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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

5 Things You Can Do To Protect Yourself From Peptic Ulcer!

MD - General Medicine, DM - Gastroenterology
Gastroenterologist, Jaipur
5 Things You Can Do To Protect Yourself From Peptic Ulcer!

Peptic ulcers are wounds that develop in the stomach lining, less esophagus or small intestine. They are usually due to inflammation caused by bacterial H. pylori, in addition to corrosions from stomach acids. An ulcer is generally rooted in the stomach or inner layer of the small intestine. A stomach ulcer is the most visible sign of peptic an ulcer disease.

People with an ulcer may have a really hard time dealing with it. It is an open wound on the outer or internal surface of the body, which causes excessive pain. It is due to a breakdown in the mucous membrane or skin which fails to recover.

Causes of peptic ulcer:
Several reasons can cause stomach, esophagus, and small intestine to break. Contains:

  1. Helicobacter pylori (H. pylori), a type of bacteria that can cause stomach infections and swelling
  2. Continuous use of Aspirin (Bayer), Ibuprofen (Advil), and other anti-inflammatory drugs (the risks linked with this behavior among women and people over 60 years of age)
  3. Smoking
  4. Alcohol drinking
  5. radiation therapy
  6. stomach cancer

Symptoms of peptic ulcer:
The most common symptom of peptic ulcer is burning abdominal pain, which spread from navel to chest, which can range from light to severe. In few circumstances, the pain can get you up at night. Small peptic ulcers cannot develop any symptoms in initial stages.

  1. A burning, grinding pain in the upper middle part of the stomach and is comforted just by eating or taking antacids.
  2. Change in taste
  3. Sickness
  4. Bloody or dark stool
  5. Ambiguous weight loss
  6. Indigestion
  7. Vomit
  8. Pain in chest

Below are the ways to you from Peptic ulcers?
Stomach ulcer pain is not a joke: it can leave you weak. Fortunately, following these steps are ways to reduce your risk of getting ulcer.

  1. Avoid some foods such as spicy, lemon, fatty, etc., because they can be burdens your stomach. Specifically, if you have seen that particular types of food disturb your stomach, keep away from it.
  2. Improve the quality of your life by including exercise, stress-free activities, yoga etc. in your daily routine.
  3. The heavy consumption of alcohol can cause ulcers. They have been contributing to the development of ulcers, so it is good to reduce the consumption of alcohol.
  4. Taking no steroid anti-inflammatory medicines can reduce the risk of disturbing your stomach lining and thus avoiding the growth of ulcers.
  5. Management of anxiety level avoids the expansion of ulcers. Do yoga and other comforting arts that help prevent the ulcer.

Some lifestyle choices and habits can reduce your risk of developing the peptic ulcer. In case you have a concern or query you can always consult an expert & get answers to your questions!

2884 people found this helpful

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.

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

2891 people found this helpful

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!

2450 people found this helpful

Rectal Prolapse - Are You Aware Of These Signs?

MBBS, MS - General Surgery
General Surgeon, Delhi
Rectal Prolapse - Are You Aware Of These Signs?

Rectal prolapse means complete rectal prolapse where the rectal walls have prolapsed to a degree where they protrude out of the anus and are visible outside the body.

Types

The different types of prolapse are as-Internal prolapse (internal intussusception). A full thickness or a partial rectal wall is affected but the prolapsed tissue does not pass out of the anus.

  1. External Prolapse- If they protrude from the anus and are visible externally. Full thickness, circumferential, true intussusception of the rectal wall which protrudes from the anus and is visible externally.
  2. Full-thickness rectal prolapse- A full thickness of the rectal wall protrudes through the anus.
  3. Mucosal prolapse- Protrusion of only the rectal mucosa (not the entire wall) from the anus.
  4. Circumferential- Where the whole circumference of the rectal wall prolapse.
  5. Segmental- Where only parts of the circumference of the rectal wall prolapse.

Grades of Prolapse

Grade I: Non-relaxation of the sphincter mechanism

Grade II: Mild intussusception

Grade III: Moderate intussusception

Grade IV: Severe intussusception

Grade V: Rectal prolapse

Causes

  1. Pelvic floor dysfunction
  2. Parasitic infections such as Amoebiasis, schistosomiasis
  3. Pregnancy
  4. Cystic fibrosis
  5. Pertussis (whooping cough)
  6. Neurologic disorders - Previous lower back or pelvic trauma/lumbar disk disease, cauda equina syndrome, spinal tumors, multiple sclerosis
  7. Disordered defecation (stool withholding)
  8. Previous surgery
  9. Diarrhea
  10. Benign prostatic hypertrophy
  11. Chronic obstructive pulmonary disease (COPD)

Symptoms of Rectal Prolapse
History of a protruding mass- Initially, the mass protrudes from the anus only after a bowel movement and usually retracts when the patient stands up. As the disease process progresses, the mass protrudes more often, especially with straining and valsalva maneuvers such as sneezing or coughing.

