Tuesday, September 27, 2022

Where Does It Hurt When You Have An Ulcer

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Youve Had Unexplained Vomiting

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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.

What Does A Stress Stomach Ulcer Feel Like

The most common symptom is a burning sensation or pain in the middle of your abdomen between your chest and belly button. Typically, the pain will be more intense when your stomach is empty, and it can last for a few minutes to several hours. Other common signs and symptoms of ulcers include: dull pain in the stomach.

How Are Stomach Ulcers Treated

Ulcers can heal if they are given a rest from the factors that created them. Healthcare providers treat uncomplicated ulcers with a combination of medicines to reduce stomach acid, coat and protect the ulcer during healing and kill any bacterial infection that may be involved. Medicines may include:

  • Antibiotics. If H. pylori was found in your digestive tract, your healthcare provider will prescribe some combination of antibiotics to kill the bacteria, based on your medical history and condition. Commonly prescribed antibiotics include tetracycline, metronidazole, clarithromycin and amoxicillin.
  • Proton pump inhibitors . These drugs help reduce stomach acid and protect your stomach lining. PPIs include esomeprazole,dexlansoprazole,lansoprazole, omeprazole,pantoprazole and rabeprazole.
  • Histamine receptor blockers . These reduce stomach acid by blocking the chemical that tells your body to produce it . H2 blockers include famotidine, cimetidine and nizatidine.
  • Antacids. These common over-the-counter medicines help to neutralize stomach acid. They may bring some symptom relief, but they arent enough to heal your ulcer. They also might interfere with some antibiotics.
  • Cytoprotective agents. These medicines help to coat and protect your stomach lining. They include sucralfate and misoprostol.
  • Bismuth Subsalicylate. This over-the-counter medicine, commonly found as Pepto-Bismol, can help coat and protect your ulcer from stomach acid.

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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.

How Are Esophageal Ulcers Caused

What Is Duodenal Ulcer Pain Like

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.

Medications: Certain drugs, including aspirin, ibuprofen, bisphosphonates, and some antibiotics, can cause esophagitis, or inflammation of the esophagus, and esophageal ulcers.

Infection: Ulcers caused by infection are less common, but the fungal infection known as candida, herpes, and the human papillomavirus have all been linked to esophageal ulcers.

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.

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Symptoms Of Peptic Ulcers

Not all peptic ulcers cause symptoms, but the most common one is upper abdominal pain or discomfort. People with peptic ulcers can feel this gnawing or burning pain just below the rib cage.

About 70 percent of ulcers are asymptomatic, or silent, Dr. Yalamanchili says. Older patients are more likely to have vague symptoms or none at all. If there is pain, the timing of its development in relation to eating can offer clues about where the ulcer is located.

With a stomach ulcer, eating worsens pain by inducing acid production in the stomach. Pain may be felt within 15 minutes to half an hour, Dr. Yalamanchili says.

For duodenal ulcers, eating may provide temporary relief of pain due to the buffering effect of food in the GI tract, so the pain occurs later, usually two to three hours after eating or during the night, she says.

Other symptoms of peptic ulcers include bloating, nausea, a feeling of fullness, weight loss or bleeding.

Causes of Peptic Ulcers

H. pylori causes 90 percent of duodenum ulcers and 70 to 90 percent of stomach or gastric ulcers, Dr. Yalamanchili says. H. pylori is the most common chronic bacterial infection in humans, and most people dont even know that they have it.

People are often infected with H. pylori in childhood. It is spread through person-to-person contact and through contaminated food or water. Poor hygiene can be a risk factor for contracting H. pylori.

Tylenol is not an NSAID, so it is a good choice for people prone to ulcers.

If Your Ulcer Was Caused By An Anti

If possible, you should stop taking the anti-inflammatory medicine. This allows the ulcer to heal. You will also normally be prescribed an acid-suppressing medicine for several weeks. This stops the stomach from making acid and allows the ulcer to heal. However, in many cases, the anti-inflammatory medicine is needed to ease symptoms of arthritis or other painful conditions, or aspirin is needed to protect against blood clots. In these situations, one option is to take an acid-suppressing medicine each day indefinitely. This reduces the amount of acid made by the stomach and greatly reduces the chance of an ulcer forming again.

