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.
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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.
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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Signs And Symptoms Of Ulcerative Colitis
Health Check Certified By: Dr. Gerald Morris
Ulcerative colitis is an inflammatory bowel disease that, similar to Crohns disease, can cause irritation, inflammation, and ulcers in the large intestine. This chronic disease is a result of the immune systems overactive response, and is unfortunately incurable. People with this condition will struggle with symptoms throughout their entire life. Thankfully, it can be managed with treatment, but the first step is to recognize the symptoms.
Ulcerative colitis isnt typically a fatal disease and the symptoms can vary from person to person with about half of all ulcerative colitis patients experiencing mild symptoms. However the following symptoms can have a major impact on your general health and quality of life
Diagnosis And Treatment Of Peptic Ulcer Disease And H Pylori Infection
Am Fam Physician. 2015 Feb 15 91:236-242.
Patient information: See related handout on H. pylori and stomach ulcers, written by the authors of this article.
Dyspepsia is characterized by epigastric pain, discomfort, or a burning sensation.1 An important cause of dyspepsia is peptic ulcer disease , which includes gastric and duodenal ulcers. Although PUD is most commonly caused by Helicobacter pylori infection or use of nonsteroidal anti-inflammatory drugs , other diagnoses should be considered .
SORT: KEY RECOMMENDATIONS FOR PRACTICE
Use the test-and-treat strategy for patients with dyspepsia who are younger than 55 years and have no alarm symptoms for gastric cancer. Use endoscopy for all other patients.
For patients at low risk of gastrointestinal complications, nonsteroidal anti-inflammatory drugs may be used, whereas cotherapy with a proton pump inhibitor or misoprostol is recommended for patients with moderate risk of ulcer, and they should be avoided in those with a high risk of ulcer.
SORT: KEY RECOMMENDATIONS FOR PRACTICE
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Blast Fatigue With Iron
Ulcerative colitis patients who suffer from frequent flare-ups accompanied by bleeding ulcers and bloody diarrhea risk becoming anemic. Anemia is a condition that results from low hemoglobin or healthy red blood cells .This is why its so common for UC patients to suffer from fatigue. Luckily, an increase in iron rich foodssuch as eggs , spinach, fish, artichokes, raisins, and lean meats can increase blood iron levels and waning energy levels.
How Do You Check For An Ulcer
If you think you have peptic ulcer symptoms, visit your doctor. Theyll check your medical history and your symptoms. Theyll ask you about medicines you take, especially NSAIDs. Theyll do a physical exam to check for stomach pain and bloating. Theyll order some lab tests to check for ulcers.
Peptic ulcer diagnosis can follow:
Your doctor will do lab tests for peptic ulcer diagnosis. They may measure gastrin levels in your blood. Gastrin is a hormone that helps release stomach acid or digestive juices.
Theyll also check for H. pylori infection using these tests:
- Urea breath test. Your doctor will ask you to drink a liquid containing urea a waste product formed when protein breaks down in your body. H. pylori bacteria convert urea into carbon dioxide, which is the gas you breathe out. Your doctor will collect your breath sample. If you have an H. pylori infection in your stomach, your breath will have higher levels of carbon dioxide.
- Blood test. A blood test can help detect H. pylori infection.
- Stool test. Doctors use a stool test to detect H. pylori infection. Theyll check if your stool sample has the bacteria.
You may feel bloated and nauseous after the test. For a few days, you may have white or light-colored stools because of barium.
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Stomach Ulcer Type To Stomach Ulcer Symptoms
Know whether you are more slanted to get stomach ulcers.People belonging t any age group are susceptible to stomach ulcers, however the chances of occurance are high among these types of people.
- People polluted by the H. pylori bacterium.
- People who routinely take non-steroidal smoothing drugs (Nsaids, for instance, naproxen. Ibuprofen or aspirin,
- People with a family history of ulcers.
- People who routinely drink alcohol.
- People who have illnesses or afflictions joined with the liver, kidney, or lung.
