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 you 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
When Should I See A Doctor If I Think I Have A Peptic Ulcer
- If you have burning pain in your upper stomach that is relieved by eating or taking antacids, call a health-care professional for an appointment. Don’t assume you have an ulcer. Certain other conditions can cause similar symptoms.
- If you vomit blood or have other signs of gastrointestinal bleeding, go to an emergency department right away. Peptic ulcers can cause massive bleeding, which requires blood transfusion or surgery.
- Severe abdominal pain suggests perforation or tearing of an ulcer. This is an emergency that may require surgery to fix a hole in your stomach.
- Vomiting and abdominal pain also can be a sign of an obstruction, another complication of peptic ulcers. This also may require emergency surgery.
Beyond Diet: How To Help A Peptic Ulcer
In the past, people with peptic ulcers were often sent home to care for themselves until the sore healed itself. Today, the eradication of H. pylori is the central concern in the majority of cases. It is only by eliminating the bacteria that recurrence can be fully prevented.
While other things can cause peptic ulcers, such as the overuse of nonsteroidal anti-inflammatory drugs , H. pylori accounts for 85% to 95% of all cases.
In addition to changes in diet, the treatment of peptic ulcers will typically involve one or more of the following:
- Antibiotics: These are prescription antibacterial drugs used in combination to kill H. pylori. Options include Flagyl , Amoxil , clarithromycin, and tetracycline.
- Proton pump inhibitors : These are over-the-counter and prescription drugs used to reduce stomach acids. Options include Prilosec , Prevacid , Nexium , and Protonix .
- Histamine-2 receptor blockers: These are over-the-counter and prescription drugs aslo used to reduce stomach acids. Options include Pepcid AC , Tagamet HB , and Axid AR .
- Antacids: These are over-the-counter agents used to neutralize stomach acids. These include Tums , Milk of Magnesia , and Pepto-Bismol .
- Cytoprotective agents These are prescription drugs ed to protect the lining of your stomach and small intestine. Options include Carafate and Cytotec .
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Will Surgery Cure A Peptic Ulcer
Medical therapy works in most people with peptic ulcers. Sometimes, medical therapy does not work, or a person can’t take the therapy for some reason. Surgery is an alternative to medical therapy for these people.
Surgical operations often used in peptic ulcers include the following:
- Vagotomy: Cutting the vagus nerve, which transmits messages from the brain to the stomach, can reduce acid secretion. However, this can also interfere with other functions of the stomach. A newer operation cuts only the part of the nerve that affects acid secretion.
- Antrectomy: This is often done in conjunction with a vagotomy. It involves removing the lower part of the stomach . This part of the stomach produces a hormone that increases production of stomach acid. Adjacent parts of the stomach may also be removed.
- Pyloroplasty: This procedure also is sometimes done with vagotomy. It enlarges the opening between the stomach and duodenum to encourage passage of partially digested food. Once the food has passed, acid production normally stops.
- Tying off an artery: If bleeding is a problem, cutting off the blood supply to the ulcer can stop the bleeding.
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 To Treat A Peptic Ulcer
Treatment will depend on the underlying cause of your ulcer. If tests show that you have an H. pylori infection, your doctor will prescribe a combination of medication. Youll have to take the medications for up to two weeks. The medications include antibiotics to help kill infections and proton pump inhibitors to help reduce stomach acid.
If your doctor determines that you dont have an H. pylori infection, they may recommend a prescription or over-the-counter PPI for up to eight weeks to reduce stomach acid and help your ulcer heal.
Acid blockers like famotidine can also reduce stomach acid and ulcer pain. These medications are available as a prescription and also over the counter in lower doses.
Your doctor may also prescribe sucralfate which will coat your stomach and reduce symptoms of peptic ulcers.
What Is A Stomach Ulcer
A stomach ulcer, also called a gastric ulcer, is an open sore that develops in your stomach lining. You can also get one in your duodenum, the first part of the small intestine that your stomach feeds into. Duodenal ulcers and stomach ulcers are both types of peptic ulcers. Theyre named for pepsin, one of the digestive juices that are found in the stomach and that sometimes leak into the duodenum. These juices are a contributing factor in peptic ulcer disease.
Peptic ulcers occur when the protective mucous lining in your stomach and duodenum has been eroded, allowing gastric acids and digestive enzymes to eat away at your stomach and duodenal walls. This eventually results in open sores that are continually irritated by the acid. If left untreated, they can begin to cause serious complications, such as internal bleeding. Over time, they can even wear a hole all the way through. This is a medical emergency.
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How To Choose The Best Diet For Peptic Ulcer: The Buying Guide
How do you choose the diet for peptic ulcer? You must consider many things, such as the brand name, price, and product quality. In addition, you should also consider whether it is suitable for your needs or not.
So how do you choose the right diet for peptic ulcer? Here are some tips that you can use to help you find a good product:
What you Should Keep in Mind When Buying diet for peptic ulcer
When shopping for a diet for peptic ulcer, there are several things to consider. You need to think about the quality of the product, the price, and even how much it will benefit your life. However, you also need to keep these factors in mind:
What Causes Mouth Ulcers
The exact cause of mouth ulcers is unknown. But there are several factors that can contribute to the development of these sores:
- Minor tissue injury from dental work, such as having a cavity filled.
