Diagnosis Of A Stomach Ulcer
Diagnosing a stomach ulcer is done using a range of methods, including:
- Endoscopy a thin flexible tube is threaded down the oesophagus into the stomach under light anaesthesia. The endoscope is fitted with a small camera so the physician can see if there is an ulcer.
- Barium meal a chalky liquid is drunk and an x-ray is performed, showing the stomach lining. These tests are less common nowadays, but may be useful where endoscopy is unavailable.
- Biopsy a small tissue sample is taken during an endoscopy and tested in a laboratory. This biopsy should always be done if a gastric ulcer is found.
- C14 breath test this checks for the presence of H. pylori. The bacteria convert urea into carbon dioxide. The test involves swallowing an amount of radioactive carbon and testing the air exhaled from the lungs. A non-radioactive test can be used for children and pregnant women.
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How To Test For Stomach Ulcers
If your doctor thinks you may have a stomach ulcer, the initial tests will include some blood tests. These tests will help to check whether you have become anaemic because of any bleeding from the ulcer. The blood test will also check to see that your liver and pancreas are working properly.
The main tests that are then used to diagnose a stomach ulcer are as follows:
How Stomach Ulcers Are Treated
Treatment will depend on what caused the ulcer.
Most people will be prescribed a medication called a proton pump inhibitor to reduce the amount of acid in their stomach.
Youll also need antibiotics if your ulcers were caused by a H. pylori infection.
Stomach ulcers can come back after treatment, although this is less likely to happen if the underlying cause is addressed.
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Neurological Causes Of Nausea And Vomiting
- Headache: Especially migraine because it commonly is associated with nausea and vomiting.
- Inner ear:Motion sickness, labyrinthitis, benign positional vertigo, or Menieres disease.
- Increased pressure in the head : Any illness or injury that increases the pressure within the skull:
- Brain swelling due to trauma
- Abnormal electrolyte concentrations in the bloodstream and associated water imbalance
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H Pylori Infection Treatment

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 Treatments Can Relieve Ulcer Pain
While over-the-counter medications can treat an upset stomach, they are generally not effective in treating ulcers. And taking over-the-counter painkillers could worsen the problem. That is why its better to see a doctor, who may combine several medications and therapies to relieve pain, cure the infection, and prevent it from worsening. Medications usually include:
Your doctor may also recommend making lifestyle modifications, including:
- Avoiding spicy and oily food
Causes Of Stomach Ulcers
Stomach ulcers happen when theres damage to the layer that protects the stomach lining from the acids in your stomach.
This is usually a result of:
- an infection with Helicobacter pylori bacteria
- taking anti-inflammatory medicines , such as ibuprofen or aspirin particularly if they’re taken for a long time or at high doses
It used to be thought that stress or certain foods might cause stomach ulcers, but there’s little evidence to suggest this is the case.
Stomach ulcers can affect anyone but are more common in people aged 60 or over. Men are more affected than women.
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What May Interact With This Medication
Do not take this medication with any of the following:
This medication may also interact with the following:
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What Should I Do If I Think I Have A Stomach Ulcer
Always seek medical care for a stomach ulcer. While you may be able to manage symptoms temporarily with over-the-counter medications, these wont heal the ulcer. You need to identify and treat the underlying cause. An untreated ulcer can lead to serious complications, even if your symptoms are mild. The major cause of stomach ulcers, H. pylori infection, can also lead to other complications.
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Peptic Ulcer Disease As A Cause Of Chest Pain
Peptic ulcer disease is a common medical problem that is often mistaken for cardiac disease. Peptic ulcers often produce symptoms that can be a challenge to distinguish from angina or even the symptoms of a heart attack.
In peptic ulcer disease, ulcers or sores are produced in the lining of the stomach, or of the duodenum . These ulcers are often quite painful.
What Kind Of Doctor Treats Peptic Ulcers
- If you suspect you may have a peptic ulcer, you may first be diagnosed by your family practitioner or internist.
- Children or teenagers may see a pediatrician.
- For further treatment you will likely be referred to a gastroenterologist, a specialist in disorders of the digestive tract.
- If you have an emergency such as vomiting or severe abdominal pain you will be seen by an emergency medicine specialist in an emergency room.
- In the rare case where surgery is needed, you may see a general surgeon.
