What Are Possible Complications Of Stomach And Duodenal Ulcers In A Child
Your child could have severe complications if his or her ulcer isnt treated well. The most common problems include:
Bleeding. An ulcer can harm blood vessels. This can cause bleeding.
Hole . An ulcer can wear a hole through the wall of the stomach or duodenum. Bacteria and partially digested food can spill through the opening into the abdominal cavity . This can cause peritonitis. This is inflammation of the abdominal cavity and wall.
Narrowing and blockage . Ulcers at the end of the stomach where the duodenum is attached can cause swelling and scarring. This can narrow or close the intestinal opening. This blockage can stop food from leaving the stomach and going into the small intestine. This can cause vomiting.
Stomach cancer. H. pylori infection increases the risk for stomach cancer later in life.
What Are The Complications Of Peptic Ulcers
Ulcers can cause serious problems if you dont get treatment.
The most common problems include:
- Bleeding. As an ulcer wears away the muscles of the stomach or duodenal wall, blood vessels may be hurt. This causes bleeding.
- Hole . Sometimes an ulcer makes a hole in the wall of your stomach or duodenum. When this happens, bacteria and partly digested food can get in. This causes infection and redness or swelling .
- Narrowing and blockage . Ulcers that are found where the duodenum joins the stomach can cause swelling and scarring. This can narrow or even block the opening to the duodenum. Food cant leave your stomach and go into your small intestine. This causes vomiting. You cant eat properly.
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.
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When To Call A Healthcare Provider
If the ulcer is large or deep, growing in size, incredibly painful, or if you have any signs of infection , you notice a bad smell coming from your ulcer, or you’re running a fever, call your healthcare provider right away.
You’ll also want to call your healthcare provider if your ulcer, no matter how minor, isn’t showing signs healing after a week to 10 days.
In most cases, the ulcer will be dressed to protect the wound. However, if your ulcer is draining considerably, your healthcare provider may recommend leaving the wound uncovered. Dressing the ulcer if it’s draining considerably can impede healing.
If your ulcer is painful, pain medication can be prescribed. Antibiotics may also be prescribed either prophylactically to prevent infection or to treat an already infected wound.
Debridement is done to remove dead tissue from more serious ulcers. For deep ulcers or those that aren’t healing after a long period of time, skin grafts may be needed. In the most severe cases, part of the foot, leg, or other appendage may have to be amputated.
Restoring good circulation is key in treating and preventing ulcers. This includes elevating the legs, wearing compression stockings, reducing pressure on ulcer-prone areas, superficial vein surgery. Leg ulcers, in particular, are incredibly likely to reoccur, so compression stockings are often needed to be worn for life.
When Should You Call Or See A Doctor
If you think you have a stomach ulcer, call your doctor. Together you can discuss your symptoms and treatment options. If you dont already have a physician, you can use the Healthline FindCare tool to find a provider near you.
Its important to get a stomach ulcer taken care of because without treatment, ulcers and H. pylori can cause:
- bleeding from the ulcer site that can become life-threatening
- penetration, which occurs when the ulcer goes through the wall of the digestive tract and into another organ, such as the pancreas
- perforation, which occurs when the ulcer creates a hole in the wall of the digestive tract
- obstruction in the digestive tract, which is due to swelling of inflamed tissues
- stomach cancer, specifically
Symptoms of these complications can include those listed below. If you have any of these symptoms, be sure to call you doctor right away:
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
- Loss of weight
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 Is Peptic Ulcer Disease
Peptic ulcer disease is a condition in which painful sores or ulcers develop in the lining of the stomach or the first part of the small intestine . Normally, a thick layer of mucus protects the stomach lining from the effect of its digestive juices. But many things can reduce this protective layer, allowing stomach acid to damage the tissue.
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How Are Ulcers Diagnosed
- Theyâll feel your belly and ask if youâve had things like tenderness, pain, or bloating. They might use a stethoscope to listen to any sounds your stomach is making.
- The next step will be tests to look for signs of the H. pylori bacteria. Your doctor may take samples of your blood, stool, or breath for these.
- In some cases, especially if youâre older and your symptoms include things like weight loss or loss of appetite, they might use a long, flexible tube to look down your throat and into your stomach for signs of an ulcer. An endoscope can also take a small sample of tissue from an ulcer that can be tested in a laboratory.
- They might ask you to drink a milky liquid called barium before they take X-rays of your stomach. This drink coats your digestive system and makes problems like ulcers show up more clearly.
Causes Of Gastric Ulcer
The gastric ulcer forms when the stomach becomes vulnerable to its own acidity, by having its defences weakened, and may happen primarily due to:
- Genetic factor
- Use of medications that affect the stomach wall defenses, such as anti-inflammatory or AAS, for example
- Infection by the Helicobacter pylori bacteria, which multiplies in the stomach and weakens its protective barrier
- Consumption of alcoholic beverages and cigarette use, which have irritating effect
- Stress, situation that affects the defences of the mucosa of the stomach and favors the emergence of symptoms.
In addition, an unbalanced, fat-rich feed, sugars and irritative foods such as caffeine or pepper, for example, can aggravate the symptoms and progression of ulcer and other gastric diseases, such as reflux. Meet
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Treatments For Stomach Ulcers
Most peptic ulcers take a month or two to heal with treatment. Theres a small chance that they may come back in the future.
If the cause of your ulcer is an H. pylori bacterial infection, your doctor will prescribe you antibiotics to kill off the infection. This also reduces your chances of developing another ulcer in the future.
