How To Diagnose Ulcers
- Urea breath test:
The patient is diagnosed using a urea breath test where a specific drink is given to patient which gets broken down by H.pylori bacteria and the breath is then analyzed to see if he/she has H.pylori infection.
- Stool antigen test/Blood test
A blood test is done to analyze whether it contains antibodies to H.pylori which is nowadays replaced by stool antigen test.
This is done to look inside the stomach directly and detect whether or not it contains an ulcer. The process involves passing an endoscope with a camera at one end into the mouth and the duodenum. A mild sedative may be given before the procedure and an anesthetic may be sprayed onto the throat to make the procedure more comfortable.
The images captured by the camera usually confirm or rule out the ulcer. However, sometimes a small tissue sample may also be needed to be taken and tested for the same. This is usually an outpatient procedure and the patient is usually sent home the same day.
Endoscopy is another procedure to diagnose ulcers. PPIs and H2 receptor antagonists are used to reduce acid levels until the swelling goes down. If an obstruction is caused by scar tissue, it may either need endoscopic balloon inflation.
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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 .
Treating Helicobacter Pylori Infection
If your stomach ulcer’s caused by a Helicobacter pylori bacterial infection, you’ll be given:
- a course of antibiotics
- a medication called a proton pump inhibitor
This is also recommended if it’s thought your stomach ulcer’s caused by a combination of an H. pylori infection and non-steroidal anti-inflammatory drugs .
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Other Causes And Factors
Other causes are rare. For example, some viral infections can cause a stomach ulcer. Crohns disease may cause a stomach ulcer in addition to other problems of the gut.
Stomach cancer may at first look similar to an ulcer. Stomach cancer is uncommon but may need to be ruled out if you are found to have a stomach ulcer.
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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.
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Diagnosis Of Ulcers In Horses
If you suspect your horse has a gastric ulcer, make an appointment with your veterinarian. An ulcer can be serious, and sometimes fatal if medical attention is not given in time. Your medical professional will ask questions pertaining to his health history, look closely at his clinical signs, perform blood work, urinalysis, biochemistry profile, and other laboratory testing in order to rule out any other illnesses and come to a preliminary diagnosis.
Your doctor may perform specific diagnostic testing using enhanced diagnostic equipment. He may use a gastroscope, which is an approximately 2 meters-long endoscope into the stomach of your horse. This is currently the most accurate and definitive diagnostic test used to confirm the presence of a stomach ulcer or ulcers.
This test will confirm the specificities of the ulcers, such as size, severity, and precise location. Typically, ulcers are found in the upper portion of the organ however, ulcers can also be found in the lower section, including the duodenum. The ulcer will be classified between the areas of 0-4, with a 4 having severe lesions. He will communicate with you the extent of the ulcer and let you know the options for treatment.
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How Do You Know If An Ulcer Is Bleeding
How do you know if an ulcer is bleeding? Blood is discharged from the ulcer which flows into the digestive tract. Some of the signs of bleedingulcer are vomiting blood , bloody stool , nose bleed, extreme tiredness, loss of weight, nausea and dizziness.
What are the warning signs of an ulcer? Here are 8 warning signs indicating an ulcer, including the following: 1. Discoloration of Stool. The ulcer can cause discolored stools that appear darker, stained or bloody. 2. Loss of appetite. Many people experience loss of appetite due to sudden and intense stomach pains.
How to recognize the signs of an ulcer? Signs and symptoms of a peptic ulcer. The main symptom of a peptic ulcer is a burning sensation in the abdomen, which can be felt from the belly button up to the chest. This burning sensation can vary in intensity and may change from the moment you wake up to when you go back to sleep. In its early stage, a small peptic ulcer may be symptomless.
Do you know all the symptoms of a bleeding ulcer? A bleeding ulcer may require surgery. Severe stomach discomfort, nausea, dizziness, and low blood pressure may be signs of a bleeding ulcer. Intestinal upset can be a sign of a bleeding ulcer.
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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 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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Do You Have A Stomach Ulcer
If you suspect that you have a stomach ulcer, it is beyond important that you seek medical attention as soon as possible. As you can tell from the symptoms listed above, things can only get worse if your ulcer goes untreated. Call the experts at West Gastroenterology in Los Angeles today and make an appointment!
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What Are The Possible Complications
An untreated ulcer that swells or scars can block your digestive tract. It can also perforate your stomach or small intestine, infecting your abdominal cavity. That causes a condition known as peritonitis.
A bleeding ulcer can lead to anemia, bloody vomit, or bloody stools. A bleeding ulcer usually results in a hospital stay. Severe internal bleeding is life-threatening. Perforation or serious bleeding may require surgical intervention.
