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Stress Ulcers Vs Gastritis
Gastritis is similar to a stress ulcer in that they both involve irritation in the digestive tract and the lining of the stomach. They may also have similar symptoms, such as pain in the upper abdomen. However, they are different conditions.
Gastritis involves inflammation, which can be increased redness, swelling, and pain, whereas an ulcer is an open sore or damaged tissue. Gastritis can also lead to peptic ulcers.
Stomach Ulcers And Stress The Facts
It hardly needs to be said, but the world is experiencing a unique and stressful time at the moment, due largely to COVID-19. No matter your chances of catching this dreadful virus, many aspects of daily life have been closed down including for many, their employment. These are indeed stressful times.
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Lifestyle Factors Relevant To Ulcers
Stress: You might have heard that experiencing stress causes ulcers. That isnt entirely true. Stress will not single-handedly cause you to develop an ulcer, but according to medicalnewstoday.com, it can contribute to hyperacidity in the stomach, which in turn can contribute to the development of an ulcer. But if you are not otherwise at risk for a stomach ulcer, stress is nothing to stress about.
Caution When Using NSAIDs: Taking nonsteroidal anti-inflammatory drugs such as ibuprofen and aspirin on a regular basis, especially in higher amounts, is a frequent cause of peptic ulcers. It is recommended that you take the lowest possible dose, or seek out alternative medications if needed regularly, in order to lower your risk of developing an ulcer.
Avoiding Infection: The bacteria known as Helicobacter pylori is also a frequent cause of peptic ulcers. Per medicinenet.com, many people possess the H. pylori bacteria without ever developing an ulcer, but those with the bacteria seem to be at risk. To avoid infections, namely H. pylori in this case, wash your hands regularly and be wary of people with whom you come in close contact.
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.
Jose Luis Pelaez / Getty Images
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How Are Stress Ulcers Diagnosed
Your doctor will want to determine if you are having peptic ulcers caused by an H. pylori infection or other medical causes.
To be certain, your doctor will want to inspect your stomach visually, typically done during an upper GI endoscopy.
During this procedure, a flexible tube with a camera at the end is inserted into your esophagus and an empty stomach. The doctor then carefully looks at the lining of your stomach.
Your healthcare provider can visualize ulceration or bleeding inside your stomach through this process.
Once your physician confirms a diagnosis of stress gastritis, then an evidence-based, clinically sound treatment plan can begin.
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 .
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What Does A Stress Ulcer Feel Like
Stress ulcer symptoms overlap with other stomach conditions, making diagnosis difficult. These are the main symptoms:
- Feeling full in your stomach more than usual
- Loss of appetite
- Nausea or vomiting
- Fatigue, becoming short of breath quickly, pale skin
If you see the following, blood loss from your ulcers may be severe or indicate that they are rapidly bleeding, and you should go to the emergency room immediately:
- Dark stools that appear tarry
- Fainting or feeling light-headed
- Vomiting up large quantities of blood or contents that look like coffee grounds
How Are Ulcers Treated
Treatment for stress ulcers is similar to that for other stomach and duodenal ulcers. Similar to the use of over-the-counter antacids to help treat occasional heartburn, the first goal of treatment is to lower the acidity of your stomach to allow inflamed tissues to begin healing.
One of the first lines of treatment for stress ulcers are drugs such as proton pump inhibitors or histamine blockers designed to reduce the secretion of stomach acid. These drugs work on different chemical pathways, but both can help reduce the elevated amount of acid in your digestive tract that contributes to the development of ulcers.
Though allowing your body to begin healing itself is part of the course of treatment, it is not the entire picture. Since stress ulcers are typically present in patients who are suffering from other serious illnesses, treating the underlying condition that caused your stress ulcers to appear will be necessary for your body to fully heal.
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How Are Stomach Ulcers Treated
Ulcers can heal if they are given a rest from the factors that created them. Healthcare providers treat uncomplicated ulcers with a combination of medicines to reduce stomach acid, coat and protect the ulcer during healing and kill any bacterial infection that may be involved. Medicines may include:
- Antibiotics. If H. pylori was found in your digestive tract, your healthcare provider will prescribe some combination of antibiotics to kill the bacteria, based on your medical history and condition. Commonly prescribed antibiotics include tetracycline, metronidazole, clarithromycin and amoxicillin.
- Proton pump inhibitors . These drugs help reduce stomach acid and protect your stomach lining. PPIs include esomeprazole,dexlansoprazole,lansoprazole, omeprazole,pantoprazole and rabeprazole.
- Histamine receptor blockers . These reduce stomach acid by blocking the chemical that tells your body to produce it . H2 blockers include famotidine, cimetidine and nizatidine.
- Antacids. These common over-the-counter medicines help to neutralize stomach acid. They may bring some symptom relief, but they arent enough to heal your ulcer. They also might interfere with some antibiotics.
- Cytoprotective agents. These medicines help to coat and protect your stomach lining. They include sucralfate and misoprostol.
- Bismuth Subsalicylate. This over-the-counter medicine, commonly found as Pepto-Bismol, can help coat and protect your ulcer from stomach acid.
Symptoms Of Stomach Ulcer
Perhaps the most common symptom of this condition is a burning sensation or pain in the area between the chest and the belly button. Depending on the severity of the ulcer, the pain may last for a few minutes to several hours.