- People more settled than 50 years of age.
Common Causes Of Stomach Pain
Health Check Certified By: Dr. Gerald Morris
Youre fully aware when one strikesthe gassy, bloated, and turbulent discomfort of a stomachache. However, figuring out the direct source can be a different predicament altogether with almost any organ in your abdomen being the origin.
Here are 15 of the most common medical causes of stomach ache
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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.
What Tests Will Be Done To Diagnose A Peptic Ulcer
Endoscopy. An upper endoscopy exam is expedient because allows healthcare providers to see inside your digestive tract and also take a tissue sample to analyze in the lab. The test is done by passing a thin tube with a tiny camera attached down your throat and into your stomach and duodenum. Youll have medication to numb your throat and help you relax during the test. Your healthcare provider may use the endoscope to take a tissue sample to test for signs of mucous damage, anemia, H. pylori infection or malignancy. If they take a sample, you wont feel it.
Imaging tests. Imaging tests to look inside the stomach and small intestine include:
- Upper GI series. An upper GI X-ray exam examines the stomach and duodenum through X-rays. Its less invasive than an endoscopy. For the X-ray, youll swallow a chalky fluid called barium, which will coat your esophagus, stomach and duodenum. The barium helps your digestive organs show up better in black and white images.
- CT scan. Your healthcare provider might recommend a CT scan if they need to see your organs in more detail. A CT scan can show complications such as a perforation in the stomach or intestinal wall. For the test, youll lie on a table inside a scanner machine while X-rays are taken. You may drink or have an injection with contrast fluid to make your organs show up better in images.
Tests for H. pylori. Your healthcare provider might want to test you separately for H. pylori infection. Tests may include:
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What Are The Symptoms Of A Peptic Ulcer Does It Cause Pain
Ulcers do not always cause symptoms. Sometimes, a serious complication such as bleeding or a sudden, bad upper abdominal pain is the first sign of an ulcer.
The most common symptom of peptic ulcers is abdominal pain.
- The pain is usually in the upper middle part of the abdomen, above the belly button and below the breastbone.
- The ulcer pain can feel like burning, or gnawing, and it may go through to the back.
- Pain often comes several hours after a meal when the stomach is empty.
- The pain is often worse at night and early morning.
- It can last anywhere from a few minutes to several hours.
- The ulcer pain may be relieved by food, antacids, or vomiting.
Other symptoms of peptic ulcers include the following:
- Loss of appetite
Severe ulcers may cause bleeding in the stomach or duodenum. Bleeding is sometimes the only symptom of an ulcer. This bleeding can be fast or slow. Fast bleeding reveals itself in one of the following ways:
- Vomiting of blood or dark material that looks something like coffee grounds: This is an emergency and warrants an immediate visit to an emergency department.
- Blood in the stool or black, tarry, sticky-looking stools
Slow bleeding is often more difficult to detect, because it has no dramatic symptoms.
- The usual result is low blood cell count .
- The symptoms of anemia are tiredness , lack of energy , weakness, rapid heartbeat , and pale skin .
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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How Do You Know If You Do Indeed Have An Ulcer
The most common symptom of a gastric ulcer is a gnawing or sharp pain midway between the breastbone and navelthe sensation of acid burning the area of the stomach where the ulcer is located. Confusing matters, ulcers can cause dyspepsia. However, if its an ulcer, youre more likely to experience pain at night and see black, bloody or tar-like stools.
If youre experiencing ulcer-like pain, see a doctor to test for H. pylori. If youre vomiting blood or having black stools, this could indicate an ulcer is bleeding, which is considered a life-threatening emergency and requires an immediate trip to a hospital. At the ER, a doctor will scope your stomach and cauterize the bleeding.
Diet And Nutrition Tips For Ulcerative Colitis Patients
Many folks who suffer from ulcerative colitis, a chronic inflammatory bowel disease , have different triggers for flare-ups. While theres no single diet that will work for every patient, also keep in mind that as your colitis develops over time, you may also develop different nutritional needs and food triggers.
