PEPTIC ULCER

Description

  • An open sore or raw area in the lining of the stomach or intestine
  • Most common symptom is stomach pain
  • It includes Gastric ulcer and Duodenal Ulcer

Symptoms

  • Burning stomach pain
  • Feeling of fullness, bloating or belching
  • Fatty food intolerance
  • Heartburn
  • Nausea

Less often symptoms:

  • Vomiting or vomiting blood — which may appear red or black
  • Dark blood in stools, or stools that are black or tarry
  • Trouble breathing
  • Feeling faint
  • Nausea or vomiting
  • Unexplained weight loss
  • Appetite changes

Causes

  • Helicobacter pylori
  • Frequent use of aspirin, ibuprofen, and other anti-inflammatory drugs
  • Smoking
  • Drinking too much alcohol
  • Radiation therapy
  • Stomach cancer

Risk Factors

  • Smoking
  • Alcohol
  • Having untreated stress
  • Eating spicy foods often

Diagnostic Tests

  • Laboratory tests for H. pylori.
  • Endoscopy
  • Upper gastrointestinal series

Treatment

  • Antibiotic medications to kill H. pylori (if present)
  • Medications that block acid production and promote healing
  • Medications to reduce acid production
  • Antacids that neutralize stomach acid
  • Medications that protect the lining of the stomach

Medications

  • Amoxicillin (Amoxil)
  • Clarithromycin (Biaxin)
  • Metronidazole (Flagyl)
  • Tinidazole (Tindamax)
  • Levofloxacin (Levaquin)
  • Omeprazole (Prilosec)
  • Esomeprazole (Nexium)
  • Rabeprazole (Aciphex)
  • Ranitidine (Zantac)
  • Famotidine (Pepcid)
  • Sucralfate (Carafate)
  • Misoprostol (Cytotec)
  • Cimetidine (Tagamet HB)

Prevention

  • Do not drink more than two alcoholic beverages a day
  • Do not mix alcohol with medication
  • Wash hands frequently to avoid infections
  • Limit the use of ibuprofen, aspirin, and naproxen sodium
  • Do not smoke or chew tobacco

Lifestyle Management

  • Choose a healthy diet
  • Consider foods containing probiotics
  • Consider eliminating milk
  • Consider switching pain relievers
  • Control stress
  • Don’t smoke
  • Limit or avoid alcohol
  • Try to get enough sleep