How Will My Doctor Treat My Stomach Ulcer
Most stomach ulcers take 1-2 months to heal and your doctor/gastroenterologist will prescribe you the treatment based on the cause of your ulcer.
- Your doctor will assess your family history, dietary history, diseases, and medication history and examine your tummy to address the cause of your stomach ulcer.
- Your doctor will discuss with you the side effects of the painkillers and analgesics, which you may be taking, and whether you should keep using them or stop them.
- Your doctor may advise you to stop smoking, stop alcohol consumption, lose some weight, and avoid some trigger foods, such as spicy and fatty food.
- Your doctor may prescribe an alternative painkiller, analgesic, or anti-inflammatory medications, such as Paracetamol.
- Your doctor will prescribe you proton pump inhibitors and antacids to reduce the amount of acid production and some antibiotics for up to 2 weeks to treat H pylori infection.
- Your doctor will prescribe probiotics, which will help to grow good bacteria in your gut and may be useful in killing H pylori bacteria.
- Your doctor may prescribe you bismuth supplements.
- Your doctor may have another endoscopy to check stomach ulcers several weeks after treatment to make sure that the ulcer is gone because a very small number of stomach ulcers might contain cancer.
If the underlying cause is not addressed properly, the stomach ulcer may recur even after the treatment.
How Peptic Ulcer Disease Is Diagnosed
Peptic ulcer disease are sores that develop on the lining of your stomach or small intestine. There are several ways to diagnose peptic ulcer disease, ranging from blood tests, stool testing, an endoscopy, and an upper gastrointestinal series.
Verywell / Ellen Lindner
Causes Of Stomach Ulcers
A stomach ulcer can be caused by a variety of factors, including:
- Helicobacter pylori bacteria is thought to be responsible for around 60 per cent of stomach ulcers and at least 90 per cent of duodenal ulcers.
- Certain medications which include aspirin or clopidogrel, taken regularly to help prevent heart attack or stroke, and drugs for arthritis. Anti-inflammatory medications are thought to cause around two fifths of stomach ulcers.
- Cancer stomach cancer can present as an ulcer, particularly in older people.
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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.
A Feeling Of Wooziness
On occasion, the person may experience a little more run down when engaging in exercises or exerting extra hard work. Perhaps the person feels an unusual feeling of wooziness especially when stands hurriedly after a long sit.
All these may be accompanied by a sense of fatigue which is often blamed on too much work performed by the person. The individual will be remarkably in distress, thinking it may be due to different sort of situations.
Only when the person visits a doctor for help will he be able to point clues about the problem. Stomach ulcer may be identified and can be drawn based on history of heartburns, diet, activities, and excessive intake of drugs which may be possibly taken by the person to help reduce aches of the body when feeling fatigue.
- Mohammad J. Kaviani, Mohsen Pirastehfar, Ali Azari, & Mehdi Saberifiroozi . Etiology and Outcome of Patients with Upper Gastrointestinal Bleeding: A Study from South of Iran.
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.
Medical History Physical Exam And Tests To Look For Bleeding
When taking your medical history, the doctor will ask about your symptoms and possible risk factors to see if they might suggest stomach cancer or another cause. The physical examcan give your doctor information about possible signs of stomach cancer or other health problems. In particular, the doctor will feel your belly for anything abnormal.
The doctor might order a blood test to look for anemia , which could be caused by the cancer bleeding into the stomach. A test might also be done to look for blood in your stool that cant be seen by the naked eye, which could also be a sign of bleeding in the stomach.
If your doctor thinks you might have stomach cancer or another type of stomach problem, he or she will likely refer you to a gastroenterologist , who will examine you and might do further testing.
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What Tests Will Be Done To Diagnose A Peptic Ulcer
Endoscopy. An upper endoscopy exam is expedient because allows healthcare providers to see inside your digestive tract and also take a tissue sample to analyze in the lab. The test is done by passing a thin tube with a tiny camera attached down your throat and into your stomach and duodenum. Youll have medication to numb your throat and help you relax during the test. Your healthcare provider may use the endoscope to take a tissue sample to test for signs of mucous damage, anemia, H. pylori infection or malignancy. If they take a sample, you wont feel it.
Imaging tests. Imaging tests to look inside the stomach and small intestine include:
- Upper GI series. An upper GI X-ray exam examines the stomach and duodenum through X-rays. Its less invasive than an endoscopy. For the X-ray, youll swallow a chalky fluid called barium, which will coat your esophagus, stomach and duodenum. The barium helps your digestive organs show up better in black and white images.
- CT scan. Your healthcare provider might recommend a CT scan if they need to see your organs in more detail. A CT scan can show complications such as a perforation in the stomach or intestinal wall. For the test, youll lie on a table inside a scanner machine while X-rays are taken. You may drink or have an injection with contrast fluid to make your organs show up better in images.
