Do I Have An Ulcer

How Do You Know If You Have A Stomach Ulcer

If you have a stomach ulcer, you may have:

• Burning/dull pain or gnawing pain in the center of your tummy
• Pain that worsens between meals
• Vomiting in the middle of the night

Visit the doctor/gastroenterologist if you

• Vomit blood that is bright red or dark brown
• Are passing dark, sticky, tar-like poo
• Have sudden, sharp pain in your tummy that gets worse steadily
• These could be the signs of internal bleeding, and this can be fatal.

Could I Have An Ulcer And Not Know It

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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 I Know If I Have An Ulcer

Describing your symptoms may lead your doctor to suspect that you have a peptic ulcer, but it wonât likely help determine the type, because the symptoms of stomach and duodenal ulcers are so similar. The doctor will do tests like these to figure out which specific type of ulcer you have:

• Endoscopy. This is the most accurate diagnostic test to diagnose a peptic ulcer. The doctor puts a flexible tube down your throat to see inside your esophagus , stomach, and duodenum. This allows the doctor to see the cause of bleeding and test for any bacterial infection. During this exam, your doctor may also do a biopsy to check for cancer.
• Barium swallow. If you canât have an endoscopy, this test, also called an upper GI series of X-rays, can help your doctor identify and locate the ulcer and determine its type and severity. The test requires you to drink a âbarium milkshake,â which has a liquid that will show up on an X-ray. They may ask you to eat only bland, easy-to-digest foods for 2-3 days before the test. After drinking the chalky liquid, you lie down on a tilting exam table. This evenly spreads the barium around your upper digestive tract and lets the X-ray take pictures at different angles.

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What Is The Treatment For Peptic Ulcers

The choice of treatment depends on whether or not the ulcer is caused by infection with H pylori. Correct diagnosis is key to whether a treatment works or not. If the bacteria are the cause, treatment focuses on killing the infection. Regardless of whether the bacteria are the cause, reducing acid in the stomach is another important focus of treatment.

The following treatments are recommended for ulcers:

• Lifestyle changes: Quit smoking, avoid alcohol, aspirin, and NSAIDs
• Acid-blocking medications
• Medications that protect the lining of the stomach and duodenum
• “Triple-therapy” or “dual-therapy” regimens for ulcers caused by H pylori

No single medication works to get rid of H pylori infection. Two combinations have been found that work well in most people.

These treatments are generally given for two weeks.

Once H pylori bacteria are eradicated from a person’s digestive tract, usually it will not come back. The ulcers usually heal completely and do not return.

Treatment for bleeding ulcers depends on the severity of blood loss and includes:

It is important to remember that treatment may not work if the diagnosis is not correct. If the doctor diagnoses an ulcer, it is important to determine whether the ulcer is caused by infection with H pylori.

Complications Of Peptic Ulcers

Left untreated, peptic ulcers can result in severe complications and emergencies.

• Internal bleeding You can have bleeding in your stomach, esophagus, or duodenum when the ulcer opens a blood vessel. Ulcers can cause bleeding that occurs slowly over time or quickly, possibly resulting in hemorrhaging that can be life-threatening due to shock. Sometimes you may not notice a bleeding ulcer until you become anemic, a condition in which your body lacks red blood cells because of inadequate iron. This occurs when ulcers cause chronic, low-grade blood loss.
• A hole, or perforation, in the stomach wall You can develop a perforated ulcer, which means it has eaten through your stomach or intestinal wall.
• Obstruction This is when you have swelling or scarring related to your ulcer that is preventing your food from being digested properly.

The signs that you are having an ulcer emergency are:

• Blood in stool
• Mental confusion
• Severe abdominal distension

If you think you or someone you know is having an ulcer emergency, seek immediate medical attention.

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What Causes Mouth Ulcers

The exact cause of mouth ulcers is unknown. But there are several factors that can contribute to the development of these sores:

• Minor tissue injury from dental work, such as having a cavity filled.
• Accidentally biting your cheek or tongue.
• Allergic reaction to certain bacteria.
• Viral, bacterial or fungal infections.

Diagnosis Of A Duodenal Ulcer

To diagnose a duodenal ulcer, your doctor will talk to you and examine you. They will probably also run some tests, which could include:

• a gastroscopy , where a specialist uses a thin, flexible tube with a camera on the end to look inside your stomach and duodenum
• a blood test, stool sample, or breath test to find out if you have a H. pylori in your system

If you have a gastroscopy, the surgeon might take a sample of tissue to test for H. pylori.

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How Are Stomach Ulcers Diagnosed

Diagnosis and treatment will depend on your symptoms and the severity of your ulcer. To diagnose a stomach ulcer, your doctor will review your medical history along with your symptoms and any prescription or over-the-counter medications youre taking.

To rule out H. pylori infection, a blood, stool, or breath test may be ordered. With a breath test, youll be instructed to drink a clear liquid and breathe into a bag, which is then sealed. If H. pylori is present, the breath sample will contain higher-than-normal levels of carbon dioxide.

Other tests and procedures used to diagnose stomach ulcers include:

• Barium swallow: You drink a thick white liquid that coats your upper gastrointestinal tract and helps your doctor see your stomach and small intestine on X-rays.
• Endoscopy : A thin, lighted tube is inserted through your mouth and into the stomach and the first part of the small intestine. This test is used to look for ulcers, bleeding, and any tissue that looks abnormal.
• Endoscopic biopsy: A piece of stomach tissue is removed so it can be analyzed in a lab.

Presence Of Blood In Stool

When the person uses the toilet, he may experience and be surprised with the presence of a blood in the stool discharge. It is one of the most well-known symptoms of a bleeding ulcer.

