What Do You Do For An Ulcer In Your Stomach

How Do I Know If I Have An Ulcer

Describing your symptoms may lead your doctor to suspect that you have a peptic ulcer, but it wonât likely help determine the type, because the symptoms of stomach and duodenal ulcers are so similar. The doctor will do tests like these to figure out which specific type of ulcer you have:

• Endoscopy. This is the most accurate diagnostic test to diagnose a peptic ulcer. The doctor puts a flexible tube down your throat to see inside your esophagus , stomach, and duodenum. This allows the doctor to see the cause of bleeding and test for any bacterial infection. During this exam, your doctor may also do a biopsy to check for cancer.
• Barium swallow. If you can’t have an endoscopy, this test, also called an upper GI series of X-rays, can help your doctor identify and locate the ulcer and determine its type and severity. The test requires you to drink a “barium milkshake,” which has a liquid that will show up on an X-ray. They may ask you to eat only bland, easy-to-digest foods for 2-3 days before the test. After drinking the chalky liquid, you lie down on a tilting exam table. This evenly spreads the barium around your upper digestive tract and lets the X-ray take pictures at different angles.

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What If A Peptic Ulcer Doesn’t Heal

Most often, medicines heal a peptic ulcer. If an H. pylori infection caused your peptic ulcer, you should finish all of your antibiotics and take any other medicines your doctor prescribes. The infection and peptic ulcer will heal only if you take all medicines as your doctor prescribes.

When you have finished your medicines, your doctor may do another breath or stool test in 4 weeks or more to be sure the H. pylori infection is gone. Sometimes, H. pylori bacteria are still present, even after you have taken all the medicines correctly. If the infection is still present, your peptic ulcer could return or, rarely, stomach cancer could develop. Your doctor will prescribe different antibiotics to get rid of the infection and cure your peptic ulcer.

How To Treat Gastric Ulcer

This article was co-authored by Roy Nattiv, MD and by wikiHow staff writer, Jessica Gibson. Dr. Roy Nattiv is a board-certified Pediatric Gastroenterologist in Los Angeles, California. who specializes in a broad range of pediatric gastrointestinal and nutritional illnesses such as constipation, diarrhea, reflux, food allergies, poor weight gain, SIBO, IBD, and IBS. Dr. Nattiv received his undergrad degree from the University of California, Berkeley, and his medical degree from the Sackler School of Medicine in Tel Aviv, Israel. He completed his pediatric residency at the Childrens Hospital at Montefiore, Albert Einstein College of Medicine in New York, and his fellowship at the University of California, San Francisco . While at UCSF, he was a California Institute of Regenerative Medicine fellowship trainee and was awarded the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Fellow to Faculty Award in Pediatric IBD Research. In addition to his clinical work, Dr. Nattiv is active in the research community and has been published in several high-impact medical journals.There are 13 references cited in this article, which can be found at the bottom of the page. This article has been viewed 25,618 times.

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How Do You Know If You Have A Stomach Ulcer

If you have a stomach ulcer, you may have:

• Burning/dull pain or gnawing pain in the center of your tummy
• Pain that worsens between meals
• Vomiting in the middle of the night

Visit the doctor/gastroenterologist if you

• Vomit blood that is bright red or dark brown
• Are passing dark, sticky, tar-like poo
• Have sudden, sharp pain in your tummy that gets worse steadily
• These could be the signs of internal bleeding, and this can be fatal.

Duration Of Peptic Ulcers

Ulcers caused by Helicobacter pylori heal when the bacteria is killed. The typical course of treatment includes two weeks of antibiotics along with acid-suppressing medicine. This is followed by an additional four to eight weeks of the acid-suppressing medicine alone.

Its possible for an ulcer to heal temporarily without antibiotics, but it will likely recur or another one will form nearby if the bacteria is not killed.

Peptic ulcers caused by medication usually heal shortly after you stop taking the medication. Doctors typically recommend taking antacids for two to six weeks to assist with healing and relieve pain.

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Youve Had Unexplained Vomiting

From time to time, the nausea brought on by ulcers may become so intense that it could actually cause you to vomit. Frequent vomiting is never a fun experience, but whatever you do, stay away from medications like ibuprofen and aspirin when treating the condition and other ulcer symptoms. According to Dr. Sengupta, these over-the-counter pain medications actually put you at a higher risk of developing ulcers, and can make your current ulcers worse.

