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, clarithromycinand 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.
Cooking And Ulcer Care
In general, you canât go wrong with a healthy diet, but keep an eye on what aggravates your loved oneâs ulcer.
It used to be that doctors recommended the same diet for everyone with an ulcer: Avoid spicy foods and eat bland ones. But today doctors know that spicy foods do not cause an ulcer and bland diets do not necessarily help in ulcer treatment. So how do you prepare meals for a loved one with an ulcer?
While it is true that specific foods do not cause ulcers, they can make symptoms worse, says Carrie Folse, MD, a gastroenterologist at Saint Vincents Hospital in Birmingham, Ala. However, the exacerbation of foods is quite subjective, she says. Its hard to tell which food will aggravate symptoms in any one person.
So instead of past one diet fits all recommendations, doctors now offer more general guidelines. If your loved one notices a particular food causes a problem, just avoid that food and let the doctor know.
Cooking for the Ulcer Patient: Foods to Avoid
Sarah Boyd, RD, a registered dietitian in Richmond, Va., says that the following foods may cause discomfort for people with an ulcer:
- Meats with a high fat content
- High-fat condiments
These items may or may not be problematic and are based on the individuals personal tolerances, Boyd notes.
Cooking for the Ulcer Patient: Foods to Choose
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What You Eat Matters Though
If you consider that ulcers are essentially open wounds inside your stomach or small intestine, it makes sense that you should consider carefully what youâre putting them in contact with. Spicy foods, which were long thought to create ulcers, are now ill-advised for one very simply reason: spices can irritate your ulcers, causing you more pain.
You should also steer clear of foods that have high levels of acidity for the same reason. Some of the main culprits when it comes to high acid levels are citrus fruits and tomatoes.
There are also beverages that spur increased acid production by your stomach itself, which you want to limit as much as possible while your ulcers heal. These include alcohol, as well as coffee and soda both caffeinated and decaf.
Surprisingly, another acid-producing food is dairy. While a glass of cold milk may temporarily soothe your digestive system, milk stimulates more stomach acid production, making it a bad idea in the long run.
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What Causes Stomach Ulcers Dont Assume Spicy Foods Are To Blame
For decades, spicy foods were blamed for painful stomach ulcers. People doubled over in pain were advised to cut back on fiery foods.
In the 1980s, however, that theory was debunked, as was the thought that stress causes ulcers. Matthew Bechtold, MD, a gastroenterologist at MU Health Care, said the primary causes of ulcers are a bacterium known as Helicobacter pylori and nonsteroidal anti-inflammatory drugs .
H. pylori spreads through contaminated food and water or unsanitary conditions. It can cause ulcers by growing in the lining of the stomach, producing inflammation and causing the stomach and intestinal lining to be more easily damaged by stomach acid.
NSAIDs that can lead to ulcers include popular over-the-counter pain relievers such as aspirin, ibuprofen and naproxen. They can irritate the stomachs lining and may interfere with chemicals that help regulate the protective lining.
Ulcers caused by NSAIDs can be prevented by reducing or eliminating use of the drugs. Your doctor may also prescribe a daily medicine, such as Prilosec, Pepcid or Cytotec.
Even though the beliefs about what caused ulcers were disabused more than 30 years ago, Bechtold said to this day many patients dont know that spicy foods are not harmful.
They tend to blame the spicy foods for their issues, he said.
A study on capsaicin the ingredient responsible for spiciness in peppers showed it might even be good for the stomach.
Alternative Treatments Without Proven Efficacy In Peptic Ulcer
The potential of plants as source of new drugs still offers a large field forscientific research. Even if is observed a large number of known plants, a smallpercentage has already been phytochemically investigated and only a fraction of themhas already been assessed to determine its pharmacological potential. Even amongtraditional medicinal plants there is still a large percentage that has not beenstudied to confirm their efficacy and safety in humans.
In peptic ulcer this is also observed. In a study conducted by Mentz andSchenkel, in which theyassessed plants with popularly known effects to scientifically prove them, theyobserved that plants like Symphytum Officinale L. , besideshaving no proven efficacy it may be harmful because of their pyrrolizidine alkaloids,of proven hepatotoxic action. Another studied plant was Zantoxylon rhoifoliunLan , popularly indicated for ulcers and healing, butits benefits have not been proved either. In addition, Maytenus ilicifoliaMart, commonly known in Brazil as Ã¢espinheira-santaÃ¢, used for healingpeptic ulcer, has not proven this effect in trials either.
