Prevention Of Peptic Ulcers
Using alternatives to NSAIDs, like acetaminophen, to relieve pain can help prevent peptic ulcers. If you need to use an NSAID, opt for the lowest dose and take it with a meal.
Peptic ulcers caused by infection with Helicobacter pylori are not usually preventable, but good hygiene such as washing your hands thoroughly before eating and after using the bathroom may help limit the spread.
How Are Ulcers Diagnosed
Ulcers are diagnosed with a medical history, physical examination, and tests. Most ulcers will be diagnosed and treated by a general practitioner, but some cases may require a gastroenterologist, a doctor that specializes in the digestive system.
The medical history will help the doctor diagnose the condition and discover any complications or red flags. You should be ready to answer important questions, such as:
- Is your stool black or bloody?
- Are you throwing up?
- Is it difficult to swallow?
- Has any related family member had cancer in the digestive system?
- Do you use NSAIDs or anticoagulant medications?
The symptoms of peptic ulcers can include stomach pain, early feeling of fullness when eating, weight loss, and mild nausea. For a stomach ulcer, the pain increases two to three hours after a meal. The pain of a duodenal ulcer decreases after a meal, which can lead to weight gain in some people with duodenal ulcers.
Esophageal ulcer symptoms are different. They include pain when swallowing, heartburn, upset stomach, nausea, vomiting, vomiting blood, and a feeling that food is getting stuck after swallowing.
All patients with stomach pain will be tested for H. pylori bacteria. A urea breath test is fast and accurate, but stool or urine tests may also be used.
Canker Sore Treatment Options
Once youve self-diagnosed your canker sore or been told by a doctor that you have one, the next step is proper treatment. Because theres no cure for canker sores, treatment options typically focus on pain relief.
Here are some of the most common treatment options for canker sores:
- Over-the-counter pain medications
- Prescribed antibiotics or antivirals
To help keep canker sores from coming back, here are some things you can talk to your doctor about doing:
- Reducing stress
- Eating a healthy diet with fresh fruits and vegetables
- Avoiding rough, spicy, and acidic foods
- Getting enough nutrients
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How Do You Heal A Canker Sore Fast
Canker sore treatment may include over-the-counter or prescription products to ease your symptoms. Your healthcare provider may recommend one or more of these canker sore remedies:
- Topical anesthetics, such as benzocaine.
- Mouth rinses containing hydrogen peroxide, chlorhexidine or dexamethasone.
- Corticosteroid ointments, such as fluocinonide, beclomethasone or hydrocortisone hemosuccinate.
- Antibiotics, such as doxycycline .
If you have canker sores caused by nutritional deficiencies, your healthcare provider may recommend certain vitamins or supplements.
For severe canker sores, your healthcare provider may recommend cauterization . This can sterilize the area, reduce pain and speed up healing.
What Are The Symptoms Of Canker Sores
Common canker sore symptoms include:
- One or more painful sores inside of your mouth. These ulcers may form on your tongue, the inside of your lips, your inner cheeks or the roof of your mouth.
- Burning or tingling sensations.
- Small, round ulcers that are white, gray or yellow with a red border.
In severe cases, you may also experience:
Canker sores may also be linked to nutritional deficiencies in vitamin B-12, zinc, folic acid or iron.
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How Are Peptic Ulcers Diagnosed
If your doctor suspects you might have a peptic ulcer, he will take a full medical history and perform a physical exam. Diagnostic tests you might take include:
- Lab test for H. pylori A blood, stool, or breath test may be used to determine whether H. pylori bacteria are present in your body.
- Endoscopy During this procedure, a hollow tube with a lens will be passed down your throat to your esophagus, stomach, and small intestine. This will allow your doctor to look for a peptic ulcer and take a biopsy if one is present.
- Barium swallow For this test, you will swallow a white liquid containing barium, which coats your digestive tract. A series of X-rays of your upper digestive system will be taken and the liquid makes the ulcer more visible.
What If A Peptic Ulcer Doesnt 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.
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What Is An Ulcer
Ulcers are open sores on the inner lining of the lower esophagus, stomach, or the upper portion of the small intestine. They are often painful, particularly after eating, and can bleed into the stomach or intestines.
Ulcers are identified by the location of the sore:
- Esophageal ulcers occur on the lower part of the esophagus, the muscular tube that connects the throat to the stomach.
- Gastric ulcers form in the stomach lining.
- Duodenal ulcers form in the lining of the small intestine near the stomach called the duodenum.
Esophageal, gastric, and duodenal ulcers are collectively called peptic ulcers or peptic ulcer disease . They are closely related both in causes and treatments. Compared to gastric and duodenal ulcers, esophageal ulcers may arise from different causes and require different treatments in some cases.
Peptic ulcers are due to an erosion of the defenses the stomach or intestinal tissues use to protect themselves against harmful stomach acid. When these defenses are compromised, the acid can eat away at the lining of the stomach or duodenum, causing sores.
