stomach ulcer

 

Read more if you or those around you have a stomach ulcer.

You know what stomach ulcer is?

Do you know why people get stomach ulcers?

Is stomach ulcer a Dangerous Disease?

How do I know I have a stomach ulcer?

What are the symptoms of a stomach ulcer?

In the following, we will answer the above questions.

 

statistics

What are the symptoms of a stomach ulcer?

What symptoms may occur if it worsens?

Why do stomach ulcers occur?

Diagnosis of stomach ulcer

How is a stomach ulcer treated?

Complications of untreated gastric ulcer

What should we pay attention to to prevent stomach ulcers?

 

Gastrointestinal ulcers are a group of disorders and diseases of the gastrointestinal tract.

stomach ulcer is the most common ulcer in the human gastrointestinal tract.

stomach ulcer and ulcer at the beginning of the small intestine or duodenal ulcer is sometimes referred to as stomach ulcers.

These ulcers are ulcers that are located in the wall of the stomach or the beginning of the small intestine and open into the space of the stomach and intestines. In other words, these ulcers are located inside the lining of the inner surface of the stomach and the beginning of the small intestine, and are considered open wounds.

So, Gastrointestinal ulcer is an open ulcer that occurs in the following two parts:

Gastric ulcer in the stomach wall (GU).

Ulcer at the beginning of the small intestine in the wall of the duodenum, which is the first part of the small intestine, (DU).

Collectively, these two ulcers are sometimes called gastrointestinal ulcers or mistakenly gastric ulcers

Or pud peptic ulcer disease.

The surface inside the stomach wall and the beginning of the small intestine, in order to avoid injury from contact with acid, has a sticky layer on their vision that protects them. This layer is called mucus. Damage to the mucous layer will expose the cells of the stomach and duodenum to direct contact with the acidic gastric juice, causing irritation and damage to these layers.

 

statistics:

Three hundred and fifty thousand new cases of gastric ulcer are diagnosed annually in the United States alone.

Three hundred thousand people die each year in the United States from duodenal ulcers.

stomach ulcer is the cause of 300,000 deaths in the United States each year.

Every year, one in every 1,000 people in the world suffers from stomach or duodenal ulcers.

 

And every year, 0.7 out of every thousand people in the world suffer from pud complications.

 

Smokers

Alcoholics

are more prone to gastrointestinal ulcers due to irritations in the mucous layer.

People who take long-term NSAIDs, such as aspirin, ibuprofen, naproxen, and indomethacin, are even more likely to bleed from gastric and duodenal ulcers, especially if they are smokers.

 

What are the symptoms of a stomach ulcer?

Seventy-five percent of people with symptoms ulcers have no manifestations, signs or symptoms.

 

  • Heartburn or burning pain in stomach is considered by doctors to be the most common symptom of a stomach ulcer.

Pain is alleviated by eating foods that are alkaline and reduce the effect of stomach acid, and is exacerbated by eating acidic compounds.

stomach ulcer will get better by eating antacids.

stomach ulcer is more likely to be present at night or between meals.

  • nausea
  • Belching
  • Bloating
  • Feeling of fullness in the abdomen and stomach
  • Intolerance to fatty and heavy foods

 

What symptoms may occur if it worsens?

  • Clear change in appetite
  • Weight loss
  • Vomiting
  • Weakness and lethargy
  • Bloody vomit or blood in the vomit
  • Stinky black and tarry stools or the presence of blood in the stool
  • Sometimes respiratory problems

 

Why do stomach ulcers occur?

We said that any factor that increases the effect of acidic gastric juice on the cells of the stomach wall causes stomach ulcer.

So any factor that reduces the protective mucus or any factor that increases the acid.

 

  • Infectious agent, gastric bacteria:

Helicobacter pylori (H. pylori) lives in the lining of the stomach. Most cases of this bacterium will not be a problem, but sometimes the inner layer of the stomach wall becomes inflamed and ulcers appear due to inflammation.

It is not yet known how Helicobacter pylori spreads and expands.

Close contact and kissing or consumption of contaminated water and food may be the cause of the spread of this bacterium.

 

  • Painkillers:

Family drugs such as NSAIDs

Aspirin

Naproxen

Indomethacin

And

New generation of Cox inhibitors such as celecoxib

And

Acetaminophen

 

These drugs reduce the protective layer and make it ineffective.

