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

Ulcerative Colitis is one of the severe and chronic forms of Inflammatory Bowel Disease (IBD) that can throw life in a jeopardy. The condition that mainly affects the rectum and the large intestine can cause severe inflammation, ulceration, and abscess formation. The ulceration or the inflammation of the colon and the rectum left unattended for too long can give rise to deleterious consequences including damage and perforation of the colon, osteoporosis. Various studies also suggest that ulcerative colitis can increase the risk of a person suffering colon cancer.

Like most of the IBD, there is no definite cure for ulcerative colitis. The illness is a chronic condition and can flare up or recur at any point in time. Though medications may help to control the damage and the complications triggered by ulcerative colitis, a surgery may be essential in case of

Severe damage to the colon.
The nonsurgical treatments could do little to improve the conditions.
There is an increased risk of colon cancer.
Ulcerative colitis has resulted in Toxic megacolon (a life-threatening condition where the large intestinal muscles have dilated with some swelling).
There are extreme discomfort and bleeding.
Surgeries to deal with Ulcerative Colitis

In the case of Ulcerative Colitis, the nature of the surgery depends on the extent to which the colon or the rectum or both have been affected and damaged.
In the case of extensive damage with a high risk of colon cancer, the surgeon may perform Proctocolectomy or colectomy
Colectomy may involve
Removal of all of the colon- Total Colectomy
Removal of the diseased part of the colon- Partial Colectomy.
Following the excision, the surgeon may carry out necessary rearrangements to reconnect the remaining portion of the colon to the abdomen through an opening known as stroma (the procedure is known as colostomy).
In case of Total Colectomy, the small intestine will be connected to the abdomen by a process known as Ileostomy.
Proctocolectomy involves the removal of both the rectum and colon to avoid further aggravation.
Following the proctocolectomy, the surgeon may carry out Ileoanal Anastomosis (Ileal Pouch-Anal Anastomosis). In this procedure, a pouch is created using a small part of the small intestine. This pouch is then connected to the anus to help in the elimination of the wastes.
General precautionary measures to control Ulcerative Colitis
Making healthy lifestyle and dietary modifications can go a long way to control ulcerative colitis and the associated symptoms.

Spicy foods can worsen the incidence of ulcerative colitis. Enrich your diet with lots of fruits, vegetables (squash, avocados, fish (especially salmon and tuna), meat, dairy products, olive oil, walnuts, flaxseed oil, almonds.
Make sure the diet is a low-fiber diet.
Avoid alcoholic and caffeinated drinks and beverages, foods high in sulfur content, refined sugar.
Research suggests stress and lack of physical activities can aggravate the ulcerative colitis. Mediation and daily exercise can produce fruitful results.
Make sure your sleep is not compromised (6-8 hours daily).

Ulcerative Colitis - How Surgery Can Help Manage It?

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!

Living with ulcerative colitis can be very challenging. Patients of this disease will have to deal with pain in the abdomen and several digestion related issues in their daily lives. It is known to adversely impact the digestive tract. There can be extreme discomfort at the time of flare-ups. A patient can find life extremely difficult while dealing with symptoms like abdominal pain, fever, weight loss, and chronic diarrhea.

What is Ulcerative colitis (UC)?
It is a serious inflammatory disease. It is caused due to inflammatory bowel movements in the digestive tract. It can affect your daily life adversely. The worst part about this disease is that it relapses in the individual. It is characterized by flare-ups. You need to know fist what is an UC flare-up. Well, it is a term to refer to an exaggerated condition in the disease. It refers to a state when things turn worse. These flare-ups can be caused due to a number of factors. Some of these include:

Side-effect of certain medicines
Hormonal imbalance, especially during pregnancy
Sudden withdrawal from medication
Any infection or other medical condition
How to deal with the UC flare-ups?

Doctors often prescribe corticosteroids to deal with the flare-ups. Some of the most common drugs are Prednisone and budesonide.
Doctors prescribe the intake of steroids, 5-Aminosalicylates, antibiotics, and biologics.
Lifestyle changes are helpful in treating this disease. You can work towards detoxification and de-stressing yourself to get rid of the flare-ups. Take up some exercises, meditation and Yoga for best results.
You can also control chronic diarrhea by keeping a check on what you eat. You should avoid eating fibrous diet. Fibres are tough to digest for patients with UC. You must maintain proper hygiene as well to stay away from diarrhea.
Surgical Management of Ulcerative Colitis

Ulcerative colitis (UC) is an inflammatory disease of the colon and rectum limited to the mucosa, and may vary in severity from a mild intermittent disease to an acute fulminant and potentially fatal disease requiring urgent surgery. Management of ulcerative colitis depends on severity, extent, and duration of the disease, response and tolerance to medication, patient age and comorbidity as well as patient preference.

