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See your doctor if you have the severe signs or symptoms listed above. Also see your doctor if over-the-counter antacids and acid blockers relieve your pain but the pain returns.
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Peptic ulcers occur when acid in the digestive tract eats away at the inner surface of the stomach or small intestine. The acid can create a painful open sore that may bleed.
Your digestive tract is coated with a mucous layer that normally protects against acid. But if the amount of acid is increased or the amount of mucus is decreased, you could develop an ulcer.
A bacterium. Helicobacter pylori bacteria commonly live in the mucous layer that covers and protects tissues that line the stomach and small intestine. Often, the H. pylori bacterium causes no problems, but it can cause inflammation of the stomach's inner layer, producing an ulcer.
It's not clear how H. pylori infection spreads. It may be transmitted from person to person by close contact, such as kissing. People may also contract H. pylori through food and water. In addition to having risks related to taking NSAIDsyou may have an increased risk of peptic ulcers if you:.
Alone, these factors do not cause ulcers, but they can make ulcers worse and more difficult to heal. You may reduce your risk of peptic ulcer if you follow the same strategies recommended as home remedies to treat ulcers.
It also may be helpful to:. Protect yourself from infections. It's not clear just how H. pylori spreads, but there's some evidence that it could be transmitted from person to person or through food and water. You can take steps to protect yourself from infections, such as H.
pylori, by frequently washing your hands with soap and water and by eating foods that have been cooked completely. Use caution with pain relievers. If you regularly use pain relievers that increase your risk of peptic ulcer, take steps to reduce your risk of stomach problems.
For instance, take your medication with meals. Work with your doctor to find the lowest dose possible that still gives you pain relief. Avoid drinking alcohol when taking your medication, since the two can combine to increase your risk of stomach upset.
If you need an NSAIDyou may need to also take additional medications such as an antacid, a proton pump inhibitor, an acid blocker or cytoprotective agent. A class of NSAIDs called COX-2 inhibitors may be less likely to cause peptic ulcers, but may increase the risk of heart attack.
Peptic ulcer care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press.
This content does not have an English version. This content does not have an Arabic version. Overview Ulcers Enlarge image Close. Ulcers A peptic ulcer is a sore on the lining of your stomach, small intestine or esophagus.
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By Mayo Clinic Staff. Show references Kellerman RD, et al. Gastritis and peptic ulcer disease. In: Conn's Current Therapy Elsevier; Accessed July 8, Peptic ulcer disease. American College of Gastroenterology. Peptic ulcers stomach ulcers.
National Institute of Diabetes and Digestive and Kidney Diseases. Feldman M, et al. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. Saunders Elsevier; Nehra AK, et al. Proton pump inhibitors: Review of emerging concerns.
Mayo Clinic Proceedings. Peptic ulcer disease adult. Mayo Clinic; Peptic ulcers. Natural Medicines. Accessed July 21, Brown AY. AllScripts EPSi. Rochester, Minn. June 23, Helicobacter pylori and cancer. National Cancer Institute. Accessed July 27, Related Ulcers. Associated Procedures Needle biopsy Upper endoscopy X-ray.
