Can A Peptic Ulcer Come Back
Yes, a peptic ulcer can come back. If you smoke or take NSAIDs, peptic ulcers are more likely to come back. If you need to take an NSAID, your doctor may switch you to a different medicine or add medicines to help prevent a peptic ulcer. Peptic ulcer disease can return, even if you have been careful to reduce your risk.
Drink Alcohol In Moderation
Alcohol can erode the stomachs protective lining, resulting in inflammation and bleeding. It is even more likely to cause problems if you also smoke or take aspirin regularly, says Meyers. For men, the daily alcohol limit should be 2 drinks for women, the upper limit is 1 drink daily. If ulcers continue to cause problems, you may want to give up alcohol altogether.
Chances are that if you havent experienced one yourself, you at least know someone whos had a stomach ulcer at one point or another. Estimates show that about 500,000 new cases of peptic ulcers are reported each year in the U.S. alone, and at any given time about 5 million people are affected. In addition, one in 10 adults can expect to deal with painful ulcers at one point or another.
For many years, doctors thought that high amounts of stress alone could cause a stomach ulcer to form by increasing production of stomach acid. But then research emerged in the 1980s showing that frequent use of anti-inflammatory drugs , a poor lifestyle, and especially a type of bacterial infection caused by the strain Helicobacter pylori are the real culprits of the majority of ulcers.
Fortunately, according to an article published in The Lancet, prevalence of H. pylori infection and peptic ulcer diseases have become substantially less prevalent than they were two decades ago.
How Do Nsaids Cause A Peptic Ulcer
To understand how NSAIDs cause peptic ulcer disease, it is important to understand how NSAIDs work. Nonsteroidal anti-inflammatory drugs reduce pain, fever, and inflammation, or swelling.
Everyone has two enzymes that produce chemicals in your bodys cells that promote pain, inflammation, and fever. NSAIDs work by blocking or reducing the amount of these enzymes that your body makes. However, one of the enzymes also produces another type of chemical that protects the stomach lining from stomach acid and helps control bleeding. When NSAIDs block or reduce the amount of this enzyme in your body, they also increase your chance of developing a peptic ulcer.
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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.
When Should I See A Doctor If I Think I Have A Peptic Ulcer
- If you have burning pain in your upper stomach that is relieved by eating or taking antacids, call a health-care professional for an appointment. Donât assume you have an ulcer. Certain other conditions can cause similar symptoms.
- If you vomit blood or have other signs of gastrointestinal bleeding, go to an emergency department right away. Peptic ulcers can cause massive bleeding, which requires blood transfusion or surgery.
- Severe abdominal pain suggests perforation or tearing of an ulcer. This is an emergency that may require surgery to fix a hole in your stomach.
- Vomiting and abdominal pain also can be a sign of an obstruction, another complication of peptic ulcers. This also may require emergency surgery.
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If Your Ulcer Was Caused By An Anti
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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What Should I Do If I Think I Have A Stomach Ulcer
Always seek medical care for a stomach ulcer. While you may be able to manage symptoms temporarily with over-the-counter medications, these wont heal the ulcer. You need to identify and treat the underlying cause. An untreated ulcer can lead to serious complications, even if your symptoms are mild. The major cause of stomach ulcers, H. pylori infection, can also lead to other complications.
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When To Seek Medical Attention
If you notice any of the symptoms, consult your doctor. Even when the discomfort is mild, ulcers get worse as time passes. If the ulcer is not treated, the pain will become progressively more severe.
In some cases, the ulcer might become life-threatening. The symptoms of a severe ulcer condition include:
- Passing dark, sticky stools
The bleeding can be bright red or even have a dark brown appearance similar to coffee grounds.
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What Treatments Are There For Ulcers
Your treatment will depend on the cause of your ulcer. For example, if our tests indicate that an infection caused by helicobacter pylori is what created your ulcer, well give you antibiotics to eliminate the bacteria.
Regardless of the cause, medications that help reduce the level of acid in your stomach can help the ulcer heal. And different lifestyle changes can accelerate healing as well, such as eliminating certain foods, abstaining from alcohol, and practicing stress management.
In severe cases, surgery may be required. Your provider at Prima Medicine will work with you to create a treatment plan for your situation.
If you have a stomach ulcer or want to see if you do, we can help. To learn more, book an appointment online or over the phone with Prima Medicine today.
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What Can You Tell Me About Mouth Ulcers In Kids
Kids can develop mouth ulcers just like adults. You can manage symptoms by giving your child over-the-counter pain relievers, such as acetaminophen or ibuprofen. Ice, popsicles or cold liquids may help soothe the area. If your child has a mouth ulcer that hasnt healed in two weeks, call your healthcare provider.
A note from Cleveland Clinic
While mouth ulcers usually arent dangerous, they can certainly be painful and inconvenient. Fortunately there are several mouth ulcer treatments and remedies that can ease your symptoms until your lesions heal.
