Peptic ulcer disease is a form of disease in which painful sores or ulcers are developed in the lining of the stomach or in the duodenum, which is the first part of the small intestine. Complications include severe blood loss and perforation of the stomach and intestines.

What can cause peptic ulcers?
Ulcers occur due to the imbalance of digestive fluids in the stomach or duodenum. Usually, ulcers are caused by the infection due to bacteria known as Helicobater pylori.
Here are the factors which may lead to peptic ulcer:

    One can use painkillers, which are known as nonsteroidal, anti-inflammatory drugs, by the likes of aspirin, naproxen, ibuprofen and several others.
    These kinds of ulcers may also occur due to excessive production of acid from gastrinomas.
    Excessive alcohol consumption may also cause peptic ulcer.
    Smoking cigarettes and chewing tobacco may cause such ulcers.
    Sometimes serious illness may cause peptic ulcer as well.
    Radiation treatment of the affected area may also lead to peptic ulcer.

What are its signs and symptoms?
There are several symptoms of peptic ulcer. They include the following:

    People experience a sensation of burning or gnawing pain in the upper or middle part of the stomach, between meals and during night time.
    Bloating is experienced.
    A feeling or sensation of heartburn.
    Nausea and vomiting are likely to be accompanied.
    In severe cases of peptic ulcer, dark or black stool is produced because of bleeding.
    The patient may vomit blood.
    Weight loss and abdominal pain are indicated, especially in the upper to mid abdomen region.
    Indigestion and change in appetite are also noticed.
    There is pain in the chest.

How to treat them?
Peptic ulcers can be treated in various ways, which include medication, lifestyle changes or surgery.
1. Lifestyle changes: Elimination of substances which lead to peptic ulcer should be avoided. Smoking and drinking should be restricted. Certain NSAIDS may lead to ulcer, and they should be stopped.
2. Medication: Proton pump inhibitors help in reducing acid levels, which allow healing of the ulcer. Different types of PPI are esomeprazole, dexlansoprazole, omeprazole, pantoprazole and iansoprazole.

Several antibiotics may also be used when a patient has helicobacter pylori infection. Several combinations of antibiotics may be used for the treatment. Bismuth may be used as well.
Upper endoscopy can be done as a part treatment of ulcer to cure bleeding ulcers. In case the ulcer creates a hole in the stomach s wall, surgery is required. Peptic ulcer is a serious health condition and if not treated properly, it can cause several health hazards. There are several treatment options for peptic ulcer, and you should opt for the one that suits you the best.

Peptic Ulcers - 6 Possible Reasons Behind them

A peptic ulcer is usually found in the duodenum, or the first part of the small intestine. These ulcers can also be found in the delicate stomach lining near this region. These are usually painful sores that are caused due to too much acid production in the stomach, as well as excessive smoking and alcohol consumption. The symptoms generally include heartburn, bloating, nausea, vomiting, and even blood discharge in stool and vomiting. So how can you treat these ulcers? Here's a short list of ways to do so.

- Medication: The most common way of treating peptic ulcers is to ingest proton pump inhibitors which can be prescribed by a general physician. These medicines will effectively stop the production of acid and reflux in the gastroesophageal band, so as to prevent the growth and production of such ulcers. Antibiotics can also help, especially in severe cases where there is a risk of infection due to the presence of these ulcers.

- Upper Endoscopy and Surgery: For severe cases where there is bleeding in the peptic ulcers, an upper endoscopy may also be conducted. This quick procedure can give relief from the bleeding. Also, many specialists might recommend surgery so as to treat an ulcer that has punched a hole in the stomach's wall, in which case the persistent bleeding cannot be stemmed even with an upper endoscopy.

- Lifestyle Choices: The presence of a peptic ulcer usually points to tobacco and alcohol abuse. If you happen to be over 50 years of age and are busy drinking copious amounts of alcohol every day and even chain smoking, then you may be at risk. It is best to stop such abuse by giving up smoking and drinking so as to ensure that the peptic ulcer can be treated and does not become a fatality. Also, drinking plenty of water and eating a proper balanced diet along with exercise are some of the best ways of treating these ulcers.

- Side Effects: Peptic ulcers may also arise as a side effect of having pain killers too frequently. So it is important to stay away from medication that gives rise to this kind of reaction in the body.

Managing and treating peptic ulcers is a matter of getting the right tests done for diagnosis before discussing further medication or surgery based treatment for the ulcer so that it does not pose any grave danger to the patient's body.

Coping with Peptic Ulcers

Most likely you are suffering from duodenal ulcer if there is pain in the upper abdomen which is relieved by eating. If it increases after eating, it may be because of gastric ulcer. Gastric ulcers and Duodenal ulcer come under the category of Peptic ulcer disease (PUD). It is a lesion in the mucosal lining of the digestive tract, typically in the stomach as gastric ulcer or duodenum (1st part of the intestines) as Duodenal ulcers. These are caused by the digestive action of pepsin (a digestive enzyme) and stomach acid. 