: Gastric ulcer therapy| Stomach ulcer | A defect in your duodenum is called a duodenal ulcer. L-citrulline is an amino acid made naturally in your body. Treatment usually involves a surgical procedure to close the perforation, insertion of a nasogastric tube a tube that goes through the nose into the stomach , IV fluids, and medications to help the ulcer heal. pylori spreads, but there's some evidence that it could be transmitted from person to person or through food and water. The procedure called gastroscopy involves the placing of an endoscope a small flexible tube with a camera and light into the stomach and duodenum to search for abnormalities. |
| 9 Science-Backed Home Remedies for Ulcers | pylori and Android vs gynoid fat tissue characteristics thetapy of theray used depends on the situation. Feldman M, et al. Gasttric containing alginates are best taken tberapy meals. Android vs gynoid fat tissue characteristics trying to heal their stomach ulcers or avoid developing them should consider minimizing their intake of the following foods 56 :. When a person is diagnosed with an ulcer, testing for H. Stigmata will usually get treated during the EGD if they are classified as high-risk. |
| Peptic ulcer | Diagnosis The most typical way for ulcers to be diagnosed is by a procedure called an EGD. pylori directly causes one-third of stomach ulcers and is a contributing factor in around three-fifths of cases. High Blood Pressure. Treatment The way that ulcers are treated depends on a number of features. Mayo Clinic; Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. |
| Treatment for Peptic Ulcers (Stomach or Duodenal Ulcers) | Doctors can see the ulcers on the x-rays when they have barium in them. Today, the preferred method for diagnosing ulcers is with an EGD given the flexible camera is better able to detect even small ulcers and because it allows for potential treatment at that time if the ulcer is bleeding. An upper GI series can miss small ulcers and also does not allow direct treatment of an ulcer. The way that ulcers are treated depends on a number of features. Nearly all peptic ulcers will be treated with a proton pump inhibitor PPI. PPIs are powerful acid blocking drugs that can be taken as a pill or given in an IV. Often, the potent IV form is used if a patient is hospitalized with a bleeding ulcer. There are six PPIs available in the United States. These are omeprazole Prilosec ® , Zegerid ® , lansoprazole Prevacid ® , pantoprazole Protonix ® , rabeprazole Aciphex ® , esomeprazole Nexium ® , and dexlansoprazole Dexilant ®. There are very few medical differences between these drugs. PPIs require a meal to activate them. Patients should eat a meal within 30 minutes to 1 hour after taking this medication for the acid suppression therapy to work most effectively. Waiting later than this time can decrease the positive effect of this medication. This might delay healing or even result in the failure of the ulcer to heal. An important part in treating ulcers is by identifying what caused them Patients with ulcers caused by NSAIDs should talk to their doctor about other medications that can be used to treat pain. If the person is infected with H. pylori this infection should be treated. Completing the full dose of antibiotics is very important. Just as important, is making sure that the infection is gone. There are number of ways to do this. Generally, a blood test is not a good way to test if the infection is gone. When someone has an ulcer that has bled significantly, treatment might be done at the time of EGD. There are a number of techniques that can be performed during an EGD to control bleeding from an ulcer. The gastroenterologist might inject medications, use a catheter to cauterize the ulcer burn a bleeding vessel shut or place a small clip to clamp off a bleeding vessel. Not all ulcers need to be treated this way. The doctor doing the EGD will decide if treatment is indicated based on the way the ulcer looks. The doctor will usually treat an ulcer that is actually bleeding when it is seen and will also often treat other ulcers if they have a certain appearance. Stigmata will usually get treated during the EGD if they are classified as high-risk. Most ulcers can be treated and will heal. Often, people with ulcers will have to take PPIs for several weeks to heal an ulcer. It is also important to correct what caused the ulcer. When possible, NSAIDs should be stopped. Patients with ulcers caused by NSAIDs should talk to their doctor about other medications that can be used to treat pain. pylori , then completing the full dose of antibiotics is very important. People with gastric ulcers only in the stomach usually have another EGD several weeks after treatment to make sure that the ulcer is gone. This is because a very small number of gastric ulcers might contain cancer. Anemia — A low red blood cell count. Symptoms of anemia include feeling tired, shortness of breath, weakness and poor exercise tolerance. Erosion — a very shallow sore, similar to an abrasion or a scrape. These are usually not very important and very rarely cause symptoms. H2 blocker — H2 blockers significantly lower the production of acid in the stomach. They are sometimes used to treat duodenal not gastric ulcers. They are also often used to treat heartburn and GERD. Common H2 blockers are ranitidine Zantac ® , cimetidine Tagamet ® , famotidine Pepcid ® and nizatidine Axid ®. Helicobacter pylori — sometimes called H. pylori or HP is a bacterium that causes ulcers. pylori is also a risk factor for stomach cancer. If prescribed, it is very important to complete an entire course of antibiotics for H. If you are a Mayo Clinic patient, this could include protected health information. