It is gastrointestinal bleeding in the upper gastrointestinal tract, commonly defined as bleeding arising from the oesophagus, stomach, or duodenum. Blood is often observed in vomit (hematemesis) or in the stool (melena). Upper gastrointestinal bleeding denotes a medical emergency and typically requires hospital care for primary diagnosis and treatment. The incidence of upper gastrointestinal bleeding is 50-150 individuals per 100,000 annually. Depending on its severity, it carries an estimated mortality risk of 11%.

The causes of upper gastrointestinal bleeding are as follows:

Oesophagal causes (gastrorrhagia):

Oesophagal varices
Esophagitis
Oesophagal cancer
Oesophagal ulcers
Mallory-Weiss tear
Gastric causes: 

Gastric ulcer
Gastric cancer
Gastritis
Gastric varices
Gastric antral vascular ectasia
Dieulafoy's lesions

Duodenal causes
Duodenal ulcer
Vascular malformation, including aorto-enteric fistulae
Hematobilia or bleeding from the biliary tree
Hemosuccus pancreaticus or bleeding from the pancreatic duct
Severe superior mesenteric artery syndrome
The signs and symptoms of upper gastrointestinal bleeding are as follows:

Hematemesis - Vomiting of blood
Melena - Blood in the stool
Hematochezia - Passage of fresh blood through the anus, usually in or with stools
Syncope - Loss of consciousness (fainting)
Presyncope - State of lightheadedness, muscular weakness, blurred vision, and feeling faint
Dyspepsia   IndigestionEpigastric painHeartburnDiffuse abdominal pain
Dysphagia - Difficulty in swallowing. Weight lossJaundice - Yellow discolouration of the skin, mucous membranes, and sclera
The diagnosis of upper gastrointestinal bleeding is made when hematemesis is present. In the absence of hematemesis, an upper source of GI bleeding is likely in the presence of at least two factors among - Black stool, age < 50 years or blood urea nitrogen/creatinine ratio 30 or more

If these findings are absent, consider a nasogastric aspirate to determine the source of bleeding. If the aspirate is positive, an upper GI bleed is greater than 50%, but not high enough to be certain. If the aspirate is negative, the source of a GI bleed is likely lower. The accuracy of the aspirate is improved by using the Gastroccult test. Also, the following diagnostic tests are done:

Orthostatic blood pressure
Complete blood count with differential counts
Hemoglobin level
Type and crossmatch blood
Basic metabolic profile, BUN,
Coagulation profile
Serum calcium
Serum gastrin
Endoscopy
Chest radiography
Nasogastric lavageAngiography (if bleeding persists and endoscopy fails to identify a bleeding site)
Upper gastrointestinal bleeding can be managed in the following ways:

Airway management and fluid resuscitation using either intravenous fluids and or blood
Medications to stop the bleeding (Proton-pump inhibitors are often given in the emergency)
Surgical intervention
Treating the consequences (like anaemia) that the bleeding may have caused
Precautions are taken to prevent re-bleeding

What Are The Reasons Behind Ulcer?

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!

Peptic ulcer indicates the growth of painful ulcers or sores in the lining of your stomach, digestive tract or small intestine. Ulcers, though curable, can result in serious health problems if are not treated at an early stage. Peptic ulcers occur as a result of the reaction of pepsin and stomach acid. There are many causes responsible for the growth of peptic ulcers; they are mentioned below:

    Smoking regularly
    Consuming Alcohol
    Taking medicines like aspirin, painkillers frequently
    Production of excess acid
    Radiation Therapy

The most common symptoms of peptic ulcer are as follows:

    A burning sensation in the stomach
    Vomiting or nausea
    Pain in the abdomen region
    A burning sensation in your heart
    Loss of appetite and weight
    Passage of blood through stool

Homeopathy offers effective remedies for peptic ulcer. Some of them are mentioned below:

    Crotalus horridus: This is an effective homeopathic medicine for treating peptic ulcer. If you show symptoms of frequent vomiting and passage of blood with vomit, then your doctor may recommend you this medicine.
    Graphites: If you experience a burning sensation in your stomach, your doctor may advice you this medicine.
    Uranium Nitricum: It is usually recommended for ulcers in the small intestine region and gastric ulcer.
    Kalkeriya ars: This medicine may be recommended to you by doctors if you show symptoms like pain in your stomach.
    Argentum nit: Your doctor may recommend you this medicine if you show symptoms of vomiting or indigestion.

Along with the aforesaid remedies, a change in lifestyle is also required to cure peptic ulcer completely.

Homeopathic Remedies for Peptic Ulcers

One of the most common problems with the gastrointestinal system, peptic ulcers occur when the lining of the stomach - the esophagus or the small intestines, gets damaged. The damage occurs due to the development of sores on the lining which may be due to inflammation caused by certain bacteria, or due to erosion caused by the stomach acids. This can be a very painful disorder and end up severely limiting your life. Peptic ulcers can cause intense abdominal pain, vomiting nausea, indigestion and sudden unexplained weight loss.