Lifestyle factors, such as eating spicy foods or stress, are no longer considered risk factors for developing peptic or esophageal ulcers, but they may worsen ulcer symptoms.
Peptic ulcer disease is very common. Anywhere from 5% to 10% of the population will develop a peptic ulcer at some time during their lives. About 2% to 7% will experience an esophageal ulcer in their lifetime, mostly due to GERD.
What Can I Do To Look After Myself If I Have A Mouth Ulcer
Here are some tips to look after yourself when you have a mouth ulcer:
- Try not to touch the sore area. Touching can disturb the healing process and can also spread an infection. If you do need to touch the area, make sure to wash your hands before and after.
- Use a soft toothbrush to clean your teeth. If your sores are so painful that you canât brush your teeth, use a mouthwash containing chlorhexidine instead. This is available from most local pharmacies and some supermarkets. Avoid using mouthwashes that contain alcohol.
- Rinsing with salt water can help relieve pain and reduce the chance of infection. Make a saltwater rinse by mixing one teaspoon of salt into a cup of water. Take a mouthful of the liquid and hold it in your mouth so it covers the affected area for two minutes, then spit it out. Do not swallow it. Repeat this process 4 times a day.
- Eat soft foods.
- Avoid very hot or spicy foods and drinks. Drinking cool water can help to ease a painful mouth.
- If your mouth is very sore, try drinking through a straw.
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What Causes Aphthous Ulcers
The exact cause of aphthous ulcers is not known although a genetic component is likely since 40% of people with aphthous ulcers have a family history of the condition. Over-reaction of the immune system is also likely to be a factor.
Possible triggers for aphthous ulcers include:
- Food sensitivities
- Hormonal changes
- Minor injury or trauma to the mouth
- Not smoking or having recently quit smoking
- Nutritional deficiencies
- Oral products containing sodium lauryl sulfate
People with certain health conditions, such as Celiac disease, inflammatory bowel disease, Bechets disease, and HIV are also more at risk of aphthous ulcers.
Canker Sore Vs Cold Sore: Are They The Same Thing
No. Although these sores are often confused for each other, theyre not the same.
Cold sores sometimes called fever blisters are caused by herpes simplex virus type 1 or type 2 . Because cold sores are caused by viruses, theyre highly contagious and can spread through close personal contact, such as kissing or oral sex. Cold sores are fluid-filled blisters, and they can appear in clusters on your mouth or genitals.
Canker sores, on the other hand, arent caused by an infection and arent contagious.
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Dietary And General Measures
There are no reliable studies addressing the role of diet in managing aphthous ulcers. Substances that a majority of patients report frequently trigger ulcers should be avoided, especially if the patient in question has noticed an association. In general one should avoid hard, acidic and salty substances such as fruit juices, citrus fruits, tomatoes, and spices like pepper, paprika and curry, as well as alcoholic and carbonated beverages. Avoiding dental care products with sodium lauryl sulfate is also desirable. Using a SLS-free toothpaste significantly reduced the healing period and pain of oral aphthous ulcers .
Stomach Cancer And Other Conditions Associated With H Pylori
H pylori is strongly associated with certain cancers. Some studies have also linked it to a number of non-gastrointestinal illnesses, although the evidence is inconsistent.
Stomach cancer, also called gastric cancer, is the third leading cause of cancer death worldwide. In developing countries, where the rate of H pylori is very high, the risk of stomach cancer is six times higher than in the United States. Evidence now suggests that H pylori may be as carcinogenic to the stomach as cigarette smoke is to the lungs.
Infection with H pylori promotes a precancerous condition called atrophic gastritis. The process most likely starts in childhood. It may lead to cancer through the following steps:
- The stomach becomes chronically inflamed and loses patches of glands that secrete protein and acid.
- New cells replace destroyed cells. But the new cells do not produce enough acid to protect against carcinogens.
- Over time, cancer cells may develop and multiply in the stomach.
Although the evidence is mixed, some research suggests that early elimination of H pylori may reduce the risk of stomach cancer to that of the general population. It is important to follow patients after treatment for a long period of time.
H pylori also is weakly associated with other non-intestinal disorders, including migraine headache, Raynaud disease , and skin disorders such as chronic hives.
Treatment For Mouth Ulcers
Most mouth ulcers are usually harmless and resolve by themselves within 10 to 14 days. Other types of mouth ulcers, such as the aphthous variety or those caused by herpes simplex infection, need topical treatment .
Its not possible to speed up the recovery of ulcers, but the symptoms can be managed and the risk of complications reduced.
Treatment options for mouth ulcers include:
- Avoid spicy and sour foods until the ulcers heal.
- Drink plenty of fluids.
- Keep your mouth clean.
- Apply antiseptic gel to the ulcers.
- Regularly rinse your mouth out with warm, slightly salted water, keeping the rinse in your mouth for up to 4 minutes at a time.
- Use an alcohol-free medicated mouthwash twice daily.
- Use a topical alcohol-free steroid mouthwash or ointment this is generally prescribed by your dentist or oral medicine specialist.