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Record Of Constant Bleeding
Individuals may find themselves in situations of bleeding ulcers from time to time. If the victim suffers from the problem for a relatively long time, the ulcer is likely at its advanced stage.
When the ulcer is at a stage that is considerably advanced, the sufferer may experience repeated onsets of bleeding episodes that will manifest in different ways from one time to another.
There are many signs of a bleeding ulcer that can be identified through both observation, assessment, and laboratory tests appropriate for the verification of the signs and symptoms. This will bring finer details about the underlying condition in order to draw fitting conclusions.
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
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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.
When To See The Doctor
Peptic ulcers will get worse if theyre not treated, so contact your doctor if you have symptoms or any signs that you could have one. Unfortunately, a lot of the time the way people find out they have an ulcer is by developing bleedstheyre taking a lot of aspirin or NSAIDS and they either start vomiting blood or have black tarry stool, says Marcus.
Your doctor may be able to diagnose a peptic ulcer by talking with you about your symptoms. Be sure to disclose the frequency of NSAID use.
However, some tests are usually used to confirm the diagnosis. For instance, to see if you have an H. pylori infection, your doctor will test your blood, breath or stool. They may also look inside your stomach and duodenum by doing an endoscopy or X-ray. An endoscopy is a procedure where a lighted tube is inserted through the throat and into the stomach to check for abnormalities.
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What Tests Diagnose A Peptic Ulcer
To confirm a person has an ulcer a diagnostic imaging test will usually be ordered. The two most widely used tests are:
- Upper GI series : This is a type of X-ray. The patient is given a chalky liquid to drink that increases the contrast on the X-ray, making certain features easier to see. Because this liquid contains barium, this test is sometimes called a barium swallow.
- Endoscopy : An endoscope is a thin, flexible tube with a tiny camera at the end. The patient is given a mild sedative, and then the tube is passed through the mouth into the stomach. The doctor can see the lining of the stomach to diagnose a peptic ulcer. Tiny samples of the tissue will be taken , which are examined under a microscope.
If a diagnostic imaging test reveals an ulcer, the patient will most likely have a test to see if H pylori bacteria are present.
- It is important to be certain about this, because treatment of the H pylori is likely to heal the ulcer.
- Ulcers caused by H pylori are treated differently than ulcers caused by medications.
Three types of tests are available to detect H pylori.
Diagnosing Upper Gi Bleeding
To diagnose upper GI bleeding and figure out whats causing it, a doctor may perform the following tests:
- Endoscopy. Upper GI bleeding is most commonly diagnosed with an endoscopy. This procedure involves the use of a small camera located atop a long, flexible endoscopic tube the doctor places down your throat. The scope is then passed through your upper GI tract. The camera allows the doctor to see inside your GI tract and potentially locate the source of your bleeding.
- Enteroscopy. This procedure is performed if the cause of your bleeding isnt found during an endoscopy. An enteroscopy is similar to an endoscopy, except theres usually a balloon attached to the camera-tipped tube. When inflated, this balloon allows your doctor to open up the intestine and see inside.
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Things You Should Know
- Go to your doctor if you’re experiencing bleeding ulcer symptoms like upper abdominal pain, nausea, and blood in your vomit or stool.
- Your doctor will prescribe medication that blocks acid production to heal the ulcer. Take the medication as directed.
- For serious bleeding ulcers, you may need to have a surgical procedure to close the ulcer and stop the bleeding.
Your Appetite Went Mia
For many patients with ulcers, the condition can actually result in a loss of appetite. This drop in food intake, combined with occasional vomiting, may lead to unexpected weight loss. Some ulcer patients report eating their normal amount of food, yet still lose weight, so the ulcer itself may cause a drop on the scale, too.
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Can Stomach Ulcers Just Go Away
Some ulcers follow a chronic pattern of healing temporarily on their own and then returning. This might happen if the factors contributing to your ulcer, such as NSAID use, smoking and alcohol, are temporarily reduced and then resumed. You wont completely heal your ulcer until you eliminate the cause, whether that is chronic NSAID use, H. pylori infection or an overactive stomach. Even after successful treatment, you can get another ulcer.
How Do I Treat Ulcers
Ulcers are typically treated by medications. Exactly what medications you need will depend on whatâs causing your ulcer. Options include:
- Antibiotics to kill H. pylori in your system
- Proton pump inhibitors to block acid production and promote healing of your ulcer
- H2 blockers to reduce acid production and encourage healing
In some cases, doctors might also recommend antacids. These will provide some relief for your symptoms, but they wonât actually heal your ulcer.
Occasionally, fundoplication surgery is used for GERD sufferers who are also dealing with ulcers. This procedure creates a valve mechanism at the bottom of the esophagus to prevent stomach acid from flowing backwards and continuing to create ulcers.
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