a gallon of cure so it’s best to follow a healthy diet full of fruits and vegetables and a diet high in healthy fiber to prevent ulcer disease. Avoiding prolonged use of NSAIDS, and smoking will also help prevent ulcers from forming. Lastly, taking a few minutes each day to meditate and exercise can help decrease stress levels and help prevent a pesky ulcer from developing.”

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    Which Foods Should You Eat

    The cornerstone of successful management of ulcers is not about avoiding specific foods, says Walters. More important are simple lifestyle changes that include balanced, healthy eating, weight reduction, decreased alcohol consumption and smoking cessation, she says.

    These are Walterss top tips for ulcer management:

  • Eat a balanced diet. Choose a variety of foods from each food group, especially fibre-rich fruits, vegetables and whole grains. Include yoghurt too.
  • Fill-up on fibre. Fibre may play a role in preventing the formation or recurrence of ulcers. Foods high in soluble fibre, e.g. oats, apples and legumes, seem to be the most effective. Vitamin A-rich foods such as carrots, leafy greens and butternut may also be protective.
  • Eat small, more frequent meals. Plan for four to five small meals per day instead of two to three large meals. Plus, avoid eating just before going to sleep as this delays gastric emptying and exacerbates symptoms.
  • Chew more. Digestion starts in your mouth. Chewing thoroughly helps with the needed breakdown of nutrients.
  • Get moving. Even stretching and walking promote good digestive health.
  • Make lifestyle changes. Limiting stress aids in decreasing the over-production of stomach acid, while daily exercise and drinking sufficient water can assist with gastric emptying. And quit smoking immediately as it increases ulcer perforation!
  • Away with alcohol. Excessive use of alcohol may cause irritation and erosion to the stomach lining, so dont indulge.
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    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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    Who Is More Likely To Get Ulcers

    One in 10 people develops an ulcer. Risk factors that make ulcers more likely include:

    • Frequent use of nonsteroidal anti-inflammatory drugs , a group of common pain relievers that includes ibuprofen .
    • A family history of ulcers.
    • Illness such as liver, kidney or lung disease.
    • Regularly drinking alcohol.

    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
    • Vomiting blood

    Peptic ulcer symptoms may look like other health problems. Always see your healthcare provider to be sure.

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    What Are Some Ulcer Symptoms

    Some people with ulcers dont experience any symptoms. But signs of an ulcer can include:

    • Gnawing or burning pain in your middle or upper stomach between meals or at night.
    • Pain that temporarily disappears if you eat something or take an antacid.

    In severe cases, symptoms can include:

    • Dark or black stool .
    • Severe pain in your mid- to upper abdomen.

    Fast Facts On Stomach Ulcers

    Ulcer No More
    • Stomach ulcers are common in the West and easy to treat but can become serious.
    • The most common causes are bacteria and use of nonsteroidal anti-inflammatory drugs .
    • The classic symptom of a stomach ulcer is indigestion.
    • Treatment for stomach ulcers normally focuses on removing the cause.

    The classic symptom of a stomach ulcer is indigestion, also called dyspepsia.

    Indigestion causes pain or discomfort in the stomach area. This symptom can be mistaken for heartburn, which can occur at the same time.

    Acid reflux or gastroesophageal reflux disease may cause heartburn. It occurs slightly higher up from the stomach, and people will feel it in the lower part of the chest.

    Stomach ulcer symptoms tend to be more distinct than heartburn, but symptoms can still be vague.

    An ulcer also tends to produce a burning or dull pain in the center of the abdomen. People sometimes describe the pain as a biting or gnawing pain. Some individuals may describe a hungry sensation.

    Individuals may also be able to relieve pain by eating, drinking, or taking antacids.

    Some stomach ulcers go unnoticed and show no typical indigestion-type pains. These ulcers are less common, and doctors tend them after they have started bleeding.

    Some ulcers can cause a hole in the stomach wall. Health experts call this perforation, which is a severe condition.

    Stomach ulcer symptoms often change over time and can be difficult to spot.

    Dietary changes can help prevent stomach ulcers from developing.

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    What If I Still Need To Take Nsaids

    If you take NSAIDs for other conditions, such as arthritis, you should talk with your doctor about the benefits and risks of using NSAIDs. Your doctor can help you determine how to continue using an NSAID safely after your peptic ulcer symptoms go away. Your doctor may prescribe a medicine used to prevent NSAID-induced ulcers called Misoprosotol.

    Tell your doctor about all the prescription and over-the-counter medicines you take. Your doctor can then decide if you may safely take NSAIDs or if you should switch to a different medicine. In either case, your doctor may prescribe a PPI or histamine receptor blocker to protect the lining of your stomach and duodenum.

    If you need NSAIDs, you can reduce the chance of a peptic ulcer returning by

    • taking the NSAID with a meal
    • using the lowest effective dose possible
    • avoiding alcohol

    What Is Best Treatment For Stomach/duodenal Ulcers

    There are several ways to treat stomach and duodenal ulcers. One of the most common causes of stomach ulcers is Helicobacter pylori.