Surgery plays an important role in the management of UC both because of the premalignant nature of the disease, and because of the periodic failure of medical management. The underlying rationale for surgical treatment of the disease is that the disease is confined to the colon and rectum, and therefore proctocolectomy is curative. The goal of surgical therapy for ulcerative colitis is to remove the disease with as little alteration of normal physiological functions and lifestyle as possible.

Four surgical options exist for patients with ulcerative colitis and each has its own advantages and disadvantages.

The surgical choices are:

Proctocolectomy and Brooke ileostomy.
Abdominal colectomy and ilcorectal anastomosis.
Proctocolectomy and Kock pouch.
Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA).
The choice of operation requires consideration of the advantages and disadvantages of each option and must be tailored to an individual patient's needs and circumstances. Important factors to be considered in the choice of operation include the indication for surgery, age, associated medical conditions, body habitues, and quality of the anal sphincter. Extensive preoperative education is required which should include discussion with a specialized Gastroenterologist.

Ways To Deal With Ulcerative Colitis!

What is Colitis?
Colitis is a chronic bowel disease that causes inflammation in the lining of your colon i.e. the large intestine.

Prevalence in India -
Once prevalent in Western countries, colitis is on the rise in India among other Asian countries. The causes for this rise are mainly the degrading environment and the consequent changes in your genes. Colitis brings many changes to your lifestyle. Therefore, it is important to arm yourself with all the information about the disease to better manage it and lead the life you want.

What are the causes?
The common causes of colitis are -

Infection due to virus, bacteria and parasites
Decreased blood supply
Allergic reactions
What are the signs and symptoms of Colitis?
The signs and symptoms of colitis include the following-

Extreme pain before, during or after diarrhoea in the lower abdomen
Aches in joints and muscles
Tender abdomen
Swelling of colon
Redness on the colon surface
Bleeding from stool
Diarrhoea or constipation
Loss of appetite
Weight loss
Fever, fatigue
Dehydration
Eye and skin inflammation
What can you do to prevent it?
In order to prevent the occurrence of colitis, you can adopt a few steps. Precautionary measures mostly include dietary changes. You should avoid intake of certain foods to eliminate the symptoms of the disease.

Avoid the consumption of dairy products
Avoid eating spicy foods
Avoid including vegetables like cabbage, dried beans, peas in your diet
Refrain from drinking alcohol, caffeine and carbonated drinks
Instead, include white bread, white rice, pureed vegetable soup, canned fruits, etc
Depending on the diagnosis and the treatment, people do get better. Many people can build successive careers after getting treatments. However, initially, the symptoms will cause a problem in your daily life. It is important to know how you can identify the early signs and what you can do to manage or prevent them.

Know More About Colitis!

Peptic ulcer often referred to as stomach ulcer, is usually a misunderstood disease. Most people are unaware of the reasons why the ulcer is caused and are also unaware of the early symptoms of the disorder. Here is a look at some of the strange facts about peptic ulcers that you may not know.

Stress does not cause ulcers: The myth that stress causes ulcers is just that- a myth. Ulcers are not caused by stress and tension. However, if you are already affected by an ulcer, stress can alleviate the symptoms and make matter worse. Non-steroidal anti-inflammatory drugs can result in ulcers. So, if you have already been diagnosed with peptide ulcer, try not to stress too much.
Ulcer pain is not caused due to food: Contrary to popular belief, ulcer pain is not alleviated when you eat something. In fact, the pain increases if your stomach remains empty for a long period of time. So, if you are an ulcer patient, make a point of eating at regular intervals. In fact, the American College of Gastroenterology claims that people with ulcers do not need to follow a bland diet in order to recover from the condition.
Heartburn medication is effective against ulcer: Stomach acid is the common link between heartburn and ulcer, as both of these disorders are caused as a result of excess acid formation in the stomach. This is why physicians often prescribe antacids to ulcer patients.
Untreated ulcers can be problematic: Ulcers are easy to cure and can be completely treated with proper medication and adherence to restrictions. However, you should seek treatment for ulcers as soon as it is diagnosed. If left untreated, this ulcer may go on to cause severe issues for the patient. For instance, untreated ulcers may lead to internal bleeding and scar tissue. The same also impede the digestive process. So, do not leave ulcers untreated and think that they will be repaired automatically over time.
Endoscopy is the best way to diagnose ulcers: Even though X-rays may often reveal ulcers, a normal X-ray cannot detect certain smaller ulcers. Endoscopy is the best way to detect the disorder. In this process, a small tube, containing a light and a camera, is inserted inside the patient s oesophagus. The camera reveals any abnormal growth or infection inside the stomach. If you suspect an ulcer, book an appointment with the doctor as soon as possible.

Strange Things About Peptic Ulcer!

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