  • Degrees of fecal incontinence which may simply present as a mucous discharge
  • Fecal leakage
  • A sensation of obstructed defecation (tenesmus)
  • Pelvic pain
  • A feeling of bearing down
  • Rectal bleeding
  • Diarrhea
  • Constipation(20%-50% of patients) also described as tenesmus (a sensation of incomplete evacuation of stool) and obstructed defecation
  • Erratic bowel habits 

Signs of Rectal Prolapse 

  • Sulcus noted between anal canal and rectum
  • Solitary rectal ulcer (10%-25%)
  • Decreased anal sphincter tone
  • Protruding rectal mucosa
  • Thick concentric mucosal ring

How will you Diagnose?

  1. Proctoscopy/ sigmoidoscopy/ colonoscopy
  2. Colonic transit studies
  3. Anorectal manometry
  4. Anal electromyography/Pudendal nerve testing
  5. Differential
  6. Diagnosis
  7. Hemorrhoids
  8. Intussusception
  9. Proctitis 

Treatment

  1. Conservative- Dietary adjustments, including increasing dietary fiber may be beneficial to reduce constipation. 
  2. Surgery- Surgical approaches in rectal prolapse can be either perineal or abdominal.

A perineal approach refers to surgical access to the rectum and sigmoid colon via an incision around the anus and perineum. Abdominal approach (trans-abdominal approach) involves the surgeon cutting into the abdomen and gaining surgical access to the pelvic cavity.

  • Laparoscopic procedures 
  • Perineal procedures
  • Perineal rectosigmoidectomy

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

1793 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!

1933 people found this helpful

Popular Questions & Answers

I have a cronical duodenal ulcer .I take medicine in last 18 days. But I feel not good. In my mind I think it has been go to cancer .Can it be possible? How many day cronical duodenal ulcer heal?

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
You need to take medicines for at least a month before getting the desired result. Helico bacter pylori test is another one you need to do. If positive then to add the medicines accordingly. Upper GI endoscopy is also to be repeated on follow up .also spices, smoke and spirit need to be avoided strictly.
4 people found this helpful

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.
1 person found this helpful

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.

Table of Content

What is Ulcer ?

Treatment of Ulcer :

What does Experts Says :

More About :

Play video
Diabetic Foot Ulcer
Diabetic foot ulcer is a major complication of diabetes and is one of the major component of diabetic foot. It is caused by neuropathic (nerve) and vascular (blood vessel) Hello friends!

I am Dr. Anubhav Gupta. I am a consultant plastic surgeon at Sir Ganga Ram Hospital. Today I am going to talk with you about a very neglected problem faced by a lot of patient of ours and that is the diabetic foot. Now what happens usually is people who have diabetes are always prone to have some problem in their feet. It is because of microangiopathy and because of the high level of glucose which is constantly there so there is a culture medium in the blood which can cause a lot of injuries. So it is very important for them to take very good care of their feet.

I always recommend my patients from diabetes that they should look at their feet just like they look at their face everyday in the morning. So every day you have to see even if there is a small issue then you should not neglect it. You should approach a plastic surgeon or an aesthetic surgeon or any other surgeon who is taking care of the feet. Usually, these kinds of the patient require a multimodality approach. A plastic surgeon, a vascular surgeon and sometimes a paediatrics.

So it's a combined therapy. Multiple sessions are required but what is more important is to attack the problem at the very beginning, because if we don't attack the problem in the very beginning it can lead to catastrophic consequences. It may start with a small blackening of the toe and it can actually extend up to right above the knee also. So when we treat these patients aggressively and at an early stage we usually limit the damage caused by the diabetic neuropathy and as well as other infective focus. The point or the take the home message over here is that we should treat these patients aggressively and early and the patient should be made aware that these kinds of problem are not to be taken lightly. For more details, you can contact me on lybrate.

Thank you!omplications of diabetes.
Play video
Diabetic Neuropathic Foot Ulcers
Mai Dr Suhas Shah,

Ashwini Accident Hospital Mumbai se bol raha hoon. Main Orthopaedic surgeon hoon. I am Russian surgery specialist, my speciality is cosmetic limb lengthening but recently I have started a new surgery for diabetic foot and diabetic neuropathy, the name of the surgery is Ilizarov angioplasty with that we can save the leg from amputation in patients of diabetic foot and a gangrene and non healing also. The results of this surgery are miraculous and within 6 hours, in diabetic neuropathic patients recover their sensation back. With this surgery the 300 blood cent, blood supply of the leg increases. We solve the problem of diabetic foot, non healing ulcer and diabetic foot with gangrene it awards amputation and many patients of mine who was advocated amputation of the diabetic foot required this surgery and they save their leg and this is the miraculous surgery for diabetic foot and diabetic neuropathy. I am expert in cosmetic limb lengthening , I get international patients to increase their height by 3 and a half inches to 7 inches and any person can increase his height by 3 and a half inches to 7 inches with the cosmetics lengthening surgery. It is a Russian surgery, Ilizarov method surgery and you can increase the height of any normal individual at any age by 3 and a half inch.

Any patient who is suffering from diabetic foot should contact me through lybrate.com and take appointment through lybrate.com.
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