The use of natural products in treatment of ulcer has been widely studied. However,most of the studiesthat haveproven an anti-ulcer effect were conducted with animals, and therefore do not providereliability for alternative treatments in the prevention of relapses or for treatmentof peptic ulcer in humans.
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How Much Fiber Should You Take
Fiber that comes from whole foods is called dietary fiber. Fiber that’s sold in supplements, or added to fortified foods, is called functional fiber. The Institute of Medicine has set an adequate intake for total fiber, which includes all sources. Getting this amount of fiber should be enough to stay healthy. Doctors may recommend higher doses of fiber.
And some sources of insoluble fiber are:
- Whole-wheat breads, wheat cereals, and wheat bran
- Vegetables like carrots, cabbage, beets, and cauliflower
Some foods, like nuts, contain both soluble and insoluble fiber.
Dont Ignore Your Ulcer
There are lots of good reasons to get help. If you put off treatment, your ulcer may start to block food from moving smoothly through your digestive system. You may often throw up or feel too full to eat. Over time, your ulcer could make a hole through your stomach lining and put you at risk of a severe infection. An ulcer that bleeds can also land you in the hospital.
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Celiac Disease And Osteoporosis
When the small intestine is damaged due to celiac disease, it doesn’t absorb nutrients well. People with celiac disease are at risk for osteoporosis, and many of them will need aggressive treatment to address their low bone density. They may benefit from calcium and vitamin D supplements and periodic bone density screening.
What Food Does Gastric Ulcer Prohibit To Eat
First: the taste of tomato is sour. It is highly acidic. After eating, it will stimulate the stomach to produce more gastric acid. Eating too much tomato will cause heartburn and pantothenia, which is not suitable for patients with stomach diseases. Broccoli contains a lot of soluble dietary fiber, and this kind of dietary fiber can only be decomposed in the intestinal tract, and it will produce a lot of gas when decomposed. In addition, broccoli also contains gas producing sugars, which are not good for patients with stomach diseases.
Second: coffee can stimulate the stomach, resulting in excessive gastric acid secretion, which is easy to cause pantothenic symptoms. Patients with stomach diseases, especially those with gastric ulcer and heartburn, should try not to drink coffee, and should also avoid drinking caffeinated drinks. Patients with stomach disease can not drink soda and juice. Because of stomach disease, the absorption of the stomach is not very good. These drinks contain a lot of fructose, which will cause gastrointestinal discomfort after drinking.
Third: eating peppermint will relax the sphincter of esophagus and increase the occurrence of pantothenic acid after eating. Patients need to be careful with any food containing Mint ingredients, not to eat mint candy, chewing gum, mint tea, etc. Should not eat chocolate, chocolate contains theobromine, this component will relax the esophageal sphincter, will lead to gastric acid reflux into the esophagus.
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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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What Do They Do
Among other things, probiotics help send food through your gut by affecting nerves that control gut movement. Researchers are still trying to figure out which are best for certain health problems. Some common conditions they treat are:
- Irritable bowel syndrome
- Infectious diarrhea
- Diarrhea caused by antibiotics
There is also some research that shows they’re useful for problems in other parts of your body. For example, some people say they have helped with:
- Skin conditions, like eczema
How Is Atrophic Gastritis Diagnosed
An AG diagnosis usually involves a combination of clinical observation and testing. During a physical exam, your doctor will check for stomach tenderness by lightly pressing on certain areas of your stomach. Theyll also look for signs of B-12 deficiency, such as paleness, rapid pulse, and neurological deficits.
Your doctor might order blood tests to check for:
- low levels of pepsinogen, a protein produced by the stomach cells
- high levels of gastrin, a hormone that stimulates the production of stomach acid
- low levels of B-12
- antibodies that attack stomach cells and intrinsic factor
In some cases, your doctor may need to perform a biopsy. Your doctor will insert an endoscope, down your throat and into your stomach. Theyll then take a sample of tissue from your stomach to look for evidence of AG. The sample of stomach tissue can also indicate signs of an H. pylori infection.
If you dont already have a gastroenterologist, you can browse doctors in your area through the Healthline FindCare tool.
