Gastric ulcers

What is Gastric ulcers?

Peptic ulcer disease (PUD), also known as a peptic ulcer or stomach ulcer, is a break in the lining of the stomach, first part of the small intestine, or occasionally the lower esophagus. --> The most common symptoms are waking at night with upper abdominal pain or upper abdominal pain that improves with eating. The pain is often described as a burning or dull ache. Other symptoms include belching, vomiting, weight loss, or poor appetite. About a third of older people have no symptoms. Complications may include bleeding, perforation, and blockage of the stomach. Bleeding occurs in as many as 15% of people.

Common causes include the bacteria, Helicobacter pylori and non-steroidal anti-inflammatory drugs (NSAIDs). Other less common causes include tobacco smoking, stress due to serious illness, Behcet disease, Zollinger-Ellison syndrome, Crohn disease and liver cirrhosis, among others. --> The diagnosis is typically suspected due to the presenting symptoms with confirmation by either endoscopy or barium swallow. H. pylori can be diagnosed by testing the blood for antibodies, a urea breath test, testing the stool for signs of the bacteria, or a biopsy of the stomach. Other conditions that produce similar symptoms include stomach cancer, coronary heart disease, and inflammation of the stomach lining or gallbladder.

Diet does not play an important role in either causing or preventing ulcers. --> The medication used to decrease acid is usually either a proton pump inhibitor (PPI) or an H2 blocker with four weeks of treatment initially recommended. Ulcers due to H. pylori are treated with a combination of medications such as amoxicillin, clarithromycin, and a PPI. Antibiotic resistance is increasing and thus treatment may not always be effective. Bleeding ulcers may be treated by endoscopy, with open surgery typically only used in cases in which it is not successful.

Peptic ulcers are present in around 4% of the population. About 10% of people develop a peptic ulcer at some point in their life. They resulted in 301,000 deaths in 2013 down from 327,000 deaths in 1990. The first description of a perforated peptic ulcer was in 1670 in Princess Henrietta of England. H. pylori was first discovered in 1981 by Barry Marshall and Robin Warren.

Questions and answers on "Gastric ulcers"

dear doctor i am suffering from gastric ulcer for the last 2 months with occult blood in the stools can i take the following 1 aloe vera juice...

doctor1 MD

Hello,
How do you know you have a gastric ulcer? Was an endoscopy done on you? N occult blood cannot be seen with naked eyes .... Only can b seen...

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Dr Says I have a Gastric Ulcer in my stomach and acid reflux . Says ulcer is from Stress but on the other hand is checking for hpylori . My iron is...

doctor1 MD

Hi,
Thanks for posting your query.
You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up....

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weekly once are twice in the early morning i see blood comes when i spit... It is dark red in colour. I hve already gone with ENT and doctor said I...

doctor1 MD

Hello, vdhshankar7,
The sinus problems that you are experiencing can certainly be
associated with sever GERD. Especially at nights, when you are...

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Recent questions on  Gastric ulcers

doctor1 MD

My 9 year old daughter has been on medication for a gastric ulcer but she has had pus cells in her urine for 3 weeks. She has no uti (she was...

doctor1 MD

Good afternoon Doctor, I have been able to control severe acid indigestion problems for a good many years by using 75mg Zantac tablets and more...

doctor1 MD

Goodevening Doctors, I would like to something about my patient s case. He had this sepsis due to his decubitus ulcer. He was paralized for quite...

doctor1 MD

hi. 3 yrs back my mother had an operation in which her uterus was removed but one ovary was left, 5 months back due to her lower abdomen pain a...

doctor1 MD

What is h-pyloric? I think that's what the doctor mentioned as a possibility about my stomach and intestinal problems.

doctor1 MD

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I have been having pelvic and lower abdominal pain for the last four months. It has gotten worse in the last month. I felt cold more often and, ff...

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