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. Your in-depth digestive health guide will be in your inbox shortly. You will also receive emails from Mayo Clinic on the latest health news, research, and care. Peptic ulcers occur when acid in the digestive tract eats away at the inner surface of the stomach or small intestine. The acid can create a painful open sore that may bleed. Your digestive tract is coated with a mucous layer that normally protects against acid. But if the amount of acid is increased or the amount of mucus is decreased, you could develop an ulcer. A bacterium. Helicobacter pylori bacteria commonly live in the mucous layer that covers and protects tissues that line the stomach and small intestine. Often, the H. pylori bacterium causes no problems, but it can cause inflammation of the stomach's inner layer, producing an ulcer. It's not clear how H. pylori infection spreads. It may be transmitted from person to person by close contact, such as kissing. People may also contract H. pylori through food and water. In addition to having risks related to taking NSAIDs , you may have an increased risk of peptic ulcers if you:. Alone, these factors do not cause ulcers, but they can make ulcers worse and more difficult to heal. You may reduce your risk of peptic ulcer if you follow the same strategies recommended as home remedies to treat ulcers. It also may be helpful to:. Protect yourself from infections. It's not clear just how H. pylori spreads, but there's some evidence that it could be transmitted from person to person or through food and water. You can take steps to protect yourself from infections, such as H. pylori, by frequently washing your hands with soap and water and by eating foods that have been cooked completely. Use caution with pain relievers. If you regularly use pain relievers that increase your risk of peptic ulcer, take steps to reduce your risk of stomach problems. For instance, take your medication with meals. Work with your doctor to find the lowest dose possible that still gives you pain relief. Avoid drinking alcohol when taking your medication, since the two can combine to increase your risk of stomach upset. If you need an NSAID , you may need to also take additional medications such as an antacid, a proton pump inhibitor, an acid blocker or cytoprotective agent. A class of NSAIDs called COX-2 inhibitors may be less likely to cause peptic ulcers, but may increase the risk of heart attack. Peptic ulcer care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. This content does not have an English version. This content does not have an Arabic version. Overview Ulcers Enlarge image Close. Ulcers A peptic ulcer is a sore on the lining of your stomach, small intestine or esophagus. Request an appointment. Email address. pylori bacteria have been killed is important. If you have a peptic ulcer caused by taking NSAIDs, your doctor may recommend changing your medicines. Depending on the reason you have been taking NSAIDs, your doctor may suggest stopping NSAIDs, taking a different NSAID, taking a lower-dose NSAID, or taking a different medicine for pain. pylori infection or NSAIDs, doctors will check for uncommon causes. Depending on the cause, doctors may recommend additional treatments. Taking medicines and treating the underlying cause heals most ulcers. Doctors typically treat complications of peptic ulcers in a hospital. In addition to treating the ulcer, doctors may recommend medical procedures, such as an upper GI endoscopy, or surgery to treat ulcer complications. If you smoke, quitting smoking can lower your risk for peptic ulcers. If your doctor thinks you have a high risk for developing peptic ulcers caused by taking NSAIDs, your doctor may recommend changes to lower your risk, such as. If you have a peptic ulcer, finding and treating the underlying cause , such as H. pylori infection, can help lower the chance of developing future ulcers. This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases NIDDK , part of the National Institutes of Health. NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by NIDDK is carefully reviewed by NIDDK scientists and other experts. Home Health Information Digestive Diseases Peptic Ulcers Stomach and Duodenal Ulcers Treatment. English English Español. |
| What if an ulcer doesn’t heal or comes back after treatment? | Gastric ulcer therapy bacterial infection called Gasyric pylori Freshly Extracted Orange. Font Size Small Normal Large. There are two types of peptic ulcers:. Give Today. These rherapy Best natural fat burner supplement best for patients who want in-depth information and are comfortable with some medical jargon. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. testing for and treating H. |
Gastric ulcer therapy -
Indigestion causes pain or discomfort in the stomach area. This symptom can be mistaken for heartburn , which can occur at the same time. Acid reflux or gastroesophageal reflux disease may cause heartburn.