- Accidentally biting your cheek or tongue.
- Allergic reaction to certain bacteria.
- Viral, bacterial or fungal infections.
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How Are Stomach Ulcers Diagnosed
Diagnosis and treatment will depend on your symptoms and the severity of your ulcer. To diagnose a stomach ulcer, your doctor will review your medical history along with your symptoms and any prescription or over-the-counter medications youre taking.
To rule out H. pylori infection, a blood, stool, or breath test may be ordered. With a breath test, youll be instructed to drink a clear liquid and breathe into a bag, which is then sealed. If H. pylori is present, the breath sample will contain higher-than-normal levels of carbon dioxide.
Other tests and procedures used to diagnose stomach ulcers include:
- Barium swallow: You drink a thick white liquid that coats your upper gastrointestinal tract and helps your doctor see your stomach and small intestine on X-rays.
- Endoscopy : A thin, lighted tube is inserted through your mouth and into the stomach and the first part of the small intestine. This test is used to look for ulcers, bleeding, and any tissue that looks abnormal.
- Endoscopic biopsy: A piece of stomach tissue is removed so it can be analyzed in a lab.
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.
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Tips For Living With Ulcers
- If you have an ulcer, be careful when choosing over-the-counter pain relievers. Aspirin and other nonsteroidal anti-inflammatory drugs like ibuprofen can irritate an ulcer and prevent a bleeding ulcer from healing. Avoid powdered headache medication, too. It usually contains powdered aspirin. Your best choice may be acetaminophen, which doesnât cause or worsen stomach ulcers.
- Don’t overdose on iron supplements. You may need them if you have bleeding ulcers, but taking too much can irritate your stomach lining and the ulcer. Ask the doctor how much iron you need.
- Learn how to manage stress. Relaxation techniques like deep breathing, guided imagery, and moderate exercise can help ease stress and promote healing.
- Avoid foods that irritate your stomach. Use common sense: If it upsets your stomach when you eat it, avoid it. Everyone is different, but spicy foods, citrus fruits, and fatty foods are common irritants.
- Stop smoking. Heavy smokers are more likely to get duodenal ulcers than nonsmokers.
- Practice moderation. Drinking lots of alcohol has been shown to contribute to ulcers, so keep your intake to a minimum.
Upper Gastrointestinal Endoscopy And Biopsy
In an upper GI endoscopy, a gastroenterologist, surgeon, or other trained health care professional uses an endoscope to see inside your upper GI tract. This procedure takes place at a hospital or an outpatient center.
An intravenous needle will be placed in your arm to provide a sedative. Sedatives help you stay relaxed and comfortable during the procedure. In some cases, the procedure can be performed without sedation. You will be given a liquid anesthetic to gargle or spray anesthetic on the back of your throat. The doctor will carefully feed the endoscope down your esophagus and into your stomach and duodenum. A small camera mounted on the endoscope sends a video image to a monitor, allowing close examination of the lining of your upper GI tract. The endoscope pumps air into your stomach and duodenum, making them easier to see.
The doctor may perform a biopsy with the endoscope by taking a small piece of tissue from the lining of your esophagus. You wont feel the biopsy. A pathologist examines the tissue in a lab.
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Outlook For Peptic Ulcers
With proper treatment, most peptic ulcers heal. However, you may not heal if you stop taking your medication early or continue to use tobacco, alcohol, and nonsteroidal pain relievers during treatment. Your doctor will schedule a follow-up appointment after your initial treatment to evaluate your recovery.
Some ulcers, called refractory ulcers, dont heal with treatment. If your ulcer doesnt heal with the initial treatment, this can indicate:
- an excessive production of stomach acid
- presence of bacteria other than H. pylori in the stomach
- another disease, such as stomach cancer or Crohns disease
Your doctor may offer a different method of treatment or run additional tests to rule out stomach cancer and other gastrointestinal diseases.
How Are Mouth Ulcers Treated
While most mouth ulcers heal on their own, topical treatments may be prescribed to ease discomfort and reduce the risk of complications. Common mouth ulcer treatments include antiseptic gels, steroid ointments or medicated mouth rinses. In severe cases, your healthcare provider may prescribe immunosuppressants.
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When Should I Go To Er
Seek emergency care if you have:
- Severe pain that doesnt go away.
- Signs of blood in your poop or bloody vomit.
- Signs of severe blood loss, such as paleness and faintness.
A note from Cleveland Clinic
Stomach ulcers are common and treatable, but they should be taken seriously. Even when they dont cause symptoms, they arent a good sign. A stomach ulcer means that your natural stomach acid is overwhelming your protective stomach lining. Thats a situation that can only get worse if it isnt managed. Lifestyle changes may help, but youll still need to treat the underlying cause. Its probably either NSAID use or a common bacterial infection. Your healthcare provider can help prescribe the right medicines for your condition.
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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How Soon After Treatment Will I Feel Better
If you take all medicines as prescribed and avoid irritating the ulcer with NSAIDs, alcohol or smoking, your ulcer should heal well within a few weeks. Surgical cases may take a few weeks more. Your healthcare provider will follow up with you at the end of your course of medication to make sure the ulcer has healed and any infection has cleared. They will probably take follow-up tests, including an upper endoscopy to look at the site of the ulcer and tests for H. pylori, if you had it, to make sure the infection is gone.
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 .
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