Other symptoms of stomach ulcers include:
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Stomach Pain And Long
Its essential to remember that chronic stress can also lead to stomach ulcers because of the extra stomach acid.
Because of the extra acid in your stomach and the changes in how your body processes nutrients, stomach pain from stress or anxiety can be a problem if left untreated. Ulcers are just one example. Some people experience heartburn from anxiety, and others eat less often, giving their bodies fewer nutrients.
The stomach pain from anxiety and stress is rarely dangerous, but it is still important to treat it because the effects on your long-term health, when left untreated, may be harder to manage.
How Do You Treat Stress Ulcers
Mindfulness could be part of a protocol to help heal the ulcerated tissue and improve symptoms such as bloating and abdominal pain. Women participating in an 8-week course where they practiced mindfulness-based stress reduction experienced a 26.4% reduction in their symptoms and when researchers followed-up after 3 months, these same women had now experienced a 38.2% reduction in symptoms. MBSR has also been shown to stabilize cortisol rhythms which fluctuate throughout a 24-hour period, otherwise known as the stress hormone.
Diet can play a large role as well with certain foods demonstrating ulcer-fighting properties, mostly in animal studies. S-methylmethionine is a compound that can be found in abundance in cabbage and has been shown to have anti-ulcerogenic properties. Some research has demonstrated an ability to accelerate the healing of ulcers, and in another study where conventional treatment failed, -86% of recruited patients found relief from pain within two weeks of starting to take cabbage juice.
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What If I Still Need To Take Nsaids
If you take NSAIDs for other conditions, such as arthritis, you should talk with your doctor about the benefits and risks of using NSAIDs. Your doctor can help you determine how to continue using an NSAID safely after your peptic ulcer symptoms go away. Your doctor may prescribe a medicine used to prevent NSAID-induced ulcers called Misoprosotol.
Tell your doctor about all the prescription and over-the-counter medicines you take. Your doctor can then decide if you may safely take NSAIDs or if you should switch to a different medicine. In either case, your doctor may prescribe a PPI or histamine receptor blocker to protect the lining of your stomach and duodenum.
If you need NSAIDs, you can reduce the chance of a peptic ulcer returning by
- taking the NSAID with a meal
- using the lowest effective dose possible
- avoiding alcohol
What Causes Stomach Ulcers
Stomach ulcers occur when the layer protecting the stomach lining from stomach acid breaks down. This allows the stomach lining to become damaged.
This is usually caused by:
- an infection with Helicobacter pylori bacteria
- taking non-steroidal anti-inflammatory drugs , such as ibuprofen or aspirin particularly if they’re taken for a long time or at high doses
There’s little evidence that stress or certain foods causes stomach ulcers.
More about the causes of stomach ulcers
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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.
| Clinical recommendation |
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Stress Ulcers: What They Are
Stress ulcers are open sores found in certain areas of the digestive tract. They are caused by physical stress on the body, such as the kind that may lead to hospitalization or that occur during hospitalization. Extreme levels of physical stress from something like a severe injury or major surgery can lead to other physical changes in the body that lead to ulcers.
This condition is often confused with three similar conditions, which are:
- Peptic ulcers: A sore that occurs on the lining of the esophagus, stomach, or small intestine
- Gastritis: A condition characterized by inflammation of the stomach lining
- Gastropathy: Diseases that affect the mucosal lining of the stomach
These terms are sometimes used interchangeably.
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Are Stress Ulcers Life
Worst-case scenario, yes. If you are consistently experiencing a GI bleed, it is a medical emergency, and you need to be seen by a doctor and treated immediately.
Sustained blood loss is never good, and your condition may lead to serious complications depending on the severity of the gastrointestinal bleeding.
The other cause for concern is that you are at risk for getting a severe bacterial infection due to the open sore in your stomach lining. This can lead to sepsis and shock, quickly resulting in death if the infection is not treated emergently.
Also, your doctor must rule out other causes of the bleeding, such as colon or stomach cancer.
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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Is Cheese Bad For Stomach Ulcers
Low-fat dairy Low-fat or fat-free milk, yogurt, and mildly flavored cheeses, such as cottage cheese, are all good options. Be careful, though. Lactose intolerance and milk protein intolerance are common reasons for GI discomfort in some people. And many experts recommend eliminating dairy to help treat peptic ulcers.
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Chronic gastritis is found in two subjects. In malignant anemia patients, there is an autoimmune cause. Severe gastrointestinal trauma, such as gastric atrophy accompanied by complete or incomplete loss of wall cells, cause gastric acid deficiency or absence of acid. There are three types of autoantibodies against the wall cells. In the elderly with no malignant anemia, there are also 60% of cases with autoantibodies against the wall cells, but no antibodies against the intrinsic factor. Very few cases have autoantibodies against gastrin secretory cells. Patients in this group often have a gastric ulcer, which may be due to dyspnea of the pyloric sphincter and reflux of bile acid.
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Effective Home Remedies To Cut Stomach Ulcer Pain
Stomach ulcers often cause abdominal pain. This is caused by the irritation or inflammation in the stomach lining. Taking over-the-counter pain reliever medications, especially the class of non-steroidal anti-inflammatory drugs, can aggravate the pain further. A few home remedies can help provide effective relief from stomach ulcer pain. These are: