Who Is At Risk For Gastritis
Your risk of acquiring hyperacidity increases as you grow older. Older persons have weaker stomach linings, reduced circulation, and slower metabolism of mucosal healing. Older adults are also more likely to be taking medications that can cause hyperacidity, such as nonsteroidal anti-inflammatory drugs . H. pylori infect roughly two-thirds of the worlds population. Older persons and people from lower socioeconomic categories are more likely to have pylori.
How Do Doctors Treat An Nsaid
If NSAIDs are causing your peptic ulcer and you dont have an H. pylori infection, your doctor may tell you to
- stop taking the NSAID
- reduce how much of the NSAID you take
- switch to another medicine that wont cause a peptic ulcer
Your doctor may also prescribe medicines to reduce stomach acid and coat and protect your peptic ulcer. Proton pump inhibitors , histamine receptor blockers, and protectants can help relieve pain and help your ulcer heal.
Otc Medication For Stomach Ulcers
Ask U.S. doctors your own question and get educational, text answers â it’s anonymous and free!
Ask U.S. doctors your own question and get educational, text answers â it’s anonymous and free!
HealthTap doctors are based in the U.S., board certified, and available by text or video.
You May Like: Can Eliquis Cause Stomach Ulcers
A Century Of Ulcer Medicines
The drug treatment of peptic ulcer in the 20th century has a most intriguing history. During the first three-quarters of that century, numerous medications were used whose development was based on physiology studies performed in the 1820s, and these ulcer therapies typically acted locally in the stomach. The final quarter of the 20th century saw a true paradigm shift: elucidation of cell receptors and biochemistry of the stomach guided the development of two classes of highly effective, systemic-acting agents. At the same time, an unexpected microbial etiology was proposed, shaking up the prevailing sense of certainty about the origin of peptic ulcers, and introducing still another class of therapeutic agents.
This article looks at the variety of pharmacologic agents used to treat peptic ulcers and related ailments, and the rationales behind their use. It also discusses the technologies that supported their development, and the seminal contributions made by three research scientists whose dedication and initiative transcended all limits. Although focused on 20th century drugs, the story really begins early in the 19th century.
What Causes Mouth Ulcers
Theres a lot that can cause a mouth ulcer. These painful sores can result from anything from compulsive habits to serious infections and diseases. The more common habits that cause mouth ulcers include:
- Accidentally biting the inside of your cheek or lip
- Stopping smoking
- Hormonal changes
- Eating certain foods
Additionally, mouth ulcers can be a symptom of more serious diseases, including:
- Crohns disease
- Reactive arthritis
- Behçets disease
The best way to determine the true cause of your mouth ulcers is by seeing your healthcare provider or visiting your local FastMed.
Also Check: What Is An Ulcer Diet
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.
Peptic Ulcer Disease Treatment
Peptic ulcers are often caused by an overproduction of gastric acid. Many treatment options focus on reducing or suppressing gastric acid production. If your doctor determines that you have an H. pylori infection, you will need treatment for that as well.
The goal of treatment for peptic ulcer disease is to:
- Relieve symptoms
Treatments for peptic ulcer disease include:
Sometimes, treatment leads to complications.
Recommended Reading: What Is A Vascular Ulcer
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.
What To Eat On A Gastritis Diet
You must include these foods on your gastritis diet to cure your gastritis permanently: You must include these foods on your gastritis diet in order to cure your gastritis permanently.
Read Also: What Should You Eat With Ulcerative Colitis
Read The Ingredients Of All Medicines
Painkillers like aspirin, acetaminophen, and ibuprofen can show up in the most unlikely places. For instance, many over-the-counter medicines for colds also contain doses of pain reliever. So make sure you know what you’re getting.
Even some antacids contain aspirin, which can be a special risk to people with ulcers
Tell your doctor about all medicines, herbs, and supplements that you use.
Interactions are a real danger. For instance, taking NSAIDs along with some common medicines, like some corticosteroids and blood thinners can increase the risks for people with ulcers.
Your doctor needs to know about all the medicines you take before you’re prescribed a new medicine. Don’t forget to mention over-the-counter medicines, herbal remedies, and vitamins. Bring a list of all the medicines and supplements you take to your doctor. It could actually save your life.”
Causes And Risk Factors Of Peptic Ulcers
For a long time, it was believed that spicy foods or stress led to peptic ulcers but doctors now know that this isn’t the case.