    This bacterium is more prevalent in some populations than others. But even in people who have antibodies to H. pylori, the bacteria can cause ulcers.

    This is because H. pylori can live in the stomach without causing an ulcer, but it can also cause ulcers in the small intestine.

    However, there is no definitive test to tell if someone is infected, and treatment can be both time-consuming and expensive.

    There are many different types of ulcers, and many different ways to treat them. Ulcers can be mild and can go away on their own, or they can be more severe and require medical help.

    Luckily, there are a number of ways to help treat stomach and duodenal ulcer. Treatments include taking antacids , avoiding foods that cause stomach pain, and even surgery.

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    Signs That You May Have A Stomach Ulcer

    A number of symptoms are associated with stomach ulcers, says the website Healthline. The severity of the symptoms depends on the severity of the ulcer. The most common symptom is a burning sensation or pain in the middle of your abdomen between your chest and belly button. Typically, the pain is more intense when your stomach is empty, can last for a few minutes to several hours, and comes and goes for several days, weeks or months.

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    Stomach ulcer pain usually begins in the upper middle part of the abdomen, above the belly button and below the breastbone. The pain may feel like burning or gnawing that may go through to the back. The onset of the pain may occur several hours after a meal when the stomach is empty. Patients have reported paint to be worse at night as opposed to the morning. Pain duration may vary from a few minutes to several hours. Pain may be relieved by foods, antacids or vomiting.

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    What Tests Are There For A Stomach Ulcer

    If your doctor thinks you may have a stomach ulcer, the initial tests will include some blood tests. These tests will help to check whether you have become anaemic because of any bleeding from the ulcer. The blood test will also check to see that your liver and pancreas are working properly.

    The main tests that are then used to diagnose a stomach ulcer are as follows:

    • A test to detect the H. pylori germ is usually done if you have a stomach ulcer. The H. pylori bacterium can be detected in a sample of stool , or in a ‘breath test’, or from a blood test, or from a biopsy sample taken during a gastroscopy. See the separate leaflet called Helicobacter Pylori for more details.
    • Gastroscopy is the test that can confirm a stomach ulcer. Gastroscopy is usually done as an outpatient ‘day case’. You may be given a sedative to help you to relax. In this test, a doctor looks inside your stomach by passing a thin, flexible telescope down your gullet . The doctor will then be able to see any inflammation or ulcers in your stomach.
    • Small samples are usually taken of the tissue in and around the ulcer during gastroscopy. These are sent to the laboratory to be looked at under the microscope. This is important because some ulcers are caused by stomach cancer. However, most stomach ulcers are not caused by cancer.

    What Causes Peptic Ulcers

    Ulcers form when digestive juices damage the walls of the stomach or small intestine. If the mucus layer gets too thin or your stomach makes too much acid, your gut will feel it. The two major causes are:

    • Bacteria. Itâs called Helicobacter pylori , and as many as half of us carry it. Most people infected with H. pylori do not get ulcers. But in others, it can raise the amount of acid, break down the protective mucus layer, and irritate the digestive tract. Experts arenât sure how H. pylori infection spreads. They think it may pass from person to person through close contact, like kissing. You may also get it from unclean food and water.
    • Certain pain relievers. If youâve been taking aspirin often and for a long time, youâre more likely to get a peptic ulcer. The same is true for other nonsteroidal anti-inflammatory drugs . They include ibuprofen and naproxen. NSAIDs block your body from making a chemical that helps protect the inner walls of your stomach and small intestine from stomach acid. Other types of pain meds, such as acetaminophen, wonât lead to peptic ulcers.
    • Smoking cigarettes and drinking alcohol also can make you more likely to get ulcers. Stress and eating a lot of spicy food donât cause ulcers, as experts once thought. But they can make ulcers worse and harder to treat.

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    Peptic Ulcer Disease Can Be Caused By These Factors Sometimes In Combination

  • increased stress
  • an infection caused by the bacterium Helicobacter pylori
  • long-term use of nonsteroidal anti-inflammatory drugs , such as aspirin, ibuprofen or naproxen
  • a rare condition known as Zollinger-Ellison syndrome can cause stomach and intestinal ulcers by increasing the bodys production of acid
  • Gerd Diet: Foods That Help With Acid Reflux

    Health Review : How To Prevent Peptic Ulcers

    Getting a case of acid reflux once in a while isnât unusual, but some people suffer from burning discomfort, bloating and belching almost every time they eat. About 20% of the population has gastroesophageal reflux disease , a chronic acid reflux condition thatâs diagnosed by a doctor.

    Normally, the esophageal sphincter protects the esophagus from stomach acid. However, if the sphincter relaxes, food can push upward through the loosened opening and cause acid reflux.

    âDiet plays a major role in controlling acid reflux symptoms and is the first line of therapy used for people with GERD,â says Ekta Gupta, M.B.B.S., M.D., gastroenterologist with Johns Hopkins Medicine.

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