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How Do You Know If You Have An Ulcer
You may not if the sore is just opening and youÃâre symptom-free, said Dr. Rajapaksa. But when an ulcer forms and deepens into the stomach lining, youÃâll feel it, she says. Common symptoms include burning pain and nausea, even vomiting in some cases. ÃâYou may also feel a gnawing feeling of hunger,Ãâ said Dr. Rajapaksa. ÃâPeople with ulcers tend to feel a little bit better after they eat because food almost helps coat the stomach.Ãâ
If you notice these signs, Dr. Rajapaksa recommends seeing your healthcare provider a.s.a.p. ÃâCertainly if youÃâre vomiting blood, I would hope that everyone knows to immediately go to the hospital,Ãâ said Dr. Rajapaksa. ÃâBut even if youÃâre having other symptoms at home and you suspect you have an ulcer, I would suggest you get it diagnosed instead of trying to wait it out, or seeing if the pain goes away.Ãâ
According to the National Library of Medicine, your health care provider can check if you have an H. pylori infection by testing your blood, breath, or stool. Your provider also may look inside your stomach and duodenum by doing an endoscopy or x-ray. Though ulcers cannot be diagnosed with an x-ray test, the test may detect perforation due to an ulcer.
What Are The Symptoms Of A Stomach Ulcer

Most people with a stomach ulcer do not experience any symptoms. The most common symptom is burning pain in the upper abdomen. The pain can travel to the chest and neck, bellybutton, or back.
Other less common symptoms include:
- feeling full and bloated, or belching
- not being able to tolerate fatty foods
Sometimes, stomach ulcers can lead to more serious symptoms, such as:
- a sudden sharp pain in the stomach that gets worse
If you have any of these symptoms, see a doctor immediately.
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Do You Have A Stomach Ulcer
If you suspect that you have a stomach ulcer, it is beyond important that you seek medical attention as soon as possible. As you can tell from the symptoms listed above, things can only get worse if your ulcer goes untreated. Call the experts at West Gastroenterology in Los Angeles today and make an appointment!
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Youve Had Unexplained Vomiting
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.
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Figuring Out Which Foods Trigger Flare
As the NIDDK explains, although ulcerative colitis isnt caused by diet or nutrition, certain foods can trigger the symptoms or make them worse in some people. The tricky part is figuring out which ones.
Common ulcerative colitis triggers include dairy, high-fiber foods like fruit, vegetables, and whole grains, spicy foods, alcohol, and caffeine, according to the Mayo Clinic. That said, its really individual. Sam has always loved food and says that when it comes to what she can eat now, I have not figured that aspect out. And its not for lack of trying. I feel like Ive done everything! she tells SELF, explaining that she tries to avoid various food groups like dairy that can trigger symptoms. It doesnt mean I dont ever eat them, but I try to avoid them, she says. Im definitely still experimenting.
Stacey Bader Curry, 48, was diagnosed with ulcerative colitis in March 2020 and is concerned about giving up foods she loves, as well as alcohol and coffee. Im trying to focus on what I can eat and not what I cant eat, she says.
To figure out whether certain foods might be triggering your symptoms, the NIDDK recommends keeping a food diary where you record everything you eat and any flare-ups to help you work out what your dietary triggers could be.
What Is The Treatment For A Peptic Ulcer
Treatment depends on the cause. Doctors can diagnose peptic ulcers with tests such as breath tests. If the cause of the open sore is Helicobacter pylori infection, it may be treated with triple or quadruple therapy consisting of a proton pump inhibitor and a combination of antibiotics. Peptic ulcers that are due to NSAID use can be treated by eliminating or reducing the use of these medications and taking medications to help heal the ulcer.
Some medications that can be used to treat peptic ulcer disease include:
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How Is An Ulcer Diagnosed
Your doctor will ask you about your symptoms. They may do an endoscopy. This procedure involves inserting a thin, flexible tube attached to a camera down your throat and into your stomach. Your doctor will test your blood, breath or stool for H. pylori. They also can test a sample of your stomach lining. Your doctor also will ask you if you regularly take aspirin or anti-inflammatory medicines.
