How Is Peptic Ulcer Disease Diagnosed
Your doctor will do a physical exam. They will ask you questions about your medical history. Tell your doctor if you take aspirin, ibuprofen, or naproxen frequently. Your doctor will look for stomach bloating. They will listen to sounds in your stomach with a stethoscope. Your doctor will tap your stomach to check for pain.
Your doctor may schedule a special procedure to look at your stomach. This is called an endoscopy. For this procedure, youll be given medicine to relax. The medicine may make you fall asleep. The doctor will insert a thin, flexible tube down your throat. A tiny camera on the end of the tube displays the lining of your stomach and duodenum. The doctor may take a sample of your stomach lining . This is done to test for H. pylori. Blood, breath, and stool sample testing can also be used to check for H. pylori.
Indications For Surgery Vs Conservative Management
The nonoperative and endoscopic strategies recommended by the WSES in patients with bleeding peptic ulcer are as follows :
- Nonoperative management as first-line management after endoscopy
- Endoscopic treatment to achieve hemostasis and to help prevent rebleeding, the need for surgery, and mortality
- Administration of pre-endoscopy erythromycin
- Initiation of proton pump inhibitor therapy as soon as possible
- Post successful endoscopic hemostasis, high-dose PPI therapy as a continuous infusion for the first 72hours
- PPI therapy for 6-8weeks following endoscopic treatment
Generally, 5% of bleeding ulcers require operative management at some point. The following are indications for urgent surgery:
- Failure to achieve hemostasis endoscopically
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Natural Remedies For H Pylori
Fortunately, other alternative therapies with less risk of resistance are available. Researchers OMahoney and associates found that certain herbs can kill the H. pylori bacteria. Listed in order of their effectiveness from greatest to least, turmeric, cumin, ginger, borage, black caraway, oregano, and licorice were all found to exert anti H. pylori activity.2 In addition, turmeric, borage, and parsley were also known to inhibit the adherence of H. pylori to the stomach lining. Apigenin, a flavonoid in chamomile, has also been demonstrated in test tubes to inhibit the growth of H. pylori. In vitro studies have found that garlic, as well, can inhibit the growth of some antibiotic-resistant strains of H. pylori. Even though herbs may be the more desirable method of cure, they do not yet prove always effective in eradicating H. pylori.
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How Are Stomach Ulcers Treated
If you have a stomach ulcer, you may be given:
- a combination of antibiotic medicines to eradicate the Helicobacter pylori bacteria if it is present
- medicines that reduce the amount of acid the stomach produces, such as proton pump inhibitors
Some people have one of these treatments, while some have both.
If you have a stomach ulcer that was caused by taking anti-inflammatory medications, do not stop these without talking to your doctor first.
To help manage symptoms, you can also:
- eat plenty of fruit and vegetables, and make sure there is enough iron in your diet
- avoid foods that make symptoms worse, such as fatty meals, alcohol, tomatoes, spicy foods, coffee, chocolate or hot drinks
- lose weight if you are overweight
- take an antacid
How Do Doctors Treat An Nsaid
If NSAIDs are causing your peptic ulcer and you dont have an H. pylori infection, your doctor may tell you to
- stop taking the NSAID
- reduce how much of the NSAID you take
- switch to another medicine that wont cause a peptic ulcer
Your doctor may also prescribe medicines to reduce stomach acid and coat and protect your peptic ulcer. Proton pump inhibitors , histamine receptor blockers, and protectants can help relieve pain and help your ulcer heal.
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When To Seek Medical Advice
Visit your GP if you experience persistent symptoms of a stomach ulcer.
Contact your GP or GP out of hours service immediately, or go to your nearest emergency department, if you develop signs of a serious complication, including:
- vomiting blood the blood can appear bright red or have a dark brown, grainy appearance, similar to coffee grounds
- passing dark, sticky, tar-like stools
- a sudden, sharp pain in your tummy that gets steadily worse
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.
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Where Should I Keep My Medication
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C . Keep container tightly closed. Throw away any unused medication after the expiration date.
NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.
Home Remedies For Managing Stomach Ulcers
Most of the treatments above are short-lived and come with their own set of side effects. Luckily, there are items you probably already have in your kitchen or can easily grab at the grocery store to prevent and manage stubborn stomach ulcers.
- Turmeric:Turmeric and its powerful anti-inflammatory compound curcumin are also becoming a popular at-home method of preventing stomach ulcers. Turmeric has anti-inflammatory and antioxidant properties that may be able to ease the gut and ward off stomach ulcers.