Nearly 70 90% cases of such ulcers are linked to a spiral-shaped bacterium called H. PYLORI that thrives in the acidic environment of the stomach. The incidence of peptic ulcers occurring in the duodenum (the initial tract of the small intestine) is four times higher than those arising in the stomach.

Causes of Peptic Ulcer:

The underlying process that results in Peptic ulcer formation is an excess of acid production in the stomach and damage to the protective barrier inside the stomach. Certain things that can trigger excess acid production or can cause damage to the protective lining of the stomach are:

Emotional stress
Foods (spices, pungent foods, etc)
Overuse of certain drugs, especially NSAIDs (Non-steroidal anti-inflammatory drugs)
Infections (H-Pylori)
Hereditary
Smoking
Symptoms

Symptoms of peptic ulcers include:

vomiting tendencies
nausea
pain in the upper and middle portions of the stomach after a meal and at night
blood in the stool
weight loss
bleeding in the gastrointestinal region
Gastric Ulcer

Common To Both

Duodenal Ulcer  Symptoms

More Likely to be felt immediately after eating. 

Bloating	
More likely to be felt a few hours after eating.


Heartburn	

Nausea	

Loss of Appetite	

Nausea	

Burping



Pain when eating high-fat foods.



Pain when the stomach is empty.



Pain in the stomach that may feel like burning.


Complications:

Hemorrhage
Perforation of ulcer
Gastric outlet obstruction (obstruction in terminal part of stomach)
How to Prevent Peptic Ulcers
Certain lifestyle choices and habits can reduce your risk of developing peptic ulcers. These include:

not drinking more than two alcoholic beverages a day
not mixing alcohol with medication
washing your hands frequently to avoid infections
limiting your use of ibuprofen, aspirin, and naproxen sodium
Maintaining a healthy lifestyle through a balanced diet rich in fruits, vegetables, and whole grains, and quitting smoking and other tobacco use will also help you prevent developing a peptic ulcer.

Homeopathic Treatment For Peptic Ulcers
Homeopathy offers some very good medicines for peptic ulcer disease. But for a homeopath, the symptoms of the disease are much more important than the ulcer itself. This is because to select the right medicine a homeopath needs to differentiate between the finer presentations of a disease which, vary from person to person. A homeopath not only tries to heal the ulcer but also tries to remove the general predisposition to acquire it. The homeopath not only tries to find  What is wrong? , but also  Why it went wrong? ;  Where it started going wrong? ;  How it evolved to the current stage?  etc. To find the answers to all these questions, a homeopath tries to gather as much information as possible regarding the past and present medical history of the patient, the family history, general, physical and psychological characteristics, etc. This hard work on the part of homeopath not only helps in removing the acute symptoms and the ulcer but also is usually able to remove the tendency for relapse. The  on-again/off-again  nature of the disease is often removed and the general health of the person also improves as a result.

Effective Homeopathic Medications For Peplic Ulcer
Some of the most effective homeopathic medications used in the treatment of peptic ulcers are mentioned below. However, you shouldn t try to self-medicate as it is best to consult with a doctor who can properly diagnose the problems and prescribe medication which are specifically tailored for you.

Argentum Nitricum   One of the most effective medications in treating ulcers, Argentum Nitricum is usually prescribed when you experience sharp burning pains from peptic ulcers that radiate to different areas of the abdomen. The pain is akin to the feeling of gnawing inside the stomach. Other symptoms such as vomiting, belching and nausea may also be present. 
Nux Vomica   If you have peptic ulcers and even eating the slightest amount of food causes pain, then Nux vomica may be a good option and thus be prescribed by your doctor. Another indication in such cases is where the abdominal region is very sensitive and you may feel pain even with the slightest touch. Nux Vomica is also very effective if your peptic ulcer symptoms tend to get worse after the consumption of tea, coffee, spicy foods or alcoholic beverages.
Kali Bichromicum   Sometimes, peptic ulcers may cause the food in your stomach to sit like a heavy load immediately after meals. This can make you very uncomfortable and unable to do any other form of work. This is often times accompanied by a low appetite. In such cases, Kali Bichromicum has been seen to work wonders.
Lycopodium Clavatum   If you have burning pain in your stomach along with the bloating of your abdomen, then Lycopodium Clavatum is the best medication for you. Other indications for this medication are when ingestion of warm water helps relieve pain. If consuming certain vegetables such as cabbage and beans worsen the situation, then Lycopodium Clavatum could be the best medication in such a case. 
Carbo-veg   An all-rounder in the field of homeopathy, Carbo-Veg is also effective when treating peptic ulcers which are accompanied by heartburn and acidity as well as sour belching. The pain from the ulcers may extend from the stomach all the way to the back. Other indications wherein Carbo-Veg may be effective is where the stomach area becomes very sensitive to touch and even small amounts of food may suddenly cause the symptoms to deteriorate.
Hydrastis Canadensis   Stomach or abdominal pain accompanied by weight loss is one of the major indications where this medication may be prescribed. The patient may become emaciated and have sharp cutting pains in the stomach. In such cases, Hydrastis has been seen to be very effective.
Graphites   This medication is extremely useful where along with the ulcer pain, you may end up vomiting your food immediately after a meal. A sensation which is painful and constricted may be present in your stomach. Along with these symptoms, Graphites are also very effective when you suffer from excessive belching.
Phosphorus   If you exhibit typical symptoms of peptic ulcer such as sour belching and a burning sensation in the stomach after eating, Phosphorus could well be the panacea. 
Prognosis