What Does A Stomach Ulcer Feel Like
Stomach ulcer pain usually begins in the upper-middle parts of the abdomen, above the belly button, and below the breastbone. Heartburn covers a broader area and tends to be higher in the chest. The pain is often very similar to heartburn and may feel like burning or gnawing that may go through to the back. The onset of the pain may occur several hours after a meal when the stomach is empty.
You could have heartburn and ulcer pain at the same time. Pain may vary from a few minutes to several hours. Usually, people complain that their heartburn is worse at night. It can be relieved with foods, antacids, or even vomiting. If you suspect you have a stomach ulcer, seek medical attention as soon as possible to prevent any complications. These symptoms could only worsen with time if your ulcer goes untreated. Getting these symptoms diagnosed by a trained gastroenterologist for timely treatment is crucial for your overall health.
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Do Ulcers Hurt When You Drink Water
Bloating: A feeling of heaviness and fullness can occur in the stomach, usually the same feeling you get after drinking a full glass of water. General discomfort: With a stomach ulcer, it can be hard to do things such as eating or any other day to day to activities without the burning pain in your stomach.
Are Peptic Ulcers Painful

The pain of ulcer disease correlates poorly with the presence or severity of active ulceration. Some individuals have persistent pain even after an ulcer is almost completely healed by medication. Others experience no pain at all. Ulcers often come and go spontaneously without the individual ever knowing that they are present unless a serious complication occurs.
Symptoms and signs of peptic ulcers disease vary. Some people with stomach ulcers do not have any symptoms or signs while others may have a few or several.
The most common symptom of a peptic ulcer is a dull or burning pain in the stomach. The pain may be felt anywhere between your belly button and breastbone. Pain from a peptic or stomach ulcer
Peptic ulcer other symptoms and signs that are less common include
Cigarette smoking not only causes ulcers, but it also increases the risk of complications from ulcers such as bleeding, obstruction, and perforation. Cigarette smoking also is a leading cause of failure of treatment for ulcers.
Contrary to popular belief, alcohol, coffee, colas, spicy foods, and caffeine have no proven role in ulcer formation. Similarly, there is no conclusive evidence to suggest that life stresses or personality types contribute to ulcer disease.
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Are Bananas Good For Ulcers
Both raw and ripe bananas are found to be very beneficial in curing stomach ulcer. There are certain antibacterial compounds in bananas that inhibit the growth of ulcer-causing H. pylori. Bananas are best to clear out the acidity of gastric juices that lowers the inflammation and strengthens the stomach lining.
Can Ulcers Affect Bowel Movements
Rectal ulcers are sores that develop inside the rectum. These sores can be caused by several conditions, including inflammatory bowel disease, solitary rectal ulcer syndrome and constipation. If you have a rectal ulcer, you may see blood in the stool, have rectal pain or experience painful bowel movements.
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What Is Gnawing Pain
Hunger pangs, or hunger pains, are a natural reaction to an empty stomach. They cause a gnawing feeling or an empty sensation in the abdomen. But hunger pangs can happen even if the body does not need food. Several other situations and conditions can lead to hunger pangs, including: sleep deprivation.
Stomach Ulcer Burning Pain What Does It Feel Like
Theopen sore can cause a number of signs and symptoms. And the severity of theulcer is usually equivalent with the severity of the symptoms.
Amongstomach ulcer symptoms, burning sensation or pain is the most common one.Typically, it is felt in the middle or upper part of abdomen specificallybetween the belly button and breastbone , where your stomach is locatedin the body.
Thepain usually feels like burning, gnawing, or dull sensation. In a few cases italso could be stabbing or intense, depending on the severity of the open sore. Sometimesit could be strong enough to radiate elsewhere in the body, such as the back.
Sothis may vary from person to person, including for duration. It may last in afew minutes or longer . Also, it could be chronic come & go in days, weeks, or even a few months.
But one unique thing to remember, in general the pain is more likely to flare up with empty stomach.
Often,it gets worse between meals such as in the morning or at night though againthis varies by individual. People usually have a spike in stomach acid whentheir stomach is empty. And high level of this acid can worsen the symptoms andmake the open sore take longer to heal.
Onthe other hand, the pain is likely to relieve for a while when you takeantacids or if you eat foods that can buffer yourstomach acid . But not all foods are good tohelp deal with since certain foods would also exacerbate the pain and otherstomach ulcer symptoms.
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