What Is The Best Ointment For Diabetic Wounds
Topically applied antibiotics such as Neomycin, Gentamycin, and Mupirocin provide effective antibacterial coverage. Silver-containing dressings are available in various formulations and provide excellent antibacterial coverage. Diabetic foot wounds have been successfully treated with silver dressings and polyherbal formulations .
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How To Treat Bleeding Stomach Ulcers
The first step in treating a bleeding stomach ulcer is to rule out the possibility of an ulcer. This can be done by taking an upper endoscopy, which is a camera that goes through the mouth and into the esophagus and stomach.
If you are diagnosed with gastroesophageal reflux disease , your doctor will prescribe medications that reduce acid production in your stomach. The medications are antacids, proton pump inhibitors, or histamine-2 receptor antagonists.
How Do H Pylori Cause A Peptic Ulcer And Peptic Ulcer Disease
H. pylori are spiral-shaped bacteria that can cause peptic ulcer disease by damaging the mucous coating that protects the lining of the stomach and duodenum. Once H. pylori have damaged the mucous coating, powerful stomach acid can get through to the sensitive lining. Together, the stomach acid and H. pylori irritate the lining of the stomach or duodenum and cause a peptic ulcer.
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Is There A Peptic Ulcer Diet Plan
No particular diet is helpful for people with peptic ulcers. At one time, a bland diet and avoidance of spicy or greasy foods was recommended. Milk and dairy food have been used in the past for ulcer symptoms, but have not been proven to be effective. We now know diet has little effect on ulcers. In some people, however, certain foods seem to aggravate stomach ulcer symptoms. Keep a food diary with your intake and the resulting symptoms and avoid eating any foods that aggravate symptoms.
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How Can I Reduce My Risk Of Foot And Toe Ulcers
There are several things you can do to help reduce your risk of getting foot and toe ulcers. Sometimes, adopting these habits can even stop them from coming back. Try to:
- Manage your diabetes. If you have diabetes you should wear appropriate footwear and never walk barefoot.
- Examine your legs as well as the tops and bottoms of your feet and the areas between your toes every day. Look for any blisters, cuts, cracks, scratches or other sores. Also check for redness, increased warmth, ingrown toenails, corns and calluses. Use a mirror to view your leg or foot if necessary. If its difficult to see, ask a family member to look at the area for you. See a healthcare provider immediately if you notice any problems.
- Talk to your healthcare provider about ways you can stop smoking.
- Manage your blood pressure.
- Control your cholesterol and triglyceride levels by changing your diet. Limit salt in your diet.
- Care for your toenails frequently. Cut your toenails after bathing, when they are soft. Cut toenails straight across and smooth with a nail file. Take care of ingrown toenails.
- Wear appropriate shoes and socks. Talk to your podiatrist about what you need.
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Sensory And Autonomic Neuropathy
Distal symmetric polyneuropathy is perhaps the most common complication affecting the lower extremities of patients with diabetes mellitus. This complication occurs in up to 58 percent of patients with longstanding disease.19 Neuropathy, a major etiologic component of most diabetic ulcerations, is present in more than 82 percent of diabetic patients with foot wounds.4 This lack of protective sensation, combined with unaccommodated foot deformities, exposes patients to undue sudden or repetitive stress that leads to eventual ulcer formation with a risk of infection and possible amputation.20
In the diabetic foot, autonomic neuropathy has several common manifestations. First, denervation of dermal structures leads to decreased sweating. This causes dry skin and fissure formation, which predispose the skin to infection. In vascularly competent patients, this autosympathectomy may lead to increased blood flow, which has been implicated as one of the primary etiologic factors in the development of Charcots joint and severe foot deformity.2123
The nylon monofilament test is a simply performed office test to diagnose patients at risk for ulcer formation due to peripheral sensory neuropathy.24 The test is abnormal if the patient cannot sense the touch of the monofilament when it is pressed against the foot with just enough pressure to bend the filament25 . Physicians can obtain a monofilament kit at a small cost from the National Diabetes Information Clearing-house .
What Is This Medication
OMEPRAZOLE is used to treat heartburn, stomach ulcers, reflux disease, or other conditions that cause too much stomach acid. It works by reducing the amount of acid in the stomach. It belongs to a group of medications called PPIs.
This medicine may be used for other purposes ask your health care provider or pharmacist if you have questions.
COMMON BRAND NAME: Prilosec OTC
What Does A Stomach Ulcer Feel Like
The classic symptoms of peptic ulcers are stomach pain and indigestion. Ulcer pain feels like burning or gnawing inside your stomach, which is between your breastbone and your belly button. It may improve temporarily when you eat or drink or when you take an antacid, medication to reduce stomach acid. It may feel worse between meals and at night when stomach acid builds up without food to digest. It may also make you feel like you dont want to eat.