When the underlying cause of peptic ulcer disease is successfully treated, the prognosis (expected outcome) for patients with the condition is excellent. To help prevent peptic ulcers:

Avoid cigarette.
Aspirin and non-steroidal Anti-Inflammatory drugs should be avoided.
Spicy and rich food may aggravate. If so, it should be avoided.
Drink lots of water.
Take frequent small meals instead of two or three big meals.
Bland diet and hygienically prepared food.
Proper cleaning of utensils for food.
Proper cleaning of hands before preparing and eating food.
Avoid alcohol
Common sources of Helicobacter pylori bacteria (e.g., contaminated food and water, floodwater, raw sewage)
Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs)
Good hygiene can help reduce the risk for peptic ulcer disease caused by Helicobacter pylori infection. Washing the hands thoroughly with warm soapy water after using the restroom and before eating and avoiding sharing eating utensils and drinking glasses also can reduce the spread of bacteria that can cause PUD.


Peptic Ulcer - How Homeopathy is an Effective Way of Treating it?

There may be times when we get completely drained and fatigued and may feel like our insides could jump out because of the pain that we have in our stomachs. We may dismiss the issue as unimportant or due to a stressful day at work, and may think the stomach pain could be because of the extra spicy food we love to have every once in a while. However, a lot of people may tend to ignore this symptom and that is when stomach ache may turn out to be actually because of a peptic ulcer.

Peptic ulcer or stomach ulcer is a common occurrence and happens to a lot of people; however, it must be understood that not treating the problem in time may be troublesome in the long run and increase the recovery time. In order to be able to identify the peptic ulcers and to take the right treatment measures, it may be important for you to understand the problem and know how it is caused, and how it may be treated.

What causes peptic ulcers?
A peptic ulcer is diagnosed as inflammatory sores on the lining of the stomach or the food pipe, which transfers food to the stomach or even in the intestine. There are a number of factors that can cause inflammatory sores in the stomach region. The factors are as follows:

    The use of medicines that are meant to be painkillers or anti-inflammatory drugs. The acid levels of the stomach and the food pipe may get disturbed because of these medicines and may give rise to ulcers.
    In a lot of cases, the ulcers may also take place because of the presence of a tumour or a gastrinoma in the stomach that imbalance the levels of acid in the stomach.
    High alcohol consumption may also lead to the formation of sores on the stomach lining.
    Using tobacco or smoking are some other factors that contribute to the acid imbalance in the stomach.
    In the case of some serious illnesses, a lot of people may fall prey to peptic ulcers.
    Those who may have undergone radiation treatment around the stomach may also experience ulcers.

Though it may be known that excessive pain in the abdominal region may be due to stomach ulcers, it is important to understand that it happens due to bacterial infections, and when there is a bacterial infection in the body, you may have to undergo proper treatment. The treatment for this problem includes the use of medications as suggested by a qualified doctor, surgery in some severe cases, and most importantly lifestyle changes.

Peptic Ulcer - 6 Reasons Behind it

Peptic Ulcers are sores that develop in the lining of a stomach, small intestine or lower oesophagus. They usually crop as a result of inflammation caused by bacteria and also due to erosion from stomach acids. Peptic Ulcers affecting the stomach are also known as gastric ulcer, one in the duodenum is called a duodenal ulcer and an ulcer occurring in the oesophagus is called an oesophageal cancer. 

