Will I Need A Procedure
In many cases, healthcare providers deliver GI bleed treatments during an endoscopy or colonoscopy. Tiny instruments at the tip of the endoscope or colonoscope make it possible to:
- Remove abnormal growths, such as colon polyps.
- Inject medications that help the body stop bleeding.
- Seal abnormal blood vessels with a tiny clip or band.
- Use low levels of a laser or a hot or cold gas to destroy the tissue causing the bleed.
How Are Abdominal Pain And Painful Urination Treated
Your doctor may prescribe antibiotics if a bacterial infection causes your symptoms. Kidney infections, which are serious, may require intravenous antibiotics.
A medication called pyridium relieves burning in the urinary tract, but it can turn your urine bright orange or red.
Antibiotics or antiviral medications are prescribed to treat sexually transmitted infections.
Drinking plenty of fluids may help you overcome painful urination. This can dilute the amount of bacteria in your urinary tract and encourage urination.
You also may wish to take an over-the-counter pain reliever such as ibuprofen to relieve your pain.
If a UTI is the cause, symptoms will typically resolve soon after you begin taking antibiotics. However, be sure to take your full course of antibiotics to ensure that the infection is cured.
How Are Peptic Ulcers Treated
Most H. pylori-related ulcers can be cured. Treatment involves taking two kinds of antibiotics for 2 weeks and an acid suppressor for 2 months or longer. The ulcer may take 8 weeks to heal, but the pain usually goes away after a few days or a week.
A child with an H. pylori-related ulcer should take all the antibiotics as directed by the doctor. Even if the symptoms stop, the infection may not be gone until your child takes all the medicine. Also, be sure to give your child the prescribed acid-reducing medicine.
To be sure the treatment worked, doctors may order a stool test to see if the H. pylori bacteria are gone. If symptoms last or get worse, doctors might do a follow-up endoscopy in 6 to 12 months to check for H. pylori.
Ulcers from NSAID use rarely need surgery and usually get better with an acid suppressor and stopping or changing the NSAID. Because bacteria are not involved, antibiotics cant treat this type of ulcer. Kids who get a medicine-related ulcer should avoid NSAIDs and any medicines that contain ibuprofen or aspirin.
Unless a particular food is bothersome, most doctors don’t recommend diet changes for kids with ulcers. A good diet with a variety of foods is essential to all kids’ growth and development.
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Noninvasive Tests For Gastrointestinal Bleeding
When ulcers are suspected, the doctor will order tests to detect bleeding. These may include a rectal exam, complete blood count, and fecal occult blood test . The FOBT tests for hidden blood in stools. Typically, the patient is asked to supply up to six stool specimens in a specially prepared package. A small quantity of feces is smeared on treated paper, which is then exposed to hydrogen peroxide. If blood is present, the paper turns blue.
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.
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Other Risk Factors For Ulcers From H Pylori Or Nsaids
Stress and Psychological Factors
Although stress is no longer considered a cause of ulcers, some studies still suggest that stress may predispose a person to ulcers or prevent existing ulcers from healing.
Smoking increases acid secretion, reduces prostaglandin and bicarbonate production, and decreases blood flow. However, the results of studies on the actual effect of smoking on ulcers are mixed. Some evidence suggests that smoking delays the healing of gastric and duodenal ulcers. Other studies have found no increased risk for ulcers in smokers.
Tobacco use and exposure may accelerate coronary artery disease and peptic ulcer disease. It is also linked to reproductive problems, esophageal reflux, hypertension, fetal illness and death, and delayed wound healing.
Understanding Urine And The Bladder
Your kidneys make urine continuously. A trickle of urine is constantly passing to your bladder down the tubes which run from the kidneys to the bladder. You make different amounts of urine, depending on how much you drink, eat and sweat.
Your bladder is made of muscle and stores the urine. It expands like a balloon as it fills with urine. The outlet for urine is normally kept closed. This is helped by the muscles below your bladder that surround and support your urethra .
When a certain volume of urine is in your bladder, you become aware that your bladder is becoming full. When you go to the toilet to pass urine, your bladder muscle squeezes and your urethra and pelvic floor muscles relax to allow the urine to flow out.
Blood In The Stool Or Urine Can Range From Benign To Serious
When you cut or scrape yourself and see blood, you likely know the source of that blood. However, if you see blood in the toilet after using the restroom, the cause may not be so clear. Here are some possible reasons you might see blood in your stool or urine.