How do I know if I have an ulcer or gastritis?
Gastritis and gastric ulcers share many symptoms and often go hand in hand. Gastritis can be a precursor to stomach ulcers, caused by the same conditions that will eventually cause ulcers, including H. pylori infection and mucous erosion. You may also have both.
Both gastritis and stomach ulcers can cause stomach pain, as well as symptoms of indigestion. Usually, the pain from an ulcer will feel more localized like its coming from one particular spot. But since some ulcers are silent, you might not feel it if you do have one.
If you have symptoms of either gastritis or stomach ulcer, you should seek medical care. Gastritis can lead to ulcers if it hasnt already. It can also indicate an infection or other condition that needs to be treated. Medical testing can quickly determine the causes of your stomach pain.
How can I tell if I have ulcer pain or heartburn?
What Are The Symptoms Of A Stomach Ulcer
Most people with a stomach ulcer do not experience any symptoms. The most common symptom is burning pain in the upper abdomen. The pain can travel to the chest and neck, bellybutton, or back.
Other less common symptoms include:
- feeling full and bloated, or belching
- not being able to tolerate fatty foods
Sometimes, stomach ulcers can lead to more serious symptoms, such as:
- a sudden sharp pain in the stomach that gets worse
- blood in your stool or black, tarry stools
If you have any of these symptoms, see a doctor immediately.
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How Are Peptic Ulcers Treated
Treatment will depend on the type of ulcer you have. Your healthcare provider will create a care plan for you based on what is causing your ulcer.
Treatment can include making lifestyle changes, taking medicines, or in some cases having surgery.
Lifestyle changes may include:
- Not eating certain foods. Avoid any foods that make your symptoms worse.
- Quitting smoking. Smoking can keep your ulcer from healing. It is also linked to ulcers coming back after treatment.
- Limiting alcohol and caffeine. They can make your symptoms worse.
- Not using NSAIDs . These include aspirin and ibuprofen.
Medicines to treat ulcers may include:
- Antibiotics. These bacteria-fighting medicines are used to kill the H. pylori bacteria. Often a mix of antibiotics and other medicines is used to cure the ulcer and get rid of the infection.
- H2-blockers . These reduce the amount of acid your stomach makes by blocking the hormone histamine. Histamine helps to make acid.
- Proton pump inhibitors or PPIs. These lower stomach acid levels and protect the lining of your stomach and duodenum.
- Mucosal protective agents. These medicines protect the stomach’s mucus lining from acid damage so that it can heal.
- Antacids. These quickly weaken or neutralize stomach acid to ease your symptoms.
In most cases, medicines can heal ulcers quickly. Once the H. pylori bacteria is removed, most ulcers do not come back.
How Do You Know If An Ulcer Is Bleeding
An ulcer is a condition that may be symptomatic in some cases while in most cases it is asymptomatic. In such cases, there is an unnoticeable slow bleeding in the gut which produces signs of anaemia, evident from the symptoms like pale skin colour, breathlessness due to physical activity, fatigue etc.
Heavy bleeding is evident as black and sticky stool, presence of dark red colour blood in the stool and bloody vomits with coffee grounds consistency.
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Signs You May Have A Stomach Ulcer
We have absolutely warned our patients about the dangers of untreated ulcers in the past. However, we consider this to be an extremely important matter and therefore, we will continue to try to educate the people of Los Angeles, as well as those elsewhere on the most common symptoms of stomach ulcers. If you know the signs, you can see your doctor sooner rather than later when things have gotten especially bad. Continue reading below to get familiar with what these symptoms are.
Pathogenesis Of The Diabetic Foot Ulcer
The diabetic foot ulcer is a complex multifactorial entity with a well-known etiologic pathway. The most common pathway is considered to be due to reduced peripheral sensation coupled with increased shear and/or compressive pressure . Brand discussed the concept of tenderizing the foot in which peripheral neuropathy leads to a loss of function of two types of mechanoreceptors in the skin, responsible for delivering nociceptive signals. High threshold mechano-receptors, carried via A-delta fibers, normally become sensitized to increased repetitive pressures on healthy tissues. This sensitization lowers the pain threshold in the patient with normal sensation, carried by polymodal nociceptors, leading to altered behaviors which reduce pain and subsequent damage. In the neuropathic patient this sensitization system is absent, allowing tissue damage to occur without any pain response with the subsequent diabetic foot ulcer.
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How Are Esophageal Ulcers Caused
The main causes of esophageal ulcers are:
Exposure to stomach acid: This causes chronic inflammation and irritation of the esophagus, allowing ulcers to develop. Stomach acid exposure most often occurs in people with other gastrointestinal conditions. These can include hiatal hernias and GERD, or gastrointestinal reflux disease, more commonly referred to, as severe heartburn.