Living With Peptic Ulcer Disease
Most ulcers heal within about 8 weeks. Peptic ulcers come and go. You have to do what you can to reduce your risk. If you smoke or chew tobacco, ask your doctor about how to quit. Eat a well-balanced diet. Avoid foods that cause discomfort. These include alcohol, coffee, caffeinated soda, fatty foods, chocolate, and spicy foods. Avoid eating late at night. Talk to your doctor about alternatives to NSAIDs. Take all medicines with plenty of water.
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Stomach Ulcer : What Foods To Eat And Avoid
Experiencing pain in your stomach can affect your diet plan and cause discomfort. Painful sores also disturb the digestive system. There are many stomach ulcer symptoms that can help you to learn about stomach ulcers. You need to learn about the stomach ulcer diet that can help to heal the condition.
Lets get into details about stomach ulcers.
Foods That Help Fight Stomach Ulcer
Stomach ulcers are a type of peptic ulcer. These are also called as gastric ulcers, which are basically open sores within the stomach lining. These are oftentimes extremely painful because of the acid present in the stomach and the damage that it can apparently cause. Helicobacter pylori is the major and most common cause of stomach ulcers. However, these can also be caused by overuse of painkillers, for instance, aspirin, ibuprofen or naproxen. Antibiotics and medications can prove to be of major help to reduce and block stomach acid. There are a number of other natural home remedies as well to treat the same. Some of the foods that are recommended to treat stomach ulcer are as given below:
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How Can I Prevent Ulcers
You may be able to prevent ulcers from forming if you:
- Talk to your doctor about alternatives to NSAID medications to relieve pain.
- Discuss protective measures with your doctor, if you cant stop taking an NSAID.
- Opt for the lowest effective dose of NSAID and take it with a meal.
- Drink alcohol in moderation, if at all.
Foods To Avoid With A Peptic Ulcer
There are several rules that govern which foods you should and should avoid if you have a peptic ulcer. Foods that are spicy or acidic are clearly those you need to avoid, but there are other lesser-known culprits to consider.
This includes dairyonce considered the go-to home remedy for peptic ulcerswhich can increase the amount of stomach acids as the lactose in dairy is broken down. The same applies to caffeinated and decaffeinated coffee, both which can also increase acid production.
Fatty foods are bad for ulcers in several ways. They are harder to digest and require larger amounts of digestive acids to break them down. Saturated fats also provide H. pylori an ideal environment to thrive .
The foods to avoid if you have a peptic ulcer include:
- Baked goods, like cupcakes and pastries, which are often high in hydrogenated fat
- Cheese, including cheese sauces
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Dietary Indications For Peptic Ulcers
The daily diet regime & nutrition do play a significant role in controlling the symptoms & recurrence of peptic ulcers. The main purpose for providing optimum nutrition support is to promote healing of the ulcers as well as to prevent the aggravation of symptoms. Following are the foods which can be included as well as those which needs to be avoided in the diet for effective management of peptic ulcers.
Foods which are well cooked and mashed must be included. Fruits such as apple, pear should be skewed. As the diet should be non-irritating and non-stimulating to the digestive tract, it is advisable to cook vegetables to a well mashed consistency. Whole grains, rice, corn, barley can be included.
Cranberries, cherries, tomatoes, bean vegetables like cluster beans, french beans, broad beans, should be mashed well. Bell peppers, gourd vegetables such as bottlegourd, ridgegourd contain moisture which soothens the digestive tract. Probiotics in the form of curd, yogurt, buttermilk, helps in the growth of friendly bacteria that aids better digestion.
Citrus fruits such as orange, amla , sweetlime are rich in Vitamin C and helps in wound healing but the question whether it can be used is still a controversy.
Skimmed milk & milk products, low fat cottage cheese are acid- stimulating and so they are restricted.
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How To Test For Stomach Ulcers
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:
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Foods To Help Prevent Symptoms
Gastritis involves inflammation of the stomach lining. For this reason, an anti-inflammatory diet may help some people.
There is no single best anti-inflammatory diet. To combat inflammation, eat plenty of fresh fruits, vegetables, and other plant foods, which are rich in antioxidants. It is also important to avoid processed foods and any containing unhealthful fats and added salt or sugar.
Learn more about an anti-inflammatory diet here.