- Ginger:Ginger has long been used as a natural method of relieving gastrointestinal pain and bloating, and it may be able to help tackle stomach ulcers as well. A 2013 reviewsuggests ginger may help with gastric ulcers caused by H. pylori bacteria and help to prevent ulcers caused by NSAIDs. Ginger can be eaten raw in smoothies and other dishes or it can be dehydrated and consumed via capsules.
- Deglycyrrhizinated Licorice:A supplemental form of licorice called deglycyrrhizinated licorice may be able to reduce the risk of stomach ulcers by preventing overgrowth of H. pylori and encouraging the gut to produce more mucin to strengthen the inner lining.
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When Should I Go To Er
Seek emergency care if you have:
- Severe pain that doesnt go away.
- Signs of blood in your poop or bloody vomit.
- Signs of severe blood loss, such as paleness and faintness.
A note from Cleveland Clinic
Stomach ulcers are common and treatable, but they should be taken seriously. Even when they dont cause symptoms, they arent a good sign. A stomach ulcer means that your natural stomach acid is overwhelming your protective stomach lining. Thats a situation that can only get worse if it isnt managed. Lifestyle changes may help, but youll still need to treat the underlying cause. Its probably either NSAID use or a common bacterial infection. Your healthcare provider can help prescribe the right medicines for your condition.
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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Is Your Persistent Stomach Pain An Ulcer
Its normal to have a stomachache every now and then. Maybe you ate something that isnt agreeing with you or youre having a stressful day. These run-of-the-mill pains usually resolve on their own or with basic treatment.
But if you experience daily abdominal pain, or pain that comes and goes frequently, you could have a more serious problem, such as a peptic ulcer.
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Home remedies and supplements, in this case, go hand in hand. Home remedies could provide instant relief from the pain and the symptoms. However, using the supplements on a long term basis could not only cure your stomach ulcer, but it could also promote digestive health, thereby preventing the occurrence of an ulcer.
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What Should I Watch For While Using This Medication
It can take several days before your stomach pain gets better. Check with your care team if your condition does not start to get better, or if it gets worse.
Do not treat diarrhea with over the counter products. Contact your care team if you have diarrhea that lasts more than 2 days or if it is severe and watery.
You may need blood work done while you are taking this medication.
Using this medication for a long time may weaken your bones. The risk of bone fractures may be increased. Talk to your care team about your bone health.
Using this medication for a long time may cause growths in the stomach. They usually don’t cause any symptoms. They are usually not cancerous. Contact your care team if you notice pain or tenderness when you press your stomach, have nausea, or see bloody or black, tar-like stools.
This medication may cause a decrease in vitamin B12. You should make sure that you get enough vitamin B12 while you are taking this medication. Discuss the foods you eat and the vitamins you take with your care team.
How Is An Omental Patch Surgery Performed
Before the surgery
- The surgeon performs the complete physical assessment, and complete blood and radiological analyses before the surgery and takes informed consent from the patient.
During the surgery
- The surgery is performed under general anesthesia.
- Different types of incisions may be used during the surgery, but the upper midline incision is the most popular, which provides good surgical exposure.
- Once the bowel perforation is identified, sponges would be used to prevent further spillage of the stomach/intestinal contents at the perforation site.
- Sutures are placed to prevent the leakage from bringing the margins closer. The greater omentum is then detached from the intestines and stomach.
- Once the omentum is mobilized, it is then lengthened by dividing it according to the anatomic pattern of the vessels.
- The omentum is then transferred to the site required to patch and strengthen the sutured area .
- The applied tension to the sutures should be strong enough to stabilize the omentum in place but loose enough to preserve the omental blood supply. The surgical wound is then closed. A surgical drain may be inserted to drain the accumulated fluid and blood.
- A tube placed through the skin of the abdomen into the midsection of the small intestine may be inserted to provide nutrition postoperatively.
After the surgery
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Why Stomach Ulcers Develop And How To Treat Them
July 5, 2019 By Alex Hirsch
Suffering from stomach ulcers can negatively impact your quality of life. One in 10 people in Western countries will develop stomach ulcers at least once in their life. Understanding why ulcers form can help you take preventive measures to avoid their development.
Stomach ulcers or gastric ulcers occur in the lining of the stomach. Normally, protective mucus in the stomach protects against the very strong stomach acid that breaks down the food you eat. But when the mucus lining the stomach wears away and becomes ineffective against this acid you can develop sores in the wall of your stomach. This is how stomach ulcers form.
There are many things that can lead to the thinning of the mucus lining the stomach.