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How Common Are Stomach Ulcers

Stomach ulcers are very common in Western countries. In the United States, there are about 4 million cases per year. Some estimates say that 1 in 10 people will have one at some point in their lives. Thats because many of the causes that contribute to stomach ulcers are common in Western life. Fortunately, these causes are usually easy to trace and to reverse, giving ulcers a chance to heal and your stomach lining a chance to repair.

Could I Have An Ulcer And Not Know It

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Around 25 million people will have a stomach ulcer in their lifetime, according to the Centers for Disease Control and Prevention. Despite their prevalence, the symptoms of an ulcer can frequently be mistaken for other conditions, like heartburnand some people may not show any signs at all. Its also unlikely that stress or your diet is the culprit. If youre concerned that your stomach pain could be something more serious, read on to find out the causes, proper treatment and prevention methods for peptic ulcers.

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How Can I Tell If I Have A Peptic Ulcer

You may feel bloated or full. Pain may start soon after you eat. Three to four hours after eating a meal, you may get pain or an empty feeling in your stomach that gets better after you eat again or take an over-the-counter antacid .

Other signs include belching, feeling sick or dizzy, vomiting, heartburn, and a bad taste in your throat. Some people have black stools from bleeding in the stomach or intestine.

Your doctor may give you a blood or stool test to see if you have anemia or HP infection. You may need an x-ray or an endoscopy .

What Natural Home Remedies Help Peptic Ulcer Pain

Home care for peptic ulcers often centers on neutralizing the stomach acid.

  • Don’t smoke, and avoid coffee and alcohol. These habits increase gastric acid production and weaken the mucosal barrier of the GI tract promoting ulcer formation and slowing ulcer healing.
  • Don’t take aspirin or nonsteroidal anti-inflammatory medications. Acetaminophen is a good substitute for some conditions. If acetaminophen doesn’t help, talk to your health-care professional about alternatives.
  • If your symptoms are mild, try an over-the-counter antacid or nonprescription histamine blocker to neutralize stomach acid. Usually stronger prescription medications are needed.

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Can You Prevent A Peptic Ulcer

While stress and spicy foods can make symptoms of a peptic ulcer worse, they donât seem to make you more likely to have one. But a few other things can raise your chances.

Be careful when you take pain relievers. Some people who have arthritis or other conditions that cause chronic pain take nonsteroidal anti-inflammatory drugs for weeks or months at a time to ease pain and swelling. These medicines can affect the mucus that protects your stomach against acid and make you more likely to have peptic ulcers.

These pain relievers include:

You’re more likely to get an ulcer while taking one of these if you:

  • Are over age 65
  • Are infected with H. pylori bacteria
  • Take more than one NSAID at a time
  • Have had a peptic ulcer in the past
  • Also take a steroid drug or selective serotonin reuptake inhibitor

To lower your chances for peptic ulcers while you take NSAIDs:

  • Use the lowest possible dose to control your symptoms, and stop taking them as soon as you no longer need them.
  • Take your medicine with food.
  • Don’t drink alcohol while youâre taking these medicines.

While you’re on NSAIDs, you can take medicine to lower the amount of acid your stomach makes. Drugs that can do that include:

You can also take the drug misoprostol to boost the amount of protective mucus your stomach makes. But that can cause side effects like diarrhea and stomach cramps.

You can do some things to make an infection less likely:

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H Pylori Infection Treatment

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Patients infected with H. pylori will usually need PPIs and antibiotics. This treatment is effective in most patients, and the ulcer will start to disappear within days. When treatment is over, the individual will have to be tested again to make sure the H. pylori have gone. If necessary, they will undergo another course of different antibiotics.

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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.

Complications Of Peptic Ulcers

Sometimes ulcers can erode into blood vessels and cause bleeding, the most severe complication.

This bleeding can manifest when patients pass melenablack, sticky, tarry-appearing stoolsor they might vomit red or coffee ground-appearing contents. This bleeding can be slow or rapid, which can be life-threatening, Dr. Yalamanchili says.

Rarely, an ulcer causes so much inflammation that it creates a hole in the GI tract. This perforation can be life-threatening and require surgical intervention.

When an ulcer forms at the passageway between the stomach and small intestine, it can cause inflammation that blocks food or liquid from passing through into the stomach, called a gastric outlet obstruction.

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Peptic Ulcer Diet Recommendations

You can load up on foods that reduce stomach acid to lessen your symptoms, and research recommended foods to avoid with ulcers. Itâs important to note that everyone is different, so foods that will worsen some peopleâs symptoms may not affect others. Keep a record of which specific foods and drinks worsen your symptoms, and try your best to avoid them.