Caustic injury: Esophageal ulcers may be caused by ingesting a corrosive substance. This type of injury mostly affects children, but it can also occur in adults who experience psychosis, suicidal tendencies, or who are abusing alcohol.
Certain types of gastric surgery or foreign bodies can also cause esophageal ulcers.
Early intervention is key to preventing complications from esophageal ulcers.
In cases of acid reflux, treatment may include:
- Medication, such as antacids, H-2-receptor blockers, and proton pump inhibitors .
- Dietary and lifestyle changes, to aid digestion.
- Surgery, for severe cases. Types of surgeries include to tighten the LES valve near the top of the stomach or to insert a magnetic device to help the LES valve function.
Diagnosis Of Peptic Ulcers
Your GP will want to find out if youve got a peptic ulcer and whats causing it, as this will help them decide on the right treatment. Treating your ulcer as soon as possible will reduce the risk of complications.
Your GP will ask about your symptoms and medical history. They may also feel your abdomen, to check for tenderness or pain.
Your GP will want to find out if your ulcer is caused by H. pylori or by taking NSAIDs. You should tell the doctor if youve been taking over-the-counter painkillers such as aspirin and ibuprofen regularly.
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Complications Of Peptic Ulcers
If a peptic ulcer is treated, the outcome is usually very good, and complications arent very common. But if you havent had any treatment, or your ulcer has gone unnoticed for a while, complications may develop. Theres a particular risk if youre older and if youre taking medicines that stop your blood clotting, such as aspirin or warfarin. Complications include:
The most common of these is bleeding, especially if your ulcer is linked to NSAIDs. It happens if your ulcer grows into any underlying arteries or veins . If your ulcer is bleeding, you may:
- throw up blood this can be bright red, or dark like coffee grounds
- pass poo that is black and sticky
- develop iron deficiency anaemia, if youve been losing blood for some time
You should get urgent medical help if you have any of these symptoms. The surgeon may be able to stop the bleeding using an endoscope rather than open surgery. Its also possible to treat bleeding with a high dose of PPIs. Less commonly, you may need emergency surgery, but this can depend on how much blood youve lost.
If your ulcer eats through the lining of your stomach or duodenum, you may develop perforation. Perforation means the ulcer has broken through the wall of your stomach or duodenum, causing inflammation of your abdominal lining and a potentially serious infection. Your stomach will feel rigid and sore. You should go to hospital if you think this has happened as you may need emergency surgery.
How Do You Treat An Ulcer
An untreated ulcer can lead to serious problems including the need for amputation. If you think you have an ulcer, see your doctor right away. The sooner you get treatment, the less likely you are to have another problem.
Your doctor will examine your skin and may take an X-ray to see if your ulcer has affected the nearest bone. In some cases, your doctor may use other tests to see if you have blood vessel disease.
Next, your doctor will treat your ulcer with a procedure called debridement. Here, the doctor removes unhealthy tissue from the wound to start the healing process. Your doctor may prescribe medications, such as antibiotics, that you swallow or rub on the sore.
Talk to your doctor about how to care for your ulcer at home. You might need to:
- Clean your ulcer daily with soap and water. Dont use hydrogen peroxide or soak your wound in a bath or whirlpool. This can discourage healing and increase your risk of infection.
- Keep your ulcer bandaged or covered with a wound dressing. Your doctor may recommend specific bandaging steps. Airing out a wound increases your odds of infection and slows healing.
- Apply medications such as saline, skin substitutes, and substances that make skin cells grow.
- Take better care of other health problems, such as diabetes or vascular disease.
- Keep pressure off your ulcer, especially if its on your foot.
You might need crutches, special footwear, a brace, or other devices to reduce pressure and irritation so your ulcer heals faster.
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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.
What Are The Symptoms Of Stomach And Duodenal Ulcers In A Child
Ulcers dont always cause symptoms.
The most common symptom is a gnawing or burning pain in the stomach. This is often felt between the breastbone and the belly button . Your child may feel the pain more between meals and in the early morning. It may last from a few minutes to a few hours.
Less common ulcer symptoms include:
Tiredness and weakness
The symptoms of ulcers may look like other health problems. Make sure your child sees his or her healthcare provider for a diagnosis.
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How Is An Ulcer Diagnosed
Your doctor will ask you about your symptoms. They may do an endoscopy. This procedure involves inserting a thin, flexible tube attached to a camera down your throat and into your stomach. Your doctor will test your blood, breath or stool for H. pylori. They also can test a sample of your stomach lining. Your doctor also will ask you if you regularly take aspirin or anti-inflammatory medicines.
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.
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