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Overview

Ulcer - Symptom, Treatment And Causes

What is Ulcer ?

Although ulcer in the small intestine and stomach are common in our modern society, but there are no clear evidence to suggest that just fast food and stress are the main reasons for this disease. About one out of every ten citizens globally will suffer from the gnawing and burning sensation of abdominal pain because of ulcer at some point in life.

Peptic ulcers are breaks or holes in the protective lining of the stomach or the duodenum. Areas that come in contact with enzymes and acids that are secreted by the stomach. It has been noticed, that duodenal ulcers are more common than stomach ulcers. Comparatively rare, esophageal ulcers, which forms in the esophagus (swallowing tube) are often the result of alcohol abuse or exposure to medications like certain anti-inflammatory drugs and antibiotics.

While secretion of excess stomach acids indeed plays a role in development of this disease, in a recent research on ulcers, it has also been found that bacterial infection is the main cause of peptic ulcers. Nevertheless, since mid-1980s there were medical evidences that Helicobacter pylori (H. pylori) bacteria is present in more than 80% of stomach ulcers and in 90% of duodenal ulcers.

Treatment of Ulcer :

Peptic ulcers can be treated using various medications and in some cases with surgical correction. Antibiotics may be used to eradicate H.pylori, anti-ulcer medications are used to inhibit the acid secretions and to heal the ulcers, and some medications help protect the mucosal layer. In cases of bleeding ulcers, Esophagogastroduodenoscopy may be performed and surgery is recommended when Esophagogastroduodenoscopy fails to stop the bleeding or in cases of perforated ulcers. Your physician may advise to quit smoking, avoid or limit the alcohol consumption and avoid overuse of NSAID's to prevent the development of peptic ulcers.

What does Experts Says :

It has also been noticed by experts that people with blood group A, are more affected with stomach ulcers, which at times can also get cancerous. While it has also been seen that duodenal ulcers often happens with people with blood type O. As people who are born with this blood group do not produce the substance on their blood, which helps in protecting the lining of their duodenum.

More About :

However, the good thing about this illness is that peptic ulcers are easier to treat, and in many cases can be cured with antacids and antibiotics. There are also several drugs that even reduce the amount of acids produced by the stomach.

So if you are suffering from ulcers, its best to consult your physician, as left untreated all ulcers can lead to serious illnesses like anemia and stomach carcinoma.

Treatable by medical professional Usually self diagnosable Lab test sometimes required Short-term: resolves within days to weeks Non communicable
Symptoms
Belching Pain in chest or upper abdomen. Heartburn, indigestion and nausea,

Popular Health Tips

Ulcerative Surgery - What Should you Know

MBBS, MS - General Surgery
General Surgeon, Pune
Ulcerative Surgery - What Should you Know

What Is Ulcerative Colitis?
Ulcerative colitis is a chronic, inflammatory condition of the colon and the rectum. It affects the mucosal lining of the large intestine (colon) and the rectum. The rectum is present just above the anus.
In this condition, patients have ulcers and abscesses in their colon and rectum.

Symptoms are seen periodically. The symptoms are severe pain in the abdomen, blood in stools and diarrhea. Anemia is seen due to decreased healthy red blood cells as a consequence of bleeding in stools.

When is surgery required?

  • The colon has ruptured
  • There is extensive bleeding
  • The treatment results in severe side effects affecting the patient's health
  • Drug therapy fails to provide results
  • When it progresses to colon cancer
  • Surgery for Ulcerative colitis

There are 2 types of surgeries:

  1. Colectomy: Surgery performed to remove the entire colon
  2. Proctocolectomy: Surgery is conducted to remove both the colon and rectum. It is considered as the standard treatment for ulcerative colitis.

Procedures for the surgery

  1. Ileostomy: The entire colon and rectum are removed and the surgeon creates an opening or stoma in the abdominal wall particularly below the waist. Stoma allows waste from the intestines to exit the body. The tip of the lower small intestine is brought through the stoma. An external bag, or pouch, is attached to the stoma. This is called a permanent ileostomy. Stools pass through this opening and collect in the pouch. The pouch must be worn at all times. Before an ileostomy, the surgeon will perform a proctocolectomy. They will perform the ileostomy in the hospital, and the patient receives a general anesthesia.
  2. Ileal Pouch Anal Anastomosis (IPAA): This is also called a J-pouch. This is a procedure that does not require a permanent stoma. The patient is still able to eliminate stool through the anus. A pouch is constructed at the end of the ileum and attached to the anus. This is called a J- pouch. As with the ileostomy, the patient will need a proctocolectomy before an IPAA. An IPAA is done in a hospital, and the patient will receive a general anesthesia.