The Homeopathic Approach to Curing Peptic Ulcers

The treatment of peptic ulcers in conventional medicine primarily revolves around the treatment of symptoms. The symptoms may be suppressed for some time but eventually come back sooner or later. This results in a vicious cycle where the treatment becomes less and less effective over time. Homeopathy, on the other hand, has an approach of trying to correct the problems from the root and over time, remove the very cause that results in the problem. Some of the things a homeopathic doctor may ask you would include  

Family history of ulcers
General health history of the family to determine hereditary health problems
Physical characteristics
Psychological tendencies and likes and dislikes among other information
Homeopathy takes into account not just the symptoms but the general constitution of the patient as well. This helps not only cure the ulcers but also the pre disposition to developing it again.

Effective Homeopathic Medications

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 medication in treating ulcers, Argentum Nitricum is usually prescribed when you experience sharp burning pains from peptic ulcers that radiate to different area 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 worsens 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 indication 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 constrictive 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.

Treating Peptic Ulcers With Homeopathy

Peptic ulcers are sores that develop in the lining of the stomach, lower esophagus, or small intestine (the duodenum), usually as a result of inflammation caused by the bacteria H. pylori, as well as from erosion from stomach acids. Peptic ulcers are a fairly common health problem.

Causes

Heredity   Patients with peptic ulcer often have a family history of the disease, this is particularly so with duodenal ulcers which develop below the age of 20 years. The relatives of chronic ulcer patients have three times the expected number of ulcers.
Helicobacter pylori   This is the most important etiological factor in peptic ulcer disease, accounting for 90% of duodenal ulcers and 70% of gastric ulcers. By causing gastritis it reduces the resistance of the gastric mucosa to attack be acid and pepsin and a gastric ulcer may result.
Non-Steroidal Anti Inflammatory Drugs (NSAIDS)   These damage the gastric mucosal barrier and are an important etiological factor in up to 30% of gastric ulcers.
Smoking   confers an increased risk of gastric ulcer and to a lesser extent duodenal ulcer.
Symptoms

Abdominal pain
Hunger pain
Night pain
Episodic pain/ Periodicity
Other Symptoms

Heartburn
Loss of appetite
Vomiting
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 homeopaths 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 pat and present medical history of the patient, his/her family history, his/her 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.

Homeopathic Medicines for Stomach Ulcers

Argentum Nitricum   One of the best Homeopathic medicines for stomach ulcers with radiating pains
Nux Vomica   Highly effective among Homeopathic medicines for stomach ulcers where eating worsens pain
Kali Bichromicum   One of the most wonderful Homeopathic medicines for ulcers in stomach
Lycopodium Clavatum   One of the effective Homeopathic medicines for stomach ulcers with bloated abdomen
Carbo Veg   One of the known Homeopathic medicines for stomach ulcers

How To Treat Peptic Ulcer With Homeopathy Remedies

This is a disease that affects the large intestine and the rectum. The Ulcerative Colitis refers to the inflammation in the innermost lining of the large intestine. The main function of the large intestine is to absorb water from indigestible food matter in the body before throwing away any waste. Hence, the large intestine is a vital part of our body. If left untreated, the disease increases risk of colon cancer.

Symptoms:

    Diarrhea with blood or pus: A person suffering from Ulcerative Colitis is likely to suffer from loose stools accompanied with blood or pus.
    Stomach pain and Cramping: In many cases, patients complain of severe stomach pain and cramping.
    Rectal pain: At times, many patients feel pain while sitting or even after a bowel movement.
    Bleeding from the rectum: Bleeding can be observed while passing stools.

The other complications leading to this disease are kidney stones, swelling of the colon, thickening of intestinal walls and blood infection.

Diagnosis:
This disease can be diagnosed by several methods. A simple stool test may be done to check out for bacteria and parasites. A blood test to check the level of C-reactive protein helps determine the inflation rate of the body. Endoscopy, colonoscopy, biopsy are some other methods of diagnosis.

Treatment

    Oral medication: Treatment involves drug therapy or surgery. The first step in treating Ulcerative Colitis will be an intake of anti-inflammatory drugs, but these may have a side effect. Another option is immune system suppressors, which help to bring down the inflammation by suppressing the immune system response. Antibiotics, anti-diarrheal medications, pain relievers are some of the additional drug supplements recommended by doctors.
    Surgery: Surgery plays an important role because this disease is pre-malignant in nature. Depending on the severity of the condition, the medical practitioner may advice surgery. The common methods of surgery are:
        Proctocolectomy and Ileostomy: Proctocolectomy involves removal of the colon in part or whole. Ileostomy is carried out by placing a special bag in the small intestine to collect waste from the body.
        Proctocolectomy and Ileo-anal: Ileo-anal pouch is a bag directly created the small intestine and connected to the anus, for diffusing the stools. As colon is removed Ulcerative Colitis cannot re-occur.

Precautions after surgery
It is very important that the patient takes healthy, sufficient and nutritious food so that bowel movement can be carried out with ease and zero strain. The patient has to restrict lifting of heavy grocery, mowing the lawn, any physical activity that can strain the abdomen and related areas.

Surgery and Post Surgery Care for Ulcerative Colitis

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