The elderly and people with chronic pain are at risk for these injuries.

 

  • Alcohol:

Alcohol is associated with the destruction of the gastric mucosa.

 

  • smoking :

People with Helicobacter pylori, or H-pylori for short, are at higher risk of stomach ulcers if they smoke.

 

Diagnosis of gastric ulcer

Blood test for antibodies and antigens of H. pylori

Stool test

Test for blood in the stool

And

 

  • Barium Swallow:

You drink barium, which is a liquid. This fluid is placed on the inner wall of your stomach, And with X-rays, a picture is taken that at the site of the open stomach ulcer, the barium layer is destroyed and the ulcer is seen.

 

  • EGD endoscopy:

It is a thin tube with light and equipped with a camera that passes through the mouth, throat and esophagus and enters the stomach, and through the images it creates on the monitor, it causes the doctor to see the stomach wall and the beginning of the small intestine directly.

 

Examine the wound and take a biopsy of a suspicious wound or tissue in the stomach wall.

Possible bleeding can also be found by endoscopy and in some cases the bleeding can be treated endoscopically.

 

How is a stomach ulcer treated?

Treatment also depends on the cause of the stomach ulcer.

Most people with stomach ulcers recover with medication, but in very rare cases, surgery may be needed.

 

Early diagnosis and timely treatment are very important.

If a bacterial infection is detected in the tests, antibiotics will also be used to treat the stomach ulcer. Sometimes young people with a stomach ulcer will also receive antibiotics without a positive bacterial test.

 

Gastric ulcer treatment is a combination therapy and includes:

Acid-lowering drugs such as PPIs such as omeprazole, pantoprazole.

Other antacids such as aluminum hydroxide or magnesium hydroxide.

Antibiotics

And

Drugs such as bismuth, which act as a protective and dressing on gastric ulcers and prevent further irritation of the wound and the inner lining of the stomach with acid.

 

Bismuth and aluminum hydroxide will both cause constipation, and especially bismuth will darken the stool.

 

Magnesium hydroxide can be associated with diarrhea and electrolyte disturbances.

 

nausea

Diarrhea

Constipation

Abdominal pain

Headache

Vertigo

 

are possible side effect of the drugs.

 

You do not need to stop taking your medication arbitrarily if you have symptoms. It is important to tell your doctor. It may be necessary to change your medication.

It is important to follow the instructions to eradicate the bacterial infection.

 

If you use painkillers and alcohol. If you are a smoker, it is necessary to prescribe a ppi such as omeprazole or pantoprazole to prevent further damage to the gastric mucosa.

 

Complications of untreated gastric ulcer

What are the complications of untreated stomach ulcers?

 

  • Gastrointestinal bleeding:

In ulcers of the upper gastrointestinal tract, ie stomach ulcer and duodenum, slow and chronic bleeding will continue and lead to iron deficiency anemia in the affected person. More severe bleeding is manifested by foul-smelling stools, weakness, lethargy, and paleness that require immediate hospitalization and occasional blood transfusions.

Bloody vomit and foul-smelling and tarry stools are likely in severe bleeding.

 

  • Rupture of the stomach wall:

When the stomach wall ruptures, the contents of the stomach fall into the abdominal cavity, creating a very dangerous condition called peritonitis.

 

  • Intestinal obstruction:

Swelling and inflammation in gastrointestinal ulcers are sometimes so severe that they narrow the passage of food and sometimes completely block it.

 

What should we pay attention to to prevent stomach ulcers?

Consider the following tips to prevent stomach ulcers:

  • Eat fully cooked foods
  • Observe personal hygiene, be sure to wash your hands with soap and water before eating to protect against stomach bacteria or Helicobacter pylori. The transmission of this bacterium is probably through the consumption of contaminated water and food.
  • Do not drink too much alcohol
  • Do not smoke
  • Do not use painkillers arbitrarily and excessively
  • Have a healthy diet
  • If you are going to take painkillers, take the medicine in the lowest effective dose.

 

If you are a smoker or if you take painkillers frequently, be sure to consult your doctor to prevent damage to the stomach mucosa and prevent stomach ulcers.

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