In fact, the most common causes of ulcers are:
- Helicobacter pylori, a type of bacteria that can infect your stomach
- Use of nonsteroidal anti-inflammatory drugs , such as aspirin, Advil or Motrin , and Aleve , which can wear away at the mucus layer of the digestive tract
Certain factors can put a person at a greater risk of developing a peptic ulcer, including:
- Taking high doses of NSAIDs
- Using NSAIDs continuously over a long period of time
- Being female
- Having a history of ulcer disease
- Taking corticosteroids, medications that may be prescribed to treat asthma, arthritis, or lupus
Don’t Miss: Surgical Management Of Ulcerative Colitis Ppt
How Is A Stomach Ulcer Diagnosed
To help diagnose a stomach ulcer, your doctor will ask you what medications you take or have been taking, and if you have had a peptic ulcer or any other relevant condition in the past. Make sure you mention all the medications you are taking, especially NSAIDs such as aspirin, ibuprofen, diclofenac, or ketorolac.
Your doctor will also conduct a physical examination, to check for bloating or lumps within your abdomen, and to listen for bowel sounds. Make sure you mention any areas of pain or tenderness.
Blood may also be taken to test for infection or anemia and testing may also be conducted for Helicobacter pylori, a bacteria commonly associated with stomach ulcers. Testing usually involves either a breath test, stool sample, or biopsy. To get a clear picture of the inside of your stomach and small intestines, doctors may use an endoscope , a series of X-rays and/or a CT scan.
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.
Read Also: Ulcerative Pancolitis With Rectal Bleeding
Peptic Ulcer Disease Complications
The three major complications of peptic ulcer disease treatment are:
- Perforation/penetration, due to the ulcer burning through the stomach wall
- Gastric outlet obstruction, or pyloric stenosis, occurs when the pylorus narrows. The pylorus is the opening from the stomach into the small intestine.
There are a number of options available to treat these complications, including endoscopic therapy.
When Should I Call My Healthcare Provider
See your healthcare provider right away if you have any of these symptoms:
- Vomiting blood or dark material that looks like coffee grounds
- Extreme weakness or dizziness
- Nausea or vomiting that doesnt get better, or gets worse
- A sudden, severe pain that may spread to your back
- Losing weight without even trying
Untreated peptic ulcers may cause other health problems. Sometimes they bleed. If they become too deep, they can break through your stomach.
Ulcers can also keep food from going through your stomach.
Dont Miss: Can Stress Cause Flare Up Ulcerative Colitis
Also Check: Ulcerative Colitis Social Security Disability
What To Avoid If You Have An Ulcer
If you have an ulcer, avoid NSAIDs or smoking, which can reduce the ability of the stomach lining to protect itself against stomach acid. Foods that increase stomach acid, such as dairy, coffee, and soda should be taken out of the diet. Highly acidic foods, such as tomatoes and citrus, will only make things worse. Finally, substances that irritate the stomach, such as alcohol or spicy foods, are probably not a good idea.
What Is The Cause Of Peptic Ulcers
When you eat, your stomach produces hydrochloric acid and an enzyme called pepsin to digest the food.
- The food is partially digested in the stomach and then moves on to the duodenum to continue the process.
- Peptic ulcers occur when the acid and enzyme overcome the defense mechanisms of the gastrointestinal tract and erode the mucosal wall.
In the past it was thought that ulcers were caused by lifestyle factors such as eating habits, cigarettesmoking, and stress.
- Now it is understood that people with ulcers have an imbalance between acid and pepsin coupled with the digestive tract’s inability to protect itself from these harsh substances.
- Research done in the 1980s showed that some ulcers are caused by infection with a bacterium named Helicobacter pylori, usually called H pylori.
- Not everyone who gets an ulcer is infected with H pylori. Aspirin and nonsteroidal anti-inflammatory drugs can cause ulcers if taken regularly.
Some types of medical therapy can contribute to ulcer formation. The following factors can weaken the protective mucosal barrier of the stomach increasing the chances of getting an ulcer and slow the healing of existing ulcers.
- Aspirin, nonsteroidal anti-inflammatory drugs , and newer anti-inflammatory medications
- Radiation therapy:-used for diseases such as cancer
People who take aspirin or other anti-inflammatory medications are at an increased risk even if they do not have H pylori infection.
You May Like: How To Treat An Eye Ulcer
What If I Still Need To Take Nsaids
If you take NSAIDs for other conditions, such as arthritis, you should talk with your doctor about the benefits and risks of using NSAIDs. Your doctor can help you determine how to continue using an NSAID safely after your peptic ulcer symptoms go away. Your doctor may prescribe a medicine used to prevent NSAID-induced ulcers called Misoprosotol.
Tell your doctor about all the prescription and over-the-counter medicines you take. Your doctor can then decide if you may safely take NSAIDs or if you should switch to a different medicine. In either case, your doctor may prescribe a PPI or histamine receptor blocker to protect the lining of your stomach and duodenum.