If the person goes for a long call of nature and notices dark red traces of blood in the feces, he should seek medical assistance. Blood traces in the stool of a given individual is reasonable enough to believe that he may be experiencing a problem of bleeding ulcers within the digestive track.

It is important to note that blood in the stool is an indicative sign and symptom of internal bleeding ulcers that needs to be confirmed through examinations by a medical professional.

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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
• Blood in your stools
• 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.

What Happens After Treatment

A repeat gastroscopy is usually advised a few weeks after treatment has finished. This is mainly to check that the ulcer has healed. It is also to be doubly certain that the ulcer was not due to stomach cancer. If your ulcer was caused by H. pylori then a test is advised to check that the H. pylori infection has gone. This is done at least four weeks after the course of combination therapy has finished.

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Things I Learned About Ulcers

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By Catherine Saint Louis

Halfway through February, I could no longer sleep through the night. At 2 a.m., Id find myself chugging milk from the carton to extinguish a fire at the top of my rib cage. The gnawing feeling high in my stomach alternated with nausea so arresting I kept a bucket next to my laptop and considered taking a pregnancy test, even though I was 99 percent sure I wasnt expecting.

One day on the subway platform, I doubled over and let out a groan so pathetic it prompted a complete stranger to ask, Are you all right? Then I knew it was time to seek medical attention. New Yorkers dont address strangers on the subway, I told myself.Its like breaking the fourth wall.

The next day, my primary care doctor told me I probably had an ulcer, a raw spot or sore in the lining of the stomach or small intestine. Here are some of the things I learned about ulcers during the odyssey that followed.

Anyone can get an ulcer. Back in the 1980s, when doctors and most everyone else thought psychological stress or spicy foods led to ulcers, two Australian scientists discovered that the main culprit was actually a bacterium called Helicobacter pylori. That discovery eventually won them a Nobel Prize in 2005, and ushered in an era of using antibiotics to cure ulcers.

Prevention Of Peptic Ulcers

Using alternatives to NSAIDs, like acetaminophen, to relieve pain can help prevent peptic ulcers. If you need to use an NSAID, opt for the lowest dose and take it with a meal.

Peptic ulcers caused by infection with Helicobacter pylori are not usually preventable, but good hygiene such as washing your hands thoroughly before eating and after using the bathroom may help limit the spread.

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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:

How Common Are Stomach Ulcers

Stomach ulcers are very common in Western countries. In the United States, there are about 4 million cases per year. Some estimates say that 1 in 10 people will have one at some point in their lives. Thats because many of the causes that contribute to stomach ulcers are common in Western life. Fortunately, these causes are usually easy to trace and to reverse, giving ulcers a chance to heal and your stomach lining a chance to repair.

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Other Stomach Ulcer Symptoms

Search for diverse symptoms of ulcers that sufferers have reported. These symptoms, dont occur for all everybody. There are ample chances that you may not experience any symptoms at all.

• An increase in the measure of gas and burping.
• A feeling of finishing and a feebleness to drink a respectable measure of liquids.
• Being hungry a couple of hours in the wake of eating a dining experience.
• Mild nausea, most essential on first waking in the morning.
• A general feeling of being tired and not feeling incredible.
• Loss of covetousness.

Are There Home Remedies For Mouth Ulcers

There are also several things you can do at home to relieve discomfort associated with oral lesions. Here are some tips for healing a mouth ulcer:

• Use over-the-counter topical anesthetic, such as Orajel or Anbesol®.
• Drink plenty of water.
• Practice good oral hygiene to keep your mouth as clean as possible.
• Rinse your mouth with warm saltwater a few times each day.
• Avoid hot and spicy foods until the ulcer heals.

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What Is A Stomach Ulcer

A stomach ulcer, also called a gastric ulcer, is an open sore that develops in your stomach lining. You can also get one in your duodenum, the first part of the small intestine that your stomach feeds into. Duodenal ulcers and stomach ulcers are both types of peptic ulcers. Theyre named for pepsin, one of the digestive juices that are found in the stomach and that sometimes leak into the duodenum. These juices are a contributing factor in peptic ulcer disease.

Peptic ulcers occur when the protective mucous lining in your stomach and duodenum has been eroded, allowing gastric acids and digestive enzymes to eat away at your stomach and duodenal walls. This eventually results in open sores that are continually irritated by the acid. If left untreated, they can begin to cause serious complications, such as internal bleeding. Over time, they can even wear a hole all the way through. This is a medical emergency.

What Is The Cause Of Peptic Ulcers

When you eat, your stomach produces hydrochloric acid and an enzyme called pepsin to digest the food.

• The food is partially digested in the stomach and then moves on to the duodenum to continue the process.
• Peptic ulcers occur when the acid and enzyme overcome the defense mechanisms of the gastrointestinal tract and erode the mucosal wall.

In the past it was thought that ulcers were caused by lifestyle factors such as eating habits, cigarettesmoking, and stress.

• Now it is understood that people with ulcers have an imbalance between acid and pepsin coupled with the digestive tractâs inability to protect itself from these harsh substances.
• Research done in the 1980s showed that some ulcers are caused by infection with a bacterium named Helicobacter pylori, usually called H pylori.
• Not everyone who gets an ulcer is infected with H pylori. Aspirin and nonsteroidal anti-inflammatory drugs can cause ulcers if taken regularly.

Some types of medical therapy can contribute to ulcer formation. The following factors can weaken the protective mucosal barrier of the stomach increasing the chances of getting an ulcer and slow the healing of existing ulcers.

• Aspirin, nonsteroidal anti-inflammatory drugs , and newer anti-inflammatory medications
• Cigarettesmoking
• Radiation therapy:-used for diseases such as cancer

People who take aspirin or other anti-inflammatory medications are at an increased risk even if they do not have H pylori infection.

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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.

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.

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