Side-effects
Some people experience incontinence after the surgery. Medications may help control the function of the pouch.
Some women may become infertile after the procedure.

Recovery after Surgery
Both sets of the procedure will require a four-to-six-week recovery period.

  1. Keep your diet healthy: A healthy diet is essential because good nutrition can help the body heal faster and help avoid post-operation health issues. Absorption of nutrients can be an issue after these surgeries, so eating well will help in maintaining the proper level of nutrients.
  2. Keep yourself hydrated: Hydration is important for overall health, especially for the digestive health. Drinking six to eight glasses of water per day is recommended.
  3. Manage your stress: Anxiety or emotional stress can cause stomach issues, which can aggravate the complaint.

Peptic Ulcers - Strange Things About It!

DM - Gastroenterology, MD - General Medicine, DNB (Medical), MBBS
Gastroenterologist, Delhi
Peptic Ulcers - Strange Things About It!

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.

  1. 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.
  2. Ulcer pain is not caused due to food: Contrary to popular belief, ulcer pain is not alleviated when you eat something. In fact, 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.
  3. 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.
  4. 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 impedes the digestive process. So, do not leave ulcers untreated and think that they will be repaired automatically over time.
  5. 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 esophagus. 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2449 people found this helpful

Dyspepsia - 4 Best Ways It Can Be Treated!

MBBS, M.S (Gen Surg), M.Ch ( Surgical Gastro)
Gastroenterologist, Hyderabad
Dyspepsia - 4 Best Ways It Can Be Treated!

From time to time each person tends to get dyspepsia which is basically a mild discomfort in the upper belly or abdomen. Dyspepsia which is also known as indigestion affects millions of people on a daily basis. It’s mostly caused by over eating, eating greedily or worse conditions such as stomach ulcer, irritable bowel syndrome or gastrointestinal disease.

Medically dyspepsia is defined as difficult digestion that is sometimes accompanied with symptoms such as vomiting, heartburn, nausea and bloating. A treatment plan for the patient is usually determined by what causes the indigestion. Below are some of the treatment options available to patients.
Antacids, h-2-receptor antagonists and ppls (proton pump inhibitors)

These three type of drugs all work to reduce the levels of acid in the stomach. Doctors tend to prescribe antacids as the first drug which are usually over the counter and require no prescription. In spite of antacids working fast, h-2-receptor antagonists tend to last longer. However, h-2-receptor antagonists tend to have side effects such as nausea and diarrhea. The other drug option is ppls which is very effective for patients with dyspepsia and also suffer from gastroesophageal reflux disease.

They are stronger than h-2-receptor antagonists.

  1. Prokinetics and antibiotics: This medication is usually prescribed to treat indigestion and works if the stomach empties slowly. Antibiotics on the other hand are used when indigestion is a result of peptic ulcers caused by Helicobacter pylori.
  2. Antidepressants: There are a lot of factorsthat cause dyspepsia. However, if the doctors cannot find any cause of a patient’s indigestion and no other drug has been effective, they tend to prescribe antidepressants. This medication is used to lessen the level of discomfort that comes with dyspepsia thereby reducing pain.
  3. Home remedies: There are a few studies on natural remedies that can help treat dyspepsia. One of the remedies is to use baking soda to neutralize the stomach acid. This remedy is said to be more effective than antacids. Then there is ginger which while not mentioned to be effective in treating indigestion, helps in relieving nausea and has no side effects. Also peppermint has an effect on how the gastrointestinal tract works and helps with irritable bowel syndrome. However, it does not have a large effect on dyspepsia.
  4. Diet and lifestyle changes: Indigestion is mostly caused by what we put into our bodies or eat and one way of treating it is by controlling our diet. This will especially work if you have mild symptoms that do not occur often. It’s advisable to consume foods that are low or reduced in fat content and to, avoid or limit alcohol, chocolates and caffeine. You should also get enough sleep.