It is important to note that stomach acid is not the bad guy here. It is essential to digestion. Without it, you would not be able to digest the food that you eat. In addition, stomach acid also protects against bad germs.
Luckily, stomach ulcers are easily cured.
Foods To Eat On The Gastritis Diet:
- Foods that are high in fibre: E.g. fruit, vegetables, whole grains and beans
- Low-fat foods: E.g. turkey mince instead of beef, fish and chicken
- Alkaline foods, low in acidity: Such as bananas and green leafy vegetables
- Still drinks: avoid carbonated drinks like cola and sparkling water as much as possible
- No caffeine: caffeine is known to irritate the stomach lining.
Its also suggested that you eat foods that are high in good protein, like eggs.
In some cases, consuming more probiotics, the good bacteria for your gut, has been proven to help those with gastritis as well, as they combat bad bacteria that can lead to stomach infections.
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Cautions With Other Medicines
Some medicines and pantoprazole can affect each other and make you more likely to have side effects or stop one of the medicines working as well.
Tell your doctor if youre taking any of these medicines before you start pantoprazole treatment:
- medicines that hep to prevent blood clots, such as warfarin
When To Seek Treatment For Mouth Ulcers
If ulcers are interfering with your normal daily activities, or have persisted for 2 weeks, see your dentist or an oral medicine specialist.
In some cases, you may need blood tests if its suspected that you have an underlying deficiency or an inflammatory condition.
If your oral health professional cant determine the cause of your mouth ulcers, or if the ulcers dont respond to the normal treatments, you may need to have a biopsy of part of the ulcer and some of the surrounding tissue. A biopsy is a procedure where a tissue sample is taken for examination and diagnosis.
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How Long To Take It For
If you buy pantoprazole from a pharmacy, you can usually take it for up to 2 weeks.
After 2 weeks:
- if your symptoms have improved, you can take it for another 2 weeks
- if your symptoms have not improved or they are worse, speak to a doctor before taking any more pantoprazole
Do not take pantoprazole for more than 4 weeks without speaking to your doctor first. If your symptoms have not improved, you may need some tests to find out whats causing them.
If you take pantoprazole on prescription, you may only need to take it for a few weeks or months, depending on your condition. Sometimes your doctor may advise you to take it for longer, even for many years.
Some people do not need to take pantoprazole every day and take it only when they have symptoms. Once you feel better , you can stop taking it.
Taking pantoprazole just on days when you have symptoms is not suitable for everyone. Speak to your doctor about whats best for you.
Living With Stomach Ulcers
Stomach ulcers are painful and can significantly affect your quality of life. Coping strategies to help you manage chronic ulcers include:
- Avoid NSAIDs as they can increase your risk of ulcers. Talk with your healthcare provider about which pain medications are safe for you.
- Manage stress, which has been linked with an increased risk of ulcers. Incorporate stress-relieving activities such as mindfulness or yoga into your routine.
- Change your diet and try avoiding foods that can worsen them. A bland diet is safest when you have an ulcer.
- Eat small meals throughout the day instead of three large ones to reduce the pain.
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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.
What About Complicated Ulcers
While most ulcers are successfully treated with medication, some complicated ulcers may require surgery. Ulcers that are bleeding, or that have perforated your stomach or intestinal wall, will need to be surgically repaired. An ulcer that is malignant, or obstructing a passageway, will need to be surgically removed. In severe cases, an ulcer that keeps coming back may be treated by surgery to cut off some of the nerve supply to the stomach that produces stomach acid.
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How To Treat Gastric Ulcer
This article was co-authored by Roy Nattiv, MD and by wikiHow staff writer, Jessica Gibson. Dr. Roy Nattiv is a board-certified Pediatric Gastroenterologist in Los Angeles, California. who specializes in a broad range of pediatric gastrointestinal and nutritional illnesses such as constipation, diarrhea, reflux, food allergies, poor weight gain, SIBO, IBD, and IBS. Dr. Nattiv received his undergrad degree from the University of California, Berkeley, and his medical degree from the Sackler School of Medicine in Tel Aviv, Israel. He completed his pediatric residency at the Childrens Hospital at Montefiore, Albert Einstein College of Medicine in New York, and his fellowship at the University of California, San Francisco . While at UCSF, he was a California Institute of Regenerative Medicine fellowship trainee and was awarded the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Fellow to Faculty Award in Pediatric IBD Research. In addition to his clinical work, Dr. Nattiv is active in the research community and has been published in several high-impact medical journals.There are 13 references cited in this article, which can be found at the bottom of the page. This article has been viewed 25,618 times.