How To Treat A Bleeding Ulcer

This article was co-authored by Dale Prokupek, MD. Dale Prokupek, MD is a board-certified Internist and Gastroenterologist who runs a private practice based in Los Angeles, California. Dr. Prokupek is also a staff physician at Cedars-Sinai Medical Center and an associate clinical professor of medicine at the Geffen School of Medicine at the University of California, Los Angeles . Dr. Prokupek has over 30 years of medical experience and specializes in the diagnosis and treatment of diseases of the liver, stomach, and colon, including chronic hepatitis C, colon cancer, hemorrhoids, anal condyloma, and digestive diseases related to chronic immune deficiency. He holds a BS in Zoology from the University of Wisconsin Madison and an MD from the Medical College of Wisconsin. He completed an internal medicine residency at Cedars-Sinai Medical Center and a gastroenterology fellowship at the UCLA Geffen School of Medicine.There are 9 references cited in this article, which can be found at the bottom of the page.wikiHow marks an article as reader-approved once it receives enough positive feedback. In this case, 100% of readers who voted found the article helpful, earning it our reader-approved status. This article has been viewed 407,516 times.

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When Should I Call The Doctor

• sudden, sharp, lasting belly pain
• bloody or black bowel movements
• bloody vomit or vomit that looks like coffee grounds

These could be signs of a serious problem for a child whos had a peptic ulcer, such as:

• perforation
• bleeding
• obstruction

If your child takes NSAIDs and shows signs of a peptic ulcer, get medical help right away. Delaying diagnosis and treatment can lead to more problems and, possibly, the need for surgery. But with quick treatment, almost all peptic ulcers can be cured.

What Are The Symptoms Of Any Complications

Stomach ulcers can cause various complications but these are much less common now because of more effective treatments. However, complications can be very serious and include:

Bleeding from the ulcer

• This can range from a ‘trickle’ to a life-threatening bleed.
• If there is sudden heavy bleeding then this will cause you to vomit blood and make you feel very faint.
• Less sudden bleeding may cause you to vomit and the vomit looks coffee-coloured because the stomach acid has partly broken down the blood.
• A more gradual trickle of blood will pass through your gut and cause your stools to look very dark in colour or even black .

PerforationThis is the term used to describe the ulcer having gone all the way through the wall of the stomach. Food and acid in the stomach then leak out of the stomach. This usually causes severe pain and makes you very unwell. Stomach perforation is a medical emergency and needs hospital treatment as soon as possible.

Stomach blockageThis is now rare. An ulcer at the end of the stomach can cause the outlet of the stomach to narrow and cause an obstruction. This can cause frequent severe vomiting.

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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.

What Is The Difference Between Peptic Ulcer And Gastric Ulcer

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Keeping this in consideration, what is the difference between gastric ulcer and duodenal ulcer?

Gastric and duodenal ulcers are peptic ulcers, which are open sores in the lining of the digestive tract. Gastric ulcers form in the lining of the stomach. Duodenal ulcers develop in the lining of the duodenum, which is the upper part of the small intestine.

Similarly, what causes gastric ulcer? Stomach ulcer causesStomach ulcers are usually caused by Helicobacter pylori bacteria or non-steroidal anti-inflammatory drugs . These can break down the stomach’s defence against the acid it produces to digest food. The stomach lining then becomes damaged causing an ulcer to form.

Keeping this in consideration, what is the difference between peptic ulcer and gastritis?

Gastritis is irritation and inflammation of the stomach lining. An ulcer is a deeper open sore in the lining of the stomach. It may also occur in the first part of the small intestine . The causes and symptoms of gastritis and ulcers are very similar.

Which type of ulcer is relieved by food?

Duodenal ulcers

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What Is The Treatment For Peptic 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 person’s 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.

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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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 .

What Are The Symptoms

Symptoms include:

• A burning, aching, or gnawing pain between the belly button and the breastbone. Some people also have back pain. The pain can last from a few minutes to a few hours and may come and go for weeks.
• Pain that usually goes away for a while after you take an antacid or acid reducer.
• Loss of appetite and weight loss.
• Bloating or nausea after eating.
• Vomiting.
• Vomiting blood or material that looks like coffee grounds.
• Passing black stools that look like tar, or stools that contain dark red blood.

Different people have different symptoms, and some people have no symptoms at all.

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Youre More Bloated Than Usual

If you notice your stomach feeling particularly bloated, it may be more serious than a little bit of gasit could be one of the signs of an ulcer. According to RM Healthy, bloating is often one of the earliest ulcer symptoms, with patients especially complaining of pain in their midsection. Of course, bloating can also be caused simply by eating something your body doesnt agree with or not drinking enough water, but when combined with these other symptoms, its worth checking out.

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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:

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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.

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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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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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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