Stomach ulcers caused by NSAIDs are treated with a medication called proton pump inhibitors . This medication helps to reduce the amount of acid in the stomach, allowing the ulcer to heal. Your doctor may also recommend that you take paracetamol instead of NSAIDs.
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 Are The Early Symptoms Of An Ulcer
The early symptoms of ulcers may vary from one person to another. In general, the notable symptoms are as follows:
- Having a burning sensation and pain in the stomach. It is mainly due to stomach acid which makes the condition worse in the stomach. The pain can be reduced by eating certain foods and acid-reducing medicines.
- Intolerance to fatty foods
Types Of Mouth Ulcers
There are different types of mouth ulcers there are three main types which include the following:
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What Are The Home Remedies For An Ulcer
Home remedies for ulcer are as follows:
1. Flavonoids: Foods rich in these are:
These are gastroprotective and help fighting against H.pylori.
2. Probiotics: Foods containing these are:
They are helpful in wiping out the H.pylori and ease the recovery as well.
3. Honey: It is a powerful antibacterial and antioxidant and fights against H.pylori.
4. Garlic: The extract of garlic can prevent the growth of H.pylori as tested on lab, animals and human trials.
6. Fruits, vegetables and whole grains: Polyphenols are known for protecting the ulcers and foods containing them are dried rosemary, Mexican oregano, dark chocolate and flaxseed.
7. To reduce acid reflux pain, you must also limit:
- Caffeine and other caffeinated beverages
- Carbonated beverages
- Foods with a high amount of salt
- Deep-fried foods
- Acidic foods like citrus and tomatoes
- Limit alcohol
What Are Peptic Ulcers
There is no clear evidence to suggest that the stress of modern life or a steady diet of fast food causes ulcers in the stomach and small intestine, but they are nonetheless common in our society: About one out of every 10 Americans will suffer from the burning, gnawing abdominal pain of a peptic ulcer at some point in life.
Peptic ulcers are holes or breaks in the protective lining of the duodenum or the stomach — areas that come into contact with stomach acids and enzymes. Duodenal ulcers are more common than stomach ulcers. Comparatively rare are esophageal ulcers, which form in the esophagus — or swallowing tube — and are often a result of exposure to medications, like certain antibiotics or anti-inflammatories, or alcohol abuse.
Until the mid-1980s, the conventional wisdom was that ulcers form as a result of stress, a genetic predisposition to excessive stomach acid secretion, and poor lifestyle habits . It was believed that such influences contribute to a buildup of stomach acids that erode the protective lining of the stomach, duodenum, or esophagus.
Other factors also seem to contribute to ulcer formation, especially in someone with H. pylori:
- Overuse of over-the-counter painkillers
- Heavy alcohol use
- Psychological stress
Other studies show that stomach ulcers are more likely to develop in older people. This may be because:
Also, for no known reason, people with type A blood are more likely to develop cancerous stomach ulcers.
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What Are The Long Term Effects Of Ulcers
The ulcers, when left untreated for a long time, can lead to the following situations:
- Bleeding: Patients may experience internal bleeding and blood loss, leading to anemia and blood in vomiting or stools. This may require hospitalization or transfusion.
- Infection: The ulcer when left untreated can perforate through the walls of the stomach or small intestine and can cause serious infection in the abdominal cavity region.
- It can lead to the blockage of the passage of the food via the digestive tract and thus can lead to symptoms of vomiting, nausea, weight loss, swelling in the intestine, etc.
How Are Ulcers Treated
If you have a peptic ulcer, your doctor will recommend a treatment plan based on whatâs causing it:
- The most common remedy is a combination of antibiotic drugs to kill the H. pylori bacteria and medications to get rid of acid in your stomach. These typically include proton pump inhibitors , and antibiotics. Youâll take PPIs for several weeks.
- If your ulcer is caused by over-the-counter painkillers, youâll need to quit taking them.
- They also may give you a drug called a protectant, which coats ulcers to protect them from stomach acid.
Lifestyle changes can help, too. You might need to:
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What Ulcer Treatments Are Available
If your ulcer is bleeding, your doctor may treat it during an endoscopy procedure by injecting medications into it. Your doctor could also use a clamp or cauterization to seal it off and stop the bleeding.
For most people, doctors treat ulcers with medications, including:
- Proton pump inhibitors : These drugs reduce acid, which allows the ulcer to heal. PPIs include Prilosec®, Prevacid®, Aciphex®, Protonix® and Nexium®.
- Histamine receptor blockers : These drugs also reduce acid production and include Tagamet®, Pepcid®, Zantac® and Axid®.
- Antibiotics: These medications kill bacteria. Doctors use them to treat H. pylori.
- Protective medications: Like a liquid bandage, these medications cover the ulcer in a protective layer to prevent further damage from digestive acids and enzymes. Doctors commonly recommend Carafate® or Pepto-Bismol®.
Causes Of Stomach Ulcers
A stomach ulcer can be caused by a variety of factors, including:
- Helicobacter pylori bacteria is thought to be responsible for around 60 per cent of stomach ulcers and at least 90 per cent of duodenal ulcers.
- Certain medications which include aspirin or clopidogrel, taken regularly to help prevent heart attack or stroke, and drugs for arthritis. Anti-inflammatory medications are thought to cause around two fifths of stomach ulcers.
- Cancer stomach cancer can present as an ulcer, particularly in older people.
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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
- Vomiting blood
Peptic ulcer symptoms may look like other health problems. Always see your healthcare provider to be sure.