Blood in the Stool
A bloody stool is generally a sign of a problem in the digestive tract. This area of your body includes all the organs from the mouth to the anus, and bleeding can occur anywhere in the tract.
Hemorrhoids are swollen veins in the lower part of the rectum or anus. Hemorrhoids can be very painful and are often the reason behind a bloody stool. They are especially common during pregnancy and after childbirth. Almost half of adults will have them by about age 50 because the tissues that support the veins in the rectum and anus often stretch and become weaker with age.
Hemorrhoids have a variety of causes, including straining while defecating, sitting for long periods of time on the toilet, chronic diarrhea or constipation, obesity, pregnancy, anal intercourse and a low-fiber diet.
Even though some causes of bloody stool are minor, others can be serious and potentially life-threatening. Fortunately, many of these causes can be treated successfully if dealt with soon enough. Such causes of bloody stool may include:
If you notice blood or any changes in the color of your stool, you should call a doctor immediately.
Blood in the Urine
Antibiotic And Combination Drug Regimens For The Treatment Of H Pylori
The established treatment for H pylori infection is a combination of antibiotics plus a PPI. Current standard therapy includes three medicines, two antibiotics plus a PPI, called triple therapy. Quadruple therapy refers to four medicines, in various combinations. For any of these regimens, the medicines may be taken in stages, one after another. This is called sequential therapy. Medicines may also be taken at the same time. This is called concomitant therapy. Due to the growing resistance to certain antibiotics and areas where standard therapy cure rates are somewhat low, various combinations and timing of medications are now under study.
Reported cure rates for H pylori range from 70% to 90% after triple therapy regimen treatment. Eradication rates are higher for when bismuth subsalicylate is added to the regimen. The standard treatment regimen uses two antibiotics and a PPI:
Patients typically take combination treatment for 10 to 14 days. A 7-day regimen is another option, but some research suggests that 14 days of therapy with antibiotics and PPIs is more effective at eradicating H pylori. When quadruple therapy is taken at the same time , cure rates appear similar to when the medicines are taken sequentially.
Combination products are available.
Follow-up testing to check that the bacteria have been eliminated should be done no sooner than 4 weeks after therapy is completed. Test results before that time may not be accurate.
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Recovery Of Ulcers In Horses
Once treatment is begun, ulcers tend to begin healing however, it may take time. Depending on the type of treatment and the severity of the ulcer, your horse may take anywhere from a week to over a month to heal. Since ulcers tend to recur, it is important to have your horse get checked by your veterinarian a few days after the treatment is complete.
If you choose to give supplements or probiotics to your horse, be sure to consult with your veterinarian and he may give you professional advice on what would benefit your horse. Your medical professional will also reiterate the importance of altering his eating habits and stall time.
Your veterinarian will give you specific instructions on the medication dosage and administration, and will communicate to you any side effects to watch for. It will be important to monitor your horses symptoms and behavior during treatment and after. If you have any questions or concerns about how your horse is recovering from a gastric ulcer, contact your veterinarian. He may want to see him again during his treatment period to check on his recovery.
Could I Have An Ulcer And Not Know It
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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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.
When Should I Call The Doctor
- sudden, sharp, lasting belly pain
- bloody or black bowel movements
- bloody vomit or vomit that looks like coffee grounds
These could be signs of a serious problem for a child whos had a peptic ulcer, such as:
If your child takes NSAIDs and shows signs of a peptic ulcer, get medical help right away. Delaying diagnosis and treatment can lead to more problems and, possibly, the need for surgery. But with quick treatment, almost all peptic ulcers can be cured.
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The Causes Of Blood In Your Urine
Blyss Splane is a certified operating room nurse working as a freelance content writer and former travel nurse. In 2020, Nurse Splane Writes, LLC, was created and Blyss continues to work as an OR nurse while writing articles for healthcare blogs as a freelance writer.
Discovering blood in your urine, also known as hematuria, can be very unsettling. It may be the result of an abnormality within the urinary tract. Blood in the urine can be a red flag for an internal problem. Therefore, anytime you see blood in the urine, it should get you to seek medical attention.