Tests for H. pylori. Your healthcare provider might want to test you separately for H. pylori infection. Tests may include:
How To Relieve Stomach Ulcer Pain
A stomach ulcer is a peptic ulcer which is in the stomach, it is also known as a gastric ulcer. These are open ulcers that originate in this area when it is burst or is unprotected from the strong gastric acids found in this organ. These wounds are due to a bacterial infection mostly, though excess acids and stomach juices can also be the cause. Medical intervention is usually necessary to help ulcers heal completely, so in this article you an see what resources are available to relieve stomach ulcer pain at home, as these remedies are meant to accompany the medication prescribed by a doctor.
The most common cause of stomach ulcers is an infection caused by a bacteria called Helicobacter pylori. Though we must highlight that not all patients that have this bacteria in their stomachs develop a gastric ulcer. Moreover, it can also be caused by excess formation of gastric acid and due to bad habits.
The main symptoms of stomach ulcers may include nausea, diarrhea and severe pain in the stomach. You tend to feel a burning sensation. When stomach ulcers gets serious, a sudden weight loss process will start and blood may be visible in stools.
When you notice the aforementioned symptoms, you must consult your doctor to get the convenient tests in order to be prescribed with the adequate treatment. Remember you should never take medicine on your own behalf as it could put your health at risk.
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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
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.
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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.
How Are Ulcers Diagnosed
Your healthcare provider may be able to make the diagnosis just by talking with you about your symptoms. If you develop an ulcer and youre not taking NSAIDs, the cause is likely an H. pylori infection. To confirm the diagnosis, youll need one of these tests:
If you have severe symptoms, your provider may recommend an upper endoscopy to determine if you have an ulcer. In this procedure, the doctor inserts an endoscope through your throat and into your stomach to look for abnormalities.
H. Pylori tests
Tests for H. pylori are now widely used and your provider will tailor treatment to reduce your symptoms and kill the bacteria. A breath test is the easiest way to discover H. pylori. Your provider can also look for it with a blood or stool test, or by taking a sample during an upper endoscopy.
Less frequently, imaging tests such as X-rays and CT scans are used to detect ulcers. You have to drink a specific liquid that coats the digestive tract and makes ulcers more visible to the imaging machines.
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When Should You Call Or See A Doctor
If you think you have a stomach ulcer, call your doctor. Together you can discuss your symptoms and treatment options. If you dont already have a physician, you can use the Healthline FindCare tool to find a provider near you.
Its important to get a stomach ulcer taken care of because without treatment, ulcers and H. pylori can cause:
- bleeding from the ulcer site that can become life-threatening
- penetration, which occurs when the ulcer goes through the wall of the digestive tract and into another organ, such as the pancreas
- perforation, which occurs when the ulcer creates a hole in the wall of the digestive tract
- obstruction in the digestive tract, which is due to swelling of inflamed tissues
- stomach cancer, specifically
Symptoms of these complications can include those listed below. If you have any of these symptoms, be sure to call you doctor right away:
When To See The Doctor
Peptic ulcers will get worse if theyre not treated, so contact your doctor if you have symptoms or any signs that you could have one. Unfortunately, a lot of the time the way people find out they have an ulcer is by developing bleedstheyre taking a lot of aspirin or NSAIDS and they either start vomiting blood or have black tarry stool, says Marcus.
Your doctor may be able to diagnose a peptic ulcer by talking with you about your symptoms. Be sure to disclose the frequency of NSAID use.
However, some tests are usually used to confirm the diagnosis. For instance, to see if you have an H. pylori infection, your doctor will test your blood, breath or stool. They may also look inside your stomach and duodenum by doing an endoscopy or X-ray. An endoscopy is a procedure where a lighted tube is inserted through the throat and into the stomach to check for abnormalities.
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What Is A Stomach Ulcer
Stomach ulcer or gastric ulcer is a painful open sore that develops on the lining of your stomach due to the damage to the inner stomach lining.
This is a type of peptic ulcer disease. Stomach ulcers often can be easily cured however, it can be fatal if not treated properly. It occurs mostly in men are than women
Drink Apple Cider Vinegar With Water
Being a probiotic liquid, apple cider vinegar is naturally rich in live bacteria and yeast that offer several benefits for the digestive health.
It helps restore the pH of the stomach, which in turn help treat the ulcer and relieve the pain.
A 2016 study published in Experimental and Therapeutic Medicine highlights the possible use of probiotics in H. pylori eradication, one of the main causes of ulcers.
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If Your Ulcer Was Caused By Helicobacter Pylori
Most stomach ulcers are caused by infection with H. pylori. Therefore, a main part of the treatment is to clear this infection. If this infection is not cleared, the ulcer is likely to return once you stop taking acid-suppressing medication. For more information, see the separate leaflet called Helicobacter Pylori.
Guarding Against Infection Of H Pylori
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How Can I Prevent A Stomach Ulcer From Occurring Or Returning
- Reduce NSAID use, if possible. Consider whether acetaminophen might substitute. If you take NSAIDs for medical reasons, talk to your doctor about reducing your dosage or switching your medication. Your doctor may also prescribe another medicine to take with NSAIDs to protect your stomach lining.
- Reduce other irritants that may contribute to too much stomach acid or erode your stomach lining, including smoking and alcohol use.
- Take an H. pylori breath test to find out if you have an overgrowth of the bacteria.