UMass Medical School says you should avoid any gastric irritants that can increase stomach acid secretions. Suggested foods to avoid with ulcers include caffeinated drinks, chiles, alcoholic drinks, chocolate, carbonated beverages and peppers. Other foods that could trigger ulcer flare-ups include:

  • Dairy products. The Ohio State University Wexner Medical Center says that drinking large amounts of milk can increase stomach acid secretion and suggests that whole milk, cream and butter are all foods to avoid with ulcers.
  • Fatty foods, including deep-fried foods, lard, margarine and high-fat meats like bacon.
  • Spicy foods. You might find that certain spices and seasonings cause that burning stomach pain, in which case itâs best to avoid them.

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Other Causes And Factors

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Other causes are rare. For example, some viral infections can cause a stomach ulcer. Crohn’s disease may cause a stomach ulcer in addition to other problems of the gut.

Stomach cancer may at first look similar to an ulcer. Stomach cancer is uncommon but may need to be ‘ruled out’ if you are found to have a stomach ulcer.

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Causes Of Duodenal Ulcers

Your stomach makes a strong acid that kills germs and helps you digest food. To protect themselves against this acid, cells of the stomach and duodenum make a barrier from mucus. If this barrier is damaged, an ulcer can form.

The main cause of this damage is infection with bacteria called Helicobacter pylori, or H. pylori. The bacteria can cause the lining of your duodenum to become inflamed and an ulcer can form.

Some medications can also cause a duodenal ulcer, particularly anti-inflammatory drugs such as ibuprofen and aspirin. Rarely, other medicines or medical conditions might cause an ulcer.

It’s possible that you are more likely to get a duodenal ulcer if you smoke, drink a lot of alcohol or you are stressed, but these things are less important than infection with H. pylori.

Possible Uses For Tylenol

When talking about Tylenol, people generally think about the pain-relieving benefits as it is generally a pain medication. However, the brand now has additional drugs available too.

Tylenol Extra Strength is known to be highly effective for people who have a more significant level of pain. The medication contains a higher dose of acetaminophen.

Tylenol Sinus is one particular option that has become quite popular. This drug contains the same chemicals as other OTC medications available under the Tylenol brand. But Phenylephrine HCI is added to assist in relieving symptoms associated with the sinus. Phenylephrine HCl is highly effective at improving sinuses and can help with congestion.

Tylenol Sleep is yet another option for cold relief and sleep. This drug has ingredients that help to improve sleep. Many people who experience insomnia due to pain reach for Tylenol Sleep for relief.

A drug may have as many as 3 different names: Brand, generic, and chemical. For example:

Brand names: Tylenol, Tempra, Liquiprin, Anacin, Paramol

Drug companies give their products brand names, and some products have more than one brand name. You should also know that the same brand name may be used on different drugs, since the name belongs to the company. Read the labels to see what ingredients are in each medicine.

Generic names: acetaminophen

Chemical names: N- acetamide

Chemical names tend to be long and hard to pronounce, so they are not used often.

What you need to know about drug names

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What Triggers Stomach Ulcer Symptoms

Stomach ulcers are irritated by stomach acid. Some people notice this irritation more after they eat, and some people notice it more on an empty stomach. There are also certain irritants that seem to make ulcer symptoms worse and make them more difficult to heal. Smoking and alcohol are the biggest ones.

What Are Stomach Ulcers

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There are two kinds of stomach ulcers: gastric ulcers and duodenal ulcers. Gastric ulcers are sores on the lining of your stomach. Duodenal ulcers are sores on the upper section of your small intestine.

Your body creates a protective layer of mucus to shield the linings of your stomach and small intestine from the harsh stomach acid required to break down food. When the mucus layer is worn away or doesnt function properly, the acid begins to damage the lining of the stomach or small intestine, creating an ulcer. Many people believe spicy foods or stress cause ulcers, but while these can exacerbate existing ulcers, they dont actually cause them.

Ulcers are usually caused by an infection from a common bacteria called helicobacter pylori or from the habitual use of nonsteroidal anti-inflammatory drugs, such as aspirin. Other factors, such as being older than age 50, smoking, genetics, steroid use, and frequent alcohol use, can increase your risk of developing an ulcer.

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