If you need NSAIDs, you can reduce the chance of a peptic ulcer returning by
- taking the NSAID with a meal
- using the lowest effective dose possible
- avoiding alcohol
Beaumont Looks Into St Martins Stomach
The acidity of stomach secretions and their ability to digest meat were detected in 1783 by the brilliant Italian experimental biologist Lazzaro Spallanzani , but it remained for an obscure American army doctor, William Beaumont, to elucidate the functioning of the stomach based on direct visual observation. This major American contribution to the science of physiology came not from Philadelphia or Boston, but from a frontier military outpost in Fort Mackinac, Michigan.
William Beaumont was a farm boy from Lebanon, Connecticut. Seeking independence, he left his familys home at the age of twenty-two, with no specific destination in mind. After running a village school in Champlain, New York for three years, he went to St. Albans, Vermont, where he apprenticed to a physician, Dr. Benjamin Chandler, for two years. In 1812, he received his license to practice medicine, and promptly joined the army as an assistant surgeon. He distinguished himself in the War of 1812, both on land and water . As a sidelight, his journal provides a harrowing description of the effects of an explosion of 300 pounds of gunpowder, deliberately set off by the British, which killed sixty American soldiers outright, and wounded more than 300. His description of men mashed and mangled reminds one of the suicide-homicide bombings of the present .
Don’t Miss: Stomach Ulcer Treatment In Homeopathy
Complications Of Peptic Ulcers
Left untreated, peptic ulcers can result in severe complications and emergencies.
- Internal bleeding You can have bleeding in your stomach, esophagus, or duodenum when the ulcer opens a blood vessel. Ulcers can cause bleeding that occurs slowly over time or quickly, possibly resulting in hemorrhaging that can be life-threatening due to shock. Sometimes you may not notice a bleeding ulcer until you become anemic, a condition in which your body lacks red blood cells because of inadequate iron. This occurs when ulcers cause chronic, low-grade blood loss.
- A hole, or perforation, in the stomach wall You can develop a perforated ulcer, which means it has eaten through your stomach or intestinal wall.
- Obstruction This is when you have swelling or scarring related to your ulcer that is preventing your food from being digested properly.
The signs that you are having an ulcer emergency are:
- Blood in stool
- Blood in vomit or vomit that looks like coffee grounds
- Increasing pain
- Mental confusion
- Severe abdominal distension
If you think you or someone you know is having an ulcer emergency, seek immediate medical attention.
What Other Information Should I Know
Keep all appointments with your doctor and the laboratory. Your doctor may order certain lab tests to check your response to sucralfate.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
You May Like: How To Get Rid Of Ulcers In Horses
What Causes Corneal Ulcer
Corneal ulcers are generally caused due to germs. However, the human eye is very well-protected by the eyelid and abundant bacteria, tears and germs may be able to enter the cornea via small abrasions if it is already damaged. Corneal ulcers are so common in people who wear contact lenses, most possibly if they wear overnight. If a cornea is so deep then it can cause scarring on the cornea that blocks light from entering the eyes. Below, you will have a look at some common causes of corneal ulcer:
- Eye injury
- Discharge draining from the eye
- Feels that there is something in the eyes
- Exposure to flying particles or chemicals
What Is Gastritis
Your stomach has a protective lining of mucus called the mucosa. This lining shields your stomach from the powerful stomach acid that aids digestion. The mucosa becomes inflamed when something damages or weakens this protective layer, resulting in gastritis. The most prevalent cause of hyperacidity is a type of bacteria called Helicobacter pylori .
Gastritis is the inflammation, irritation, and erosion of the lining of the stomach. It occurs suddenly or gradually . There may be no symptoms but, when symptoms are present, the most common is abdominal pain.
The inflammation of the stomach is most often the result of infections with the same bacterium that causes most stomach ulcers. In some cases, it leads to ulcers and increases the risk of stomach cancer.
Common cause includes infection with Helicobacter pylori but it can be also due to the overuse of Non-steroidal anti-inflammatory drugs . Alcohol, smoking, cocaine, severe illness, an autoimmune condition, radiation therapy, and Crohns disease are some of the less prevalent causes.
The best way to prevent disease is to avoid things that cause it. It is estimated that half of the worlds population is affected. In 2013, an estimated 90 million new instances of the disease were reported. As people get older, the condition becomes increasingly common.
We covered how to cure gastritis permanently, gastritis symptoms, and forms of gastritis, gastritis prevention, and pharmacological treatment of gastritis in this post.
Don’t Miss: What Is Good For Ulcer Pain