A healthy lifestyle goes a long way in helping to relieve indigestion. In case you have a concern or query you can always consult an expert & get answers to your questions!

1931 people found this helpful

Ulcer In Urinary Bladder - How They Can Be Treated?

DNB (Nephrology), MD, MBBS
Nephrologist, Delhi
Ulcer In Urinary Bladder - How They Can Be Treated?

Hunner's ulcers, simply put are painful ulcers in your urinary bladder. These ulcers are inextricably linked to another disorder called the painful bladder syndrome or intestinal cystitis. They occur in 10 to 15 percent of people with interstitia cystitis. These, in fact, are red patches or lesions on the bladder wall which can stiffen tissue and cause reduced bladder capacity. Hunner’s ulcers bleed, ooze pus and can be of different sizes. The ulcers in the bladder can be extremely painful and uncomfortable.

These are called Hunner’s ulcers because they were first described by Dr. Guy LeRoy Hunner, a Johns Hopkins gynecologist, in 1915. Since Hunner’s ulcers are seen only in people with intestinal cystitis, it’s important to know more about this painful life-altering bladder disorder before we can even understand how to deal with them.

Interstitial cystitis (IC)
IC is also called painful bladder syndrome. Another important thing to know about IC is that it strikes more women than men. IC is a chronic disorder and there’s no cure for it. It causes recurring bouts of pain and pressure in the urinary bladder and the pelvic area. This is often accompanied by an urgent and frequent need to urinate. Sufferers may have to rush to the ‘loo’ as much as 40, 50, or 60 times a day.

Diagnosis
Hunner's ulcers can only be accurately diagnosed by doing a cytoscopy which involves inserting a fibre-optic tube through the urethra to look at the bladder wall closely. During this procedure, a tissue sample from the bladder wall is usually also taken to rule out bladder cancer. Cytoscopy is usually done with hydrodistention under local anesthesia. This involves filling the bladder with a liquid for stretching it to provide a closer view of the bladder wall. Usually, a urologist performs this surgery along with a gynaecologist. IC and also Hunner’s ulcers are both a diagnosis of exclusion. This means that they’re diagnosed only after a number of other conditions have been ruled out.

Hence, the urologist will first take your thorough medical history, followed by a physical exam and a pelvic exam for women patients and perform tests for ruling out infection, and other disorders like bladder stones and cancer, kidney disease, multiple sclerosis, endometriosis, sexually transmitted diseases amongst others. Only after these tests are inconclusive or uncertain and if there is blood in urine, will the urologist go for cystoscopy.

Treatment
There's no cure for IC, but Hunner’s ulcers can be cured by burning them off the bladder wall. Called fulguration, the process uses electricity or laser to burn the ulcers on the bladder wall. Resection is also used in which skin from around the Hunner’s ulcer is cut for removing both the ulcer and the inflamed tissue around it. The problem is that ulcers may recur in the same location.
So, managing IC becomes critical. Your doctor can try to treat the patient with one treatment or with a combination of treatment depending on the condition of the patient.

Pain medicines are the first line of treatment to manage Hunner’s ulcers and IC both, and many patients do go in for this. Patients also find relief by modifying their diet to remove foods and drinks like caffeinated beverages- tea, coffee, colas etc. Sodas, artificial sugars and fruit juices, especially Cranberry juice can trigger intense pain and discomfort, so these are usually contraindicated. Another important aspect is patient education about normal bladder function and tips on self-care and behavioural modifications like stress control to manage Hunner’s ulcers.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2001 people found this helpful

Stomach Ulcers - Ways To Treat It!

MBBS, M.Ch - Surgical Gastroenterology/G.I. Surgery, Fellow of Advanced Laparascopic Surgery
Gastroenterologist, Bangalore
Stomach Ulcers - Ways To Treat It!

Stomach ulcers are sores that develop in the stomach lining and the small intestine. They tend to form when the digestive juices in the stomach start to corrode the tissues of the stomach. A stomach ulcer is usually diagnosed using an endoscope, a fiber optic tube that is inserted into the throat. This device helps in viewing and identifying the ulcer. Stomach ulcers are easily cured, but they can become severe without proper treatment.