- If required in severe cases, immunosuppressant medication may be prescribed by your oral health professional.
What Are The Clinical Features Of An Aphthous Ulcer
An aphthous ulcer is typically a solitary round or oval punched-out sore or ulcer inside the mouth on an area where the mucosa is not tightly bound to the underlying bone, such as on the inside of the lips and cheeks or underneath the tongue. Aphthous ulcers can also affect the genitalia in males and females.
Recurrent aphthous ulcer usually begins as a round yellowish elevated spot surrounded by a red halo. This then breaks down into a punched-out ulcer, which is covered with a loosely attached white, yellow, or greyish membrane. Surrounding tissue is healthy and unaffected. The ulcer can be painful, particularly if irritated by movement or eating certain types of food such as citrus fruit.
People may experience a single ulcer or multiple ulcers. Multiple ulcers tend to be widely distributed throughout a person’s mouth.
Aphthous ulceration is classified into three types.
- Recurrent minor aphthous ulcer . This is less than 5 mm in diameter and heals within 12 weeks.
- Major aphthous ulcer, which is large and takes weeks or months to heal and leaves a scar.
- Herpetiform ulcers, which are multiple pinpoint ulcers that heal within a month. These are most commonly on the tongue.
Minor aphthous ulcers
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Diagnosis Of Peptic Ulcers:
Many times, when we feel such burning sensation in digestive tract, we think it as the normal acidity. But it is not always the same! Well, the diagnosis process of stomach ulcers are given below-
- The process of diagnosis will depend on your symptoms and the severity of your ulcer.
- In the process of diagnosis, the doctor will first check all your medical history and family health too.
- In advanced stages, it will also include endoscopy, endoscopic biopsy and many more.
Now let us see what are the herbal treatments for these ulcers. As well all know, natural therapies are always better than any sort of allopathic ones.
What Drinks Help Ulcers
For most medical conditions, the best drink is water. For an ulcer, other types of drinks, such as dairy and juice, can increase acid production in the stomach. Some drinks, such as orange juice, are acidic, so youre just pouring gas on the fire. Plain and simple, water not only doesnt irritate the stomach or increase stomach acid, but it can also dilute and weaken the acid in the stomach.
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Canker Sore Causes And Risk Factors
Doctors donât know what exactly causes most canker sores.
Things that might cause minor sores include:
- Tissue injury, like from a sharp tooth or a dental appliance
- Certain foods, including citrus or acidic fruits and vegetables
- Nonsteroidal anti-inflammatory drugs like ibuprofen
- An allergy to something in your food or in your toothpaste or mouthwash
- Helicobacter pylori, the bacteria that can cause peptic ulcers
Things that might cause complex canker sores include:
- An underlying health condition like a weakened immune system, HIV/AIDS, lupus, or Behcetâs disease
- Nutritional problems like too little vitamin B12, zinc, folic acid, or iron
- Gastrointestinal diseases like celiac or Crohnâs
About 1 in 5 people gets canker sores regularly. Theyâre more common in women, possibly because of hormonal differences. They may also run in families.
Are Prescription Nsaids Better
NSAIDs are available both over-the-counter and as a prescription medication. It is very important to understand that while there are differences between prescription and non-prescription NSAIDs, this difference is not the potential relief of symptoms. Many patients find their best response from over-the-counter NSAIDs.
There has been no study showing that newer NSAIDs , prescription NSAIDs, or more expensive NSAIDs treat pain or swelling any better than more traditional NSAID medications. Most of the research evaluating the effects of NSAIDs has been done using over-the-counter ibuprofen.
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Cabbage Juice For Ulcer
Ingredients: Cabbage 200 g.
Method: Take 200 g of cabbage, boil it with 300 ml of water. Remove the alchemy when reduce to 200 ml.
Allow to cool and drink in the morning on an empty stomach 1 hour before breakfast.
Same process in the evening 1 hour before dinner. Do regularly twice daily and up to 4 to 6 weeks to get excellent condition.
Since it contains anti-oxidants, anti-biotics and vitamin C properties, which heal to faster stomach ulcers.
You can drink 150 ml of raw cabbage juice morning and evening instead of cooking.
Advice: Do not consume any types of spices and alcohol. To prevent constipation, eat only boil foods.
Treatment Of Aphthous Ulcers On Gums
Treatment of aphthous ulcers on gums is the same as what mentioned above. Keep in mind that the first step is to visit a dentist or an oral medicine doctor. Rinsing your mouth with an antibacterial mouthwash may help you improve the process of healing aphthous ulcers.
If aphthous ulcers on gums are in contact with oral mucosa and lips, you can protect them with special covers to prevent friction between them. In addition, cold compression therapy and cooling oral gels can help reduce inflammation and improve aphthous ulcers on gums. It is also recommended to use aloe vera gel and toothpaste to reduce inflammation and ulcers on gums.
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What To Do To Prevent Aphthous Ulcers
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