Peptic Ulcers

PEPTIC ULCERS pain

Last Updated December 20th, 2021

What Are Peptic Ulcers?

Although peptic ulcers are commonly known as stomach ulcers, these are also found in the oesophagus and the small intestine. As the name suggests, these are sores or lesions that appear in the inner lining of the above-mentioned organs. Research has shown that this condition is often linked with a certain kind of bacterial infection. The pathogen involved is one known as Helicobacter pylori. Alternatively, these sores appear when the delicate inner lining of the stomach or esophagus is damaged by corrosive acids in the stomach. Most often, patients complain of a dull, burning sensation in the stomach.

Gastric ulcers are those that develop in the inner lining of the stomach whereas duodenal ulcers are those that arise in the first section of the small intestine known as the duodenum. The former type is more common among women and the latter type is more frequently found in male patients. Oesophageal ulcers are those that appear in the esophagus, usually, it is the lowest section that communicates with the stomach.In some cases, especially when the condition is mild, the ulcers may go away on their own. However, if they persist and remain undiagnosed or untreated, there can be severe, even fatal, consequences.

 

What Causes Peptic Ulcers?

PEPTIC ULCERS painDigestion in the stomach is carried out with the help of stomach acids which are secreted by certain cells within the stomach. In terms of chemical composition, this acidic substance is identified as concentrated hydrochloric acid which is a highly corrosive compound. In order to counter the corrosive effects of acidic digestive juices, the delicate inner mucosa of the stomach is provided with certain protective mechanisms. For instance, the epithelial cells of the stomach produce an alkaline solution which coats the surface of the mucosa and neutralises the corrosive action of stomach acids. The stomach lining also secretes mucus which aids in protection from acid.

Any condition that disturbs this delicate balance between acid production and mucosal resistance to it can potentially give rise to peptic ulcers. For instance, in some individuals, there is an increased secretion of gastric acid, which overwhelms the protective defenses of the gastric or duodenal mucosa and corrodes it. Sometimes, this is linked with H. pylori infection. This bacterium is normally found in the stomach and small intestine, but sometimes it can give rise to inflammation in the mucosal lining. Other times lowered mucosal resistance may have to do with a reduction in blood supply. Alternatively, the patient may have a rare disease known as Zollinger-Ellison syndrome which induces the body to produce excessive quantities of stomach acid. This tends to lead to the peptic ulcer formation.

 

Risk factors

  • Being older than 50 years of age makes it more likely to develop peptic ulcers.
  • Smoking.
  • Excessive consumption of alcohol.
  • Stress.
  • Hypercalcemia. In other words, having abnormally high levels of the mineral calcium in the blood.
  • Having a family history of peptic ulcer disease. In fact, having first-degree relatives with peptic ulcer disease makes it three times more likely to develop the condition yourself.
  • Regularly taking certain medications such as non-steroidal anti-inflammatory drugs like ibuprofen. Even aspirin can have a similar effect.
  • Eating spicy foods.
  • Cancer of the stomach.
  • Taking radiation therapy.

Having one or more of these risk factors does not mean that you are sure to develop peptic ulcers. What it does mean is that you are more susceptible to it than others without these risk factors. Some risk factors are modifiable, which means that they are avoidable. For instance, if you have a family history of the condition or are middle aged, you can reduce your likelihood of developing peptic ulcers by avoiding smoking and spicy foods.

 

What Are Some Symptoms Of Peptic Ulcer Disease?

This condition is often asymptomatic. In other words, patients do not develop any symptoms. As a result, they are unaware of having the ulcers in the first place. This can also happen in the initial stages of disease or when the ulcers are small. However, those who do experience symptoms often complain of a burning pain running from the navel to the chest. Depending on whether the stomach, esophagus or duodenum is affected, the pain may worsen either before or after meals. The pain typically tends to come and go.

In symptomatic cases, patients may observe the following indications:

  • Burning pain in the abdominal area. This may extend to the chest as well. This pain is temporarily relieved by taking antacids.
  • Indigestion.
  • Bloating.
  • Frequent burps.
  • Nausea.
  • Vomiting.
  • Difficulty breathing.
  • Weight loss for no other apparent reason.
  • Blood in stools, making the stools appear dark or black.
  • Vomiting blood.

 

What Are Some Potential Complications?

PEPTIC ULCERS surgeryIf peptic ulcers are not treated or the underlying causes satisfactorily resolved, the condition will keep worsening. This can have some very serious consequences. Since a majority of patients with the condition may actually be asymptomatic and unaware of having peptic ulcers, it is quite likely that the disease could reach a severe stage before it becomes apparent.

For one thing, the ulcers are already present as open sores in the mucosal lining of the stomach, duodenum or esophagus. If these are allowed to remain and continue to worsen, the sores can actually start to bleed. An indication of this is discoloration of stools, causing it to appear black. If the patient loses significant quantities of blood in this way over an extended period of time, he or she may develop anemia. Alternatively, if the bleeding is sudden and severe, the patient will need hospitalization and a blood transfusion.

Yet another critical possibility is that the ulcers may become so severe that the acid eats right through the stomach, duodenum or esophagus. This results in actual holes or perforations in the organs. As a result, there can be additional complications such as infection in the abdominal region.

 

What Do Diagnosis And Treatment Involve?