Certain factors and behaviors can put you at higher risk for developing stomach ulcers:

  1. Smoking
  2. Frequent use of steroids (such as those for treating asthma)
  3. Hypercalcemia (overproduction of calcium)
  4. Family history of stomach ulcers
  5. Being over 50 years old
  6. Excessive consumption of alcohol
  7. Symptoms of Stomach Ulcers-

The most common symptom is a burning sensation or pain in the area between your chest and belly button. Normally, the pain will be more intense when your stomach is empty and it can last for a few minutes or several hours.

Other common symptoms include:

  1. Dull pain in the stomach
  2. Weight loss
  3. Not wanting to eat because of pain
  4. Nausea or vomiting
  5. Bloating
  6. Burping or acid reflux
  7. Heartburn (burning sensation in the chest)
  8. Pain improves when you eat, drink, or take antacids
  9. Talk to your doctor if you experience symptoms of a stomach ulcer. Even though discomfort may be mild, ulcers can worsen if they aren’t treated.

Treatments
Once the disorder has been diagnosed, the treatments are prescribed. For mild ulcers, medications are prescribed depending on the cause. For example – if the cause of the ulcer is a bacterial infection, then it can be treated with antibiotics. If medications do not help, then surgery may be required.

Initially, antacids may be administered that help in reducing the pain, but this measure only provides temporary relief. The aim of ulcer treatment is to reduce the quantity of acid in the stomach and strengthen the stomach lining. If the ulcer is due to a bacterial infection, then a triple therapy is generally used to treat the ulcer.

What is triple therapy?
The triple therapy is a combination of antibiotics and a proton pump inhibitor that is used in the treatment of ulcer. If medications fail to work, then surgical treatment may be required. In case of ulcer hemorrhage, the source is identified and then treated accordingly. Surgery can also help in reducing excess acid secretion by the stomach. Avoid intake of too much iron supplements as it can cause irritation to the stomach lining. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.

1956 people found this helpful

Popular Questions & Answers

I have tongue ulcer from months, today I noticed black web like structures in the two side edge of my tongue, is it tongue cancer.

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
Ulcer persisting for 2 months is not a good sign. The black web may be melanosis or melanoplakia, but difficult to tell without examining. Is there any constant dental trauma from a sharp tooth? Any habits like tobacco chewing, smoking, supari or alcohol? Some oral cancers may be HPV related. It is better to see a surgical oncologist or a head and neck surgeon. They would examine you and if need be take a Biopsy from the ulcer. If you want to share details or discuss this further, feel free to contact me directly.

A dentist suggest me to do biopsy for my tongue as there is an ulcer since last 10 days. Where this test will be done. Please suggest.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly. A 10 days ulcer does not require biopsy at all. First you must take proper medicines course and then do follow up biopsy comes in picture when sufficient medicines have not cured it Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care.
1 person found this helpful

I got swollen P, I went to MBBS Dr. he told its Ulser P. He gave Doxy Meftal spas Cifran 10 tab twice a day. Will that cause my Ulser?

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Warm welcome to Lybrate.com I have evaluated your query thoroughly. Kindly give details of swollen P and ulcer. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care.

Hello sir I am 13 year old I have problem of ulcers since 2 years. I got ulcers after 2 weeks in ever month please help me it so painful.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Khushi , hi Warm welcome to Lybrate.com I have evaluated your query thoroughly . * This is mostly intestine indigestion or B12 deficiency related issue . * Needs correction of the cause to get rid of this . * I am providing basic guidelines as follows for better recovery - Drink plenty of liquids . - Consume more fiber in diet including organic fresh fruits , whole grains , cereals , pulses , legumes . - Avoid all spicy , oily , non veg , junk foods . - Manage to get soft bowel evacuation on regular basis . - Do not get angry every moment . - Manage to have regular sound sleep of 8 hours . - Do regular walking in fresh air , exercises , YOGA - Chew your food thoroughly . - Keep smiling and BE POSITIVE attitude for life , this is not a major issue at all . Hope this clears your query . Wishing you fine recovery . Welcome for any further assistance . Regards take care .
2 people found this helpful

Table of Content

What is Ulcer ?

Treatment of Ulcer :

What does Experts Says :

More About :

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Diabetic Neuropathic Foot Ulcers
Mai Dr Suhas Shah,

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