Talking about the causes, symptoms, tests and exams related to it and treatment options for peptic ulcers. Let s go ahead and take a look at them one by one:

There are certain symptoms for peptic ulcers and one of the most common ones being, indigestion-like pain in the abdomen. 
The pain tends to occur anywhere in the region between the belly button and breastbone and the duration can be brief or may even last for hours. 
A change in appetite could be noticed, wherein you may not feel like having anything
Feeling of uneasiness which can have an effect as if you are going to vomit.
You tend to lose weight for no apparent reason.Stools with dark red blood.
Causes Of Peptic Ulcers

Peptic ulcers can be caused as a result of different factors, which lead to the breakdown of lining of the stomach, oesophagus and small intestine. The causes are as follows:

Helicobacter pylori: It is a type of bacteria which causes stomach infection and inflammation. Helicobacter pylori produces urease, which is an enzyme that neutralizes stomach acid by making it less acidic. In order to compensate this, the stomach goes on to produce more acid which leads to irritation of the stomach lining. The bacterium makes the stomach s defense system weak and causes inflammation.
Overdose of drugs: If you are in the habit of using aspirin or ibuprofen along with other anti-inflammatory drugs on a regular basis, then you increase the chances of suffering from ulcer.
Smoking: Smoking leads to an increase in the production of stomach acids and that tends to reduce bicarbonate production. People who smoke are at risk of developing duodenal ulcers.
Increased Alcohol Consumption: When you have too much alcohol, then you are at a risk of developing all sorts of problems. Alcohol is basically a toxin which can damage almost every organ of the body. Digestive system can get hampered a lot through alcohol. Alcohol irritates the stomach lining, which leads to an increased risk of developing ulcer.
Treatment Of A Peptic Ulcer

Treatment would depend upon the underlying cause of ulcer. Your doctor would most probably suggest you to do an endoscopy and if the test shows that there is H.pylori infection, a combination of medicines would be prescribed. Medications would ideally continue for two weeks. There will be antibiotics to kill infections and Proton Pump Inhibitors (PPI) for reducing stomach acid. If the doctor feels that ulcer has not been caused as a result of H.pylori infection, then you might be asked to take over-the-counter medicines like Prilosec or Prevacid for close to eight weeks, which would not only reduce stomach acid but also heal your ulcer.

Peptic Ulcers - Common Causes Behind Them!

Amlapitta is the Ayurvedic term for a medical condition when your stomach produces more acids than you need for digesting food. It is a very common disorder today, which is triggered by our unhealthy lifestyle choices. Amlapitta or acid peptic disorder needs medical attention because if it continues for too long, you could end up with painful peptic ulcers.

What are the causes behind Amlapitta?

According to Ayurveda, your diet and lifestyle mainly lead to Acid Peptic Disorder-

Diet -

Consuming spicy, fried food

Excessive consumption of pickles and oily food

Excessive intake of sour and salty foods

Eating fermented, stale food

Intake of hot beverages, like tea/coffee and soup

Skipping meals

Irregular meal times

Lifestyle -

Lack of sleep at night

A fast-paced lifestyle with no time to rest

Overexposure to fire and sun

Excessive anxiety and stress

Signs and Symptoms - 

The obvious signs and symptoms of the acid peptic disease include  

Bitter or sour blenching

A burning sensation in the chest 

Nausea and vomiting

Throat burn

Abdominal pain

Foul-smelling bowel movement

Fatigue and tiredness

Giddiness

How is the condition cured?

Since the primary causes of acid peptic disease are dietary, Ayurveda suggests the selection of the right kinds of food and healthy lifestyle changes to cure the condition.

Follow these guidelines to get rid of amlapitta  

Take small meals twice a day

Eat your food in a loving manner with awareness and attention

Eat at fixed time regularly

You should eat your meal during Pitta period i.e. between 10 AM and 2 PM
Eat light food like Rajgira Laddoo, Dry black resins decoction in morning 

Pomegranate is useful in Amlapitta 

Coconut sweets is also eaten in Smlapitta to get rid of it

Drink plenty of water and juice of raw vegetables

Avoid eating/drinking foods that are too hot or too cold

Avoid consumption of carbonated beverages 

Cut back on fatty meat

Include sufficient amount of rice, wheat, bitter gourd, cucumber, pumpkin and cow s milk in your diet

Ayurveda also believes that yoga and exercise can heal the condition from within and restore the balance of the doshas causing the disease. 

Exercising regularly helps to control acidity. Morning walks are good for health and may prevent the occurrence of acid peptic disease. 

Yoga works well to keep your digestive system healthy. As we know, certain mental disorders like anxiety and depression can worsen acid peptic disease, it is imperative that you live a happy and stress-free life. Yoga helps relieve stress and elevates your mood, and helps to strengthen your overall system.

Some yoga postures that may help include  

Bhujangasana 

Naukasana - 

Suryanamaskara

Vajrasana

 Amlapitta or acid peptic disease can be distressing and extremely uncomfortable to live with. The best way to treat and prevent the condition is to adopt Ayurvedic remedies and precautionary measures. These not only help reduce the symptoms of acidity but also build your immune system.

Know More About Amlapitta / Acid Peptic Disease!

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