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Treatment For A Stomach Ulcer
Special diets are now known to have very little impact on the prevention or treatment of stomach ulcers. Treatment options can include:
- medication including antibiotics, to destroy the H. pylori colony, and drugs to help speed the healing process. Different drugs need to be used in combination some of the side effects can include diarrhoea and rashes. Resistance to some of these antibiotics is becoming more common
- subsequent breath tests used to make sure the H. pylori infection has been treated successfully
- changes to existing medication the doses of arthritis medication, aspirin or other anti-inflammatory medication can be altered slightly to reduce their contributing effects on the stomach ulcer.
- reducing acid tablets are available to reduce the acid content in the gastric juices
- lifestyle modifications including quitting cigarettes, since smoking reduces the natural defences in the stomach and impairs the healing process.
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What Is A Peptic Ulcer
A peptic ulcer is a sore or hole that forms in the lining of the stomach or intestine.
The word “peptic” refers to the digestive tract. An ulcer in the lining of the stomach is a gastric ulcer. An ulcer in the first part of the small intestine is a duodenal ulcer.
The lining of the stomach is a layer of special cells and mucous. Mucous prevents the stomach and duodenum from being damaged by acid and digestive enzymes.
If there is a break in the lining , the tissue under the lining can be damaged by the enzymes and corrosive acid. If the ulcer is small, there may be few symptoms. The wound can heal on its own.
If the ulcer is deep, it can cause serious pain or bleeding. Rarely, acids in the digestive juices may eat completely through the stomach or duodenum wall.
Peptic ulcers are very common. They become more common as people age.
The bacterium Helicobacter pylori is believed to cause most peptic ulcers. This bacteria causes inflammation in the stomach lining. This probably makes the lining vulnerable. But only a minority of people infected with H. pylori develop ulcers.
Another common cause of ulcers is the use of nonsteroidal anti-inflammatory drugs . Examples of NSAIDs include aspirin, ibuprofen and naproxen .
NSAIDs block the formation of some prostaglandins. Prostaglandins are chemicals that normally help protect against ulcers. With less prostaglandins, ulcers are more likely to form.
- Excessive alcohol use
Diagnosis Of A Stomach Ulcer
Diagnosing a stomach ulcer is done using a range of methods, including:
- Endoscopy a thin flexible tube is threaded down the oesophagus into the stomach under light anaesthesia. The endoscope is fitted with a small camera so the physician can see if there is an ulcer.
- Barium meal a chalky liquid is drunk and an x-ray is performed, showing the stomach lining. These tests are less common nowadays, but may be useful where endoscopy is unavailable.
- Biopsy a small tissue sample is taken during an endoscopy and tested in a laboratory. This biopsy should always be done if a gastric ulcer is found.
- C14 breath test this checks for the presence of H. pylori. The bacteria convert urea into carbon dioxide. The test involves swallowing an amount of radioactive carbon and testing the air exhaled from the lungs. A non-radioactive test can be used for children and pregnant women.
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What Are The Symptoms Of A Bleeding Ulcer
Bleeding ulcers dont always cause pain. Sometimes the first signs of a bleeding ulcer are signs of anemia. These include:
- Dizziness or lightheadedness.
You might have a heavier bleed if you notice:
- Blood in your poop, or black poop that resembles tar.
These symptoms require urgent medical attention.
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 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 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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What Is The Treatment For Stomach 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 persons 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.
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What Is A Bleeding Ulcer
The stomach is a mixing bowl, allowing food and digestive juices to combine and allow digestion to begin. But the stomach has a protective lining that prevents digestive enzymes from eating away at it. If this lining is damaged, inflammation and pain may occur. If the inflammation becomes worse, it can cause the lining of the stomach or the duodenum to bleed. The bleeding may not be noticeable, and the patient may not seek medical care.
Red blood cells carry oxygen to all the organs of the body. If there are too few red cells, symptoms may occur. Some of these symptoms are pretty non-specific, like
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Key Points About Stomach And Duodenal Ulcers In Children
Stomach and duodenal ulcers are open sores. They happen in the lining of the stomach or the duodenum.
Most ulcers are caused by an infection with Helicobacter pylori.
Treatment often includes antibiotics and medicines to block stomach acid production.
Without proper treatment, people with ulcers may have serious complications. But most people are cured with treatment.
When To Seek Medical Advice
You should visit your GP if you think you may have a stomach ulcer.
Contact your GP or NHS 111 immediately if:
- you are passing dark, sticky, tar-like stools
- you have a sudden, sharp pain in your tummy that gets steadily worse
Go to your nearest accident and emergency department or call 999 if:
- you are vomiting blood the blood can appear bright red or have a dark brown, grainy appearance, similar to coffee grounds
These could be a sign of a serious complication, such as internal bleeding.
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