It occurs slightly higher up from the stomach, and people will feel it in the lower part of the chest. An ulcer also tends to produce a burning or dull pain in the center of the abdomen. People sometimes describe the pain as a biting or gnawing pain.
Some individuals may describe a hungry sensation. Other symptoms include :. Individuals may also be able to relieve pain by eating, drinking, or taking antacids. Some stomach ulcers go unnoticed and show no typical indigestion-type pains.
These ulcers are less common, and doctors tend them after they have started bleeding. Some ulcers can cause a hole in the stomach wall. Health experts call this perforation, which is a severe condition. People at risk of stomach ulcers should include more of the following nutrients in their diet:.
Avoiding alcohol and caffeine can also help reduce the risk, as they both cause the body to produce more gastric acid. This in turn can lead to stomach ulcers. However, for the most effective outcome, instead of relying only on a diet, it is important to follow dietary recommendations alongside a treatment plan.
The two main causes of ulcers of the stomach and the small intestine are H. pylori bacteria and a class of pain relievers called nonsteroidal anti-inflammatory drugs NSAIDs.
Less common causes of stomach ulcers include excess stomach acidity, or hyperacidity, and Zollinger-Ellison syndrome. Excess stomach acidity can occur for a range of reasons, including genetics, smoking , stress , and some foods. Zollinger-Ellison syndrome is a rare condition that causes an excess of stomach acid to be produced.
NSAIDs carry a risk of stomach ulcers. The two most popular NSAIDs are aspirin and ibuprofen. Stronger NSAIDs, such as those available on prescription, carry a greater risk of stomach ulcers than those that people can buy over the counter.
A person should always check labels and consult a pharmacist or a doctor about any concerns regarding using pain relief medication. They may recommend an alternative, such as acetaminophen. Stomach ulcers are more common in individuals over 60 years. People can develop a stomach ulcer at any age, but they are much less common in children.
The risk in children is higher if their parents smoke. If a doctor thinks a person has a stomach ulcer, and if they suspect the cause is an NSAID, they may try changing the type of pain reliever the person is using and recommend another one, such as paracetamol.
However, if the doctor suspects the stomach ulcer is due to H. This approach involves a noninvasive test, such as a urea breath test or stool test for H. pylori infection, followed by eradication of the bacteria if they are present. Once the doctor determines what may be causing the ulcer, they will try to treat its symptoms by protecting it from acid while it heals.
Symptoms often subside quickly following treatment. However, doctors continue the treatment, especially if the ulcer is due to an H. pylori infection. It is also important to avoid drinking alcohol, smoking tobacco, and consuming any trigger foods during treatment.
In certain cases — for instance, if the ulcer continues to return, will not heal, bleeds, or prevents food from leaving the stomach — surgery may be an option. Complications from stomach ulcers such as bleeding or perforation are rare. Either of these complications requires urgent medical attention.
English English Español. Healing peptic ulcers Medicines that doctors recommend or prescribe to treat peptic ulcers include proton pump inhibitors PPIs H2 blockers other medicines Treating the causes of peptic ulcers Doctors treat the underlying causes of peptic ulcers to help the ulcers heal and prevent them from coming back.
Helicobacter pylori H. pylori infection Doctors treat H. Nonsteroidal anti-inflammatory drugs NSAIDs If you have a peptic ulcer caused by taking NSAIDs, your doctor may recommend changing your medicines. If you need to keep taking NSAIDs, your doctor may recommend you also take a PPI.
pylori infection. recommend you quit smoking , if you smoke. Smoking can slow ulcer healing. recommend or prescribe more medicines to help heal the ulcer. recommend an upper GI endoscopy to obtain biopsies. How do doctors treat the complications of peptic ulcers? How can I prevent peptic ulcers?
If your doctor thinks you have a high risk for developing peptic ulcers caused by taking NSAIDs, your doctor may recommend changes to lower your risk, such as changing the medicines you take, if possible.
For example, your doctor may change the type of NSAIDs you take, lower the dose of NSAIDs, or prescribe NSAIDs for a shorter time. taking PPIs along with NSAIDs. testing for and treating H. pylori were given mg of turmeric four times per day.
