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.
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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.
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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.
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?
There are 2 types of surgeries:
Procedures for the surgery
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.
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.
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.
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!
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.
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.
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.
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:
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:
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.
What is Ulcer ?
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