A food diary is a great tool to help you record and keep track of foods that work and dont work , as well as cooking methods and meals that will help you visit the bathroom less frequently
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What Should I Do If The Test Result Is Positive
If the UlcerScreen test result is positive it means that anti-H. pylori antibodies are present in blood. We would recommend that you should seek medical advice from your doctor who will decide if further investigation should be performed as the anti-H. pylori antibodies could be due a to previous infection that has already been treated.
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Upper Gastrointestinal Endoscopy And Biopsy
In an upper GI endoscopy, a gastroenterologist, surgeon, or other trained health care professional uses an endoscope to see inside your upper GI tract. This procedure takes place at a hospital or an outpatient center.
An intravenous needle will be placed in your arm to provide a sedative. Sedatives help you stay relaxed and comfortable during the procedure. In some cases, the procedure can be performed without sedation. You will be given a liquid anesthetic to gargle or spray anesthetic on the back of your throat. The doctor will carefully feed the endoscope down your esophagus and into your stomach and duodenum. A small camera mounted on the endoscope sends a video image to a monitor, allowing close examination of the lining of your upper GI tract. The endoscope pumps air into your stomach and duodenum, making them easier to see.
The doctor may perform a biopsy with the endoscope by taking a small piece of tissue from the lining of your esophagus. You wont feel the biopsy. A pathologist examines the tissue in a lab.
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What Is A Peptic Ulcer
A peptic ulcer is a break in the inner lining of the esophagus, stomach, or duodenum. A peptic ulcer of the stomach is called a gastric ulcer of the duodenum, a duodenal ulcer and of the esophagus, an esophageal ulcer. Peptic ulcers occur when the lining these organs is eroded by the acidic digestive juices that the cells of the lining secrete of the stomach secrete. A peptic ulcer differs from an erosion because it extends deeper into the lining and incites more of an inflammatory reaction from the tissues that are involved, occasionally with scaring. Peptic ulcer also is referred to as peptic ulcer disease.
Peptic ulcer disease is common, affecting millions of Americans yearly. Moreover, peptic ulcers are a recurrent problem even healed ulcers can recur unless treatment is directed at preventing their recurrence. The medical cost of treating peptic ulcer and its complications runs into billions of dollars annually. Recent medical advances have increased our understanding of ulcer formation. Improved and expanded treatment options now are available.
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Can Peptic Ulcers Be Prevented
Doctors arent sure how H. pylori bacteria spread from person to person. The bacteria have been found in saliva , so kissing may be one way. They also may spread through food, water, or contact with vomit thats infected with the bacteria.
Regular use of NSAIDs can cause gastrointestinal problems and bleeding in some people. Acetaminophen does not cause stomach ulcers and is a good alternative to NSAIDs.
As with many infections, washing your hands well and often is an important part of ulcer prevention. This is extra important after you use the bathroom and before you eat. And take good care of your body by exercising regularly and not smoking or drinking.
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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 .
- bloody or blackish bowel movements
Anyone who thinks they might have an ulcer needs to see a doctor. An ulcer thats not treated can grow larger and deeper. This can lead to other problems, such as bleeding in the digestive system or a hole in the wall of the stomach or duodenum, which can make someone very sick.
Medical History Physical Exam And Tests To Look For Bleeding
When taking your medical history, the doctor will ask about your symptoms and possible risk factors to see if they might suggest stomach cancer or another cause. The physical examcan give your doctor information about possible signs of stomach cancer or other health problems. In particular, the doctor will feel your belly for anything abnormal.
The doctor might order a blood test to look for anemia , which could be caused by the cancer bleeding into the stomach. A test might also be done to look for blood in your stool that cant be seen by the naked eye, which could also be a sign of bleeding in the stomach.
If your doctor thinks you might have stomach cancer or another type of stomach problem, he or she will likely refer you to a gastroenterologist , who will examine you and might do further testing.
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