Thus, more research is needed. However, more research is needed, especially in humans. Mastic is a resin obtained from the Pistacia lentiscus tree, more commonly known as the mastic tree. The mastic tree generally grows in the Mediterranean region, and its sap can be dried into pieces of brittle translucent resin.
More recently, animal studies report that it may act as a potent natural ulcer remedy In one recent study, intake of mg of mastic gum three times a day for 14 days eradicated H. Although this finding has not been universally observed in all studies, long-term mastic consumption is generally considered safe.
Thus, it might be worth testing it out for yourself Summary: Mastic is a traditional anti-ulcer remedy that may help reduce symptoms and speed up recovery.
In fact, people suffering from ulcers are often advised to limit their consumption of chili peppers or to avoid them completely. However, recent research shows that these peppers are unlikely to cause ulcers and may actually help get rid of them.
Both of these factors are thought to help prevent or heal ulcers The capsaicin found in chili peppers may also help increase mucus production, which can coat the stomach lining and protect it from injury Most, although not all, animal studies show beneficial effects.
However, few human studies could be found 42 , 43 , Also, note that the animal studies above used capsaicin supplements rather than whole chili peppers. In at least one study, such supplements led to more intense gastric pain in certain individuals Therefore, it may be best to stick to the whole food and adjust your intake based on your personal tolerance.
Summary: Contrary to popular belief, regular consumption of chili peppers may help protect against ulcers and perhaps even enhance their healing.
However, more studies are needed, especially in humans. Aloe vera is a plant widely used in the cosmetic, pharmaceutical and food industries. It is widely known for its antibacterial and skin-healing properties. Interestingly, aloe vera may also be an effective remedy against stomach ulcers 46 , 47 , 48 , In one study, aloe vera consumption significantly reduced the amount of stomach acid produced in rats suffering from ulcers In another study in rats, aloe vera had ulcer-healing effects comparable to omeprazole, a common anti-ulcer medication However, few studies have been done in humans.
In one, a concentrated aloe vera drink was used to successfully treat 12 patients with stomach ulcers In another study, taking antibiotics with 1. pylori levels Aloe vera intake is considered generally safe and the above studies show some promising results.
However, more studies in humans are needed. Summary: Aloe vera may be an easy, well-tolerated remedy against stomach ulcers. However, more research in humans is needed. Probiotics are live microorganisms that offer an array of health effects.
Their benefits range from improving the health of your mind to the health of your gut, including its ability to prevent and fight ulcers.
Although the way this works is still being investigated, probiotics seem to stimulate the production of mucus, which protects the stomach lining by coating it. They may also promote the formation of new blood vessels, which eases transport of healing compounds to the site of the ulcer and speeds up the healing process 2.
Interestingly, probiotics may play a direct role in preventing H. pylori infections The dose required for maximum benefits is still being researched. That said, most of the studies above report benefits after taking million to 2 billion colony-forming units CFU for 2—16 weeks Probiotic-rich foods tend to provide less colony-forming units per portion than supplements, but they are worth adding to your diet nonetheless.
Summary: Probiotics may help prevent and fight ulcers. They may also enhance the efficiency of anti-ulcer medications and reduce their side effects.
Just like some foods can help prevent ulcers from forming or help them heal faster, some have the exact opposite effect. Those trying to heal their stomach ulcers or avoid developing them should consider minimizing their intake of the following foods 56 :.
In addition to avoiding the foods above, consuming small meals at regular times, snacking throughout the day, eating slowly and chewing your food well can help reduce pain and promote healing Summary: Certain foods may increase the likelihood of developing ulcers and delay their healing.
Their intake should be minimized by individuals prone to or suffering from stomach ulcers. The natural remedies listed above may help prevent the development of stomach ulcers and facilitate their healing.
These Gatsric refer to the location where the ulcer Best natural fat burner supplement found. Upcer ulcers are ulfer Gastric ulcer therapy the stomach see Figure 1. Duodenal ulcers are found at the beginning of the small intestine also called the small bowel known as the duodenum. A person may have both gastric and duodenal ulcers at the same time. Figure 1.
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