25/01/2022
What causes stomach ulcers?
Stomach ulcers are almost always caused by one of the following:
an infection with the bacterium Helicobacter pylori (H. pylori)
long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen, or naproxen
Rarely, a condition known as Zollinger-Ellison syndrome can cause stomach and intestinal ulcers by increasing the body’s production of acid. This syndrome is suspected to cause less than 1 percent of all peptic ulcers.
Symptoms of stomach ulcers
A number of symptoms are associated with stomach ulcers. The severity of the symptoms depends on the severity of the ulcer.
The most common symptom is a burning sensation or pain in the middle of your abdomen between your chest and belly button. Typically, the pain will be more intense when your stomach is empty, and it can last for a few minutes to several hours.
Other common signs and symptoms of ulcers include:
dull pain in the stomach
weight loss
not wanting to eat because of pain
nausea or vomiting
bloating
feeling easily full
burping or acid reflux
heartburn, which is a burning sensation in the chest)
pain that may improve when you eat, drink, or take antacids
anemia, whose symptoms can include tiredness, shortness of breath, or paler skin
dark, tarry stools
vomit that’s bloody or looks like coffee grounds
Talk to your doctor if you have any symptoms of a stomach ulcer. Even though discomfort may be mild, ulcers can worsen if they aren’t treated. Bleeding ulcers can become life-threatening.
How are stomach ulcers diagnosed?
Diagnosis and treatment will depend on your symptoms and the severity of your ulcer. To diagnose a stomach ulcer, your doctor will review your medical history along with your symptoms and any prescription or over-the-counter medications you’re taking.
To rule out H. pylori infection, a blood, stool, or breath test may be ordered. With a breath test, you’ll be instructed to drink a clear liquid and breathe into a bag, which is then sealed. If H. pylori is present, the breath sample will contain higher-than-normal levels of carbon dioxide.
Other tests and procedures used to diagnose stomach ulcers include:
Barium swallow: You drink a thick white liquid (barium) that coats your upper gastrointestinal tract and helps your doctor see your stomach and small intestine on X-rays.
Endoscopy (EGD): A thin, lighted tube is inserted through your mouth and into the stomach and the first part of the small intestine. This test is used to look for ulcers, bleeding, and any tissue that looks abnormal.
Endoscopic biopsy: A piece of stomach tissue is removed so it can be analyzed in a lab.
Treating stomach ulcers
Treatment will vary depending on the cause of your ulcer. Most ulcers can be treated with a prescription from your doctor, but in rare cases, surgery may be required.
It’s important to promptly treat an ulcer. Talk to your doctor to discuss a treatment plan. If you have an actively bleeding ulcer, you’ll likely be hospitalized for intensive treatment with endoscopy and IV ulcer medications. You may also require a blood transfusion.
Nonsurgical treatment
If your stomach ulcer is the result of H. pylori, you’ll need antibiotics and drugs called proton pump inhibitors (PPIs). PPIs block the stomach cells that produce acid.
In addition to these treatments, your doctor may also recommend:
H2 receptor blockers (drugs that also block acid production)
stopping use of all NSAIDs
follow-up endoscopy
probiotics (useful bacteria that may have a role in killing off H. pylori)
bismuth supplement
Symptoms of an ulcer may subside quickly with treatment. But even if your symptoms disappear, you should continue to take any medication prescribed by your doctor. This is especially important with H. pylori infections, to make sure that all bacteria are eliminated.
Side effects of medications used to treat stomach ulcers can include:
nausea
dizziness
headaches
diarrhea
abdominal pain
These side effects are typically temporary. If any of these side effects cause extreme discomfort, talk to your doctor about changing your medication.
Surgical treatment
In very rare cases, a complicated stomach ulcer will require surgery. This may be the case for ulcers that:
continue to return
don’t heal
bleed
tear through the stomach
keep food from flowing out of the stomach into the small intestine
Surgery may include:
removal of the entire ulcer
taking tissue from another part of the intestines and patching it over the ulcer site
tying off a bleeding artery
cutting off the nerve supply to the stomach to reduce the production of stomach acid
Healthful diet
In the past, it was thought that diet could cause ulcers. We know now this isn’t true. We also know that while the foods you eat won’t cause or cure a stomach ulcer, eating a healthful diet can benefit your intestinal tract and overall health.
In general, it’s a good idea to eat a diet with lots of fruits, vegetables, and fiber.
That said, it’s possible that some foods play a role in eliminating H. pylori. Foods that may help fight off H. pylori or boost the body’s own healthy bacteria include:
broccoli, cauliflower, cabbage, and radishes
leafy greens, such as spinach and kale
probiotic-rich foods, such as sauerkraut, miso, kombucha, yogurt (especially with lactobacillus and Sacharomyces)
apples
blueberries, raspberries, strawberries, and blackberries
olive oil
Additionally, since people with stomach ulcers may have accompanying acid reflux disease, it is a good idea to stay away from spicy and sour foods while an ulcer is healing.
Learn more about foods that may be good for stomach ulcers — and foods that may not be.
Home remedies for stomach ulcers
In addition to eating healthy foods, the following items may help reduce the effects of H. pylori, the bacteria responsible for many stomach ulcers. However, these supplements are not intended to replace prescription medication or your current treatment plan. They include:
probiotics
honey
glutamine (food sources include chicken, fish, eggs, spinach, and cabbage)
Your doctor may also have suggestions for things you can do at home to relieve discomfort from your ulcer. Consider talking to your doctor about these natural and home remedies for ulcers.
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