Causes And Risk Factors
- In most cases, peptic ulcers are caused by a bacterial infection with Helicobacter pylori , and not by stress or spicy foods. Between 10% and 20% of those infected with H pylori will have a peptic ulcer during their lifetime.
- Long-term use of nonsteroidal anti-inflammatory drugs is the second most common cause of ulcers. Women and older adults seem to be more susceptible.
- Compared to other NSAIDs, COX-2 inhibitors may pose less risk for bleeding, but still increase the risk of bleeding compared with no NSAID use at all.
- Alcohol and smoking are also common risk factors for peptic ulcer.
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What Are The Symptoms Of Any Complications
Stomach ulcers can cause various complications but these are much less common now because of more effective treatments. However, complications can be very serious and include:
Bleeding from the ulcer
- This can range from a ‘trickle’ to a life-threatening bleed.
- If there is sudden heavy bleeding then this will cause you to vomit blood and make you feel very faint.
- Less sudden bleeding may cause you to vomit and the vomit looks coffee-coloured because the stomach acid has partly broken down the blood.
- A more gradual trickle of blood will pass through your gut and cause your stools to look very dark in colour or even black .
PerforationThis is the term used to describe the ulcer having gone all the way through the wall of the stomach. Food and acid in the stomach then leak out of the stomach. This usually causes severe pain and makes you very unwell. Stomach perforation is a medical emergency and needs hospital treatment as soon as possible.
Stomach blockageThis is now rare. An ulcer at the end of the stomach can cause the outlet of the stomach to narrow and cause an obstruction. This can cause frequent severe vomiting.
When Should Someone Contact A Doctor About Colitis
Diarrhea is a common sign of colitis. It is usually self-limited and resolves on its own with supportive care, including rest and a short course of a clear-fluid diet. However, seek medical care if diarrhea persists for more than two to three weeks, if there is blood in the stool, fever, or the person has signs of dehydration.
- Blood in the stool is never normal and should always be evaluated. Common causes of blood in the stool include hemorrhoids however, other serious causes of bleeding need to be investigated. Colitis is not the only cause of rectal bleeding. Other causes include diverticular disease of the colon , colon polyps, anal fissures, and cancer.
- Chronic diarrhea may lead to dehydration and changes in the electrolyte balance in the body. If it is severe enough, the dehydration may require treatment with IV fluids or oral rehydration therapy. The symptoms of dehydration may include
- lightheadedness , especially when changing from a sitting or lying position to a standing position
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Endoscopy For Diagnosing Or Treating Bleeding Ulcers
Endoscopy is important for both diagnosing and treating bleeding ulcers.
Endoscopy for Diagnosing Bleeding Ulcers and Determining Risk of Rebleeding
With endoscopy, doctors are able to detect the signs of bleeding, such as active spurting or oozing of blood from arteries. Endoscopy can also detect specific features in the ulcers, referred to as stigmata, which indicate a higher or lower risk of rebleeding.
Endoscopy as Treatment
Endoscopy is usually used to treat bleeding from visible vessels that are less than 2 mm in diameter. This approach also appears to be very effective at preventing rebleeding in patients whose ulcers are not bleeding, but who have high-risk features . Endoscopic treatment includes epinephrine injection, thermocoagulation, application of clips and banding procedures.
The following is a typical endoscopic treatment procedure:
Endoscopy is effective at controlling bleeding in most people who are good candidates for the procedure. Rebleeding occurs in about 10% to 20% of patients. If rebleeding occurs, a repeat endoscopy is effective in about 75% of patients. Those who fail to respond will need to have an angiogram with embolization or major abdominal surgery. The most serious complication from endoscopy is perforation of the stomach or intestinal wall.
Other Medical Considerations
Certain medications may be needed after endoscopy:
Frequent Urination And Upset Stomach
- Medical Author: Melissa Conrad Stöppler, MD
Reviewed on 10/9/2020
Upset stomach can accompany many causes of frequent urination including cystitis or urinary tract infection. Infections such as gastroenteritis or irritable bowel syndrome could co-occur with frequent urination. Excessive fluid intake could also cause these symptoms. Be sure to seek the advice of your doctor if you are concerned about these or any symptoms.
While the list below can be considered as a guide to educate yourself about these conditions, this is not a substitute for a diagnosis from a health care provider. There are many other medical conditions that also can be associated with your symptoms and signs. Here are a number of those from MedicineNet:
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