If you have noticed some of the symptoms listed above, your doctor may be able to identify the condition based on the pattern of symptoms and other details relating to diet, lifestyle and medical history. In order to confirm this suspicion, the following procedures may be performed:

  • Blood tests.
  • Breath tests.
  • Fecal occult blood test.
  • Upper endoscopy.

As we already seen, peptic ulcer disease can be aggravated by certain modifiable habits such as eating spicy foods. Hence, the condition can be alleviated to some extent by making certain dietary and lifestyle modifications. In case the condition is linked with H. pylori infection, the patient will be given antibiotics. Medications can also help to heal the ulcers and alleviate symptoms.

In severe cases, especially where bleeding is involved, the patient may need to undergo surgery. This may be done by means of a minimally invasive endoscopic procedure. However, if the condition is severe enough to have caused perforations, surgery may be performed to remove a portion of the damaged tissue.

 

Prevention of peptic ulcers

Peptic ulcers are common. However, it is estimated that a majority of patients are actually unaware of having the condition since they may experience few or no symptoms at all. In mild to moderate cases, medications can provide relief and resolution to a certain extent. Prevention of peptic ulcers is deeply rooted in practicing healthy dietary and lifestyles habits. These include completely refraining from smoking and alcohol consumption, limiting the use of NSAID medications, and practicing hygienic habits to prevent contamination of food.

 

Facts

  • Contrary to popular belief, a majority of stomach ulcers aren’t a result of spicy/oily food or stress. They are caused due to a bacterial infection of H. pylori.
  • More than 300,000 individuals have to undergo surgical intervention for treating peptic ulcers due to its chronic nature.

Facts

  • Prolonged consumption of drugs such as aspirin and NSAIDs is another major reason for peptic ulcers.
  • Peptic ulcers are more widespread in the western countries, with almost 10% of the population getting peptic ulcers at least once in their lifetime.

Facts

  • H. pylori is found involved in almost half of all recently diagnosed cases of stomach cancer.

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Dos and Don'ts

Dos
  • The best way to prevent peptic ulcers is to keep your digestion healthy. It starts by chewing your food properly and not eating in a hurry.
  • Keep a gap of at least 2-3 hours between your dinner meal and your bedtime.
  • Neutralize your stomach’s acidic content by drinking loads of water and consuming low –sugar and low-fat foods.
Don'ts
  • Consume anything in excess, be it junk foods or even vitamin supplements or herbs.
  • Indulge in drinking too much coffee or tea.
  • Practice unhealthy habits such as smoking, drinking, or too much pharmaceutical drug consumption.

 

 

 

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How can berberine supplements help you live longer and healthier? Berberine is a turmeric look-alike herbal extract that is credited with numerous health benefits ranging from diabetes cure…
How accurate is the hair follicle drug test? Hair follicle drug test is one of the best ways to identify drug use in professional circles. But…
Bubble Tea: Bubbling with nutrition or a hidden sugar mine? The tapioca pearls present in the tea looks like bubbles and hence the name bubble tea became popular.…
Balneotherapy jacuzzi
5 things you didn’t know about balneotherapy and how you can do it at home Sauna baths have been popular since a long time. But how much more beneficial can balneotherapy be as…
GGt test
GGT – Gamma-Glutamyl Transferase Test GGT or gammaglutamyl transferase test is a liver function test that is used to detect the extent of…
CT-scan-machine
CT – Computed Tomography Scan CT scan or computed tomography scan is an diagnostic imaging technique where cross-sectional images of body are obtained…
blood elements analysis
Blood Element Analysis Test A blood element analysis is a blood test performed to measure the level of toxic elements such as…
antihepatitis core antigent
Anti-Hepatitis B Core Antigen (AHBc) Total Anti-hepatitis B core antigen (AHBC ) is a blood examination and the only serological marker of infectious blood…
antiHEV IgM test
Anti hepatitis E virus (Anti HEV) IgM Test Anti HEV IgM test determines the level of the IgM antibodies in the blood, The disease is often…
complement c4 test
Anemia Profile Anemia Profile test (Basic) is a blood screening test that measures the levels of important components of the…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
acne removal tips
Anatomy of acne: 7 instant steps to kiss those zits goodbye Blackheads, whiteheads, or pimples-call them what you may. Acne is never good news.Did you know some of the…
improve digestion weight loss
Power up your gut: 8 proven steps on how to improve your digestion Did you know you have a colony of bacteria in your gut that help you in digesting food?…
Horny Goat Weed: Can it improve libido in human beings too? This plant got its name as Horny Goat Weed when one of the goats feeding on the plant…
Rick Simpson’s Oil: The truths and controversies of this cannabis product Rick Simpson's Oil is an extract from the much-controversial plant, Cannabis. What is the actual truth behind the…
Erythritol: A healthy sugar substitute or yet another marketing ploy? Erythritol is a popular choice of a healthy alternative sweetening agent in foods. But how healthy can a…
Oxalates: How healthy greens can sometimes be bad news for your kidneys Oxalates are compounds present in a majority of healthy foods. However, at times an overconsumption of these could…
fructosamine test
Fructosamine Test A fructosamine test measures blood sugar glucose content. Fructosamine level can indicate blood sugar level in past 2-3…
sodium blood test
Blood Sodium Test A blood sodium test measures the amount of sodium (an important electrolyte) in your body. It is also…
pilonidal sinus
Pilonidal sinus Pilonidal sinus is more common in young men than women. Learn about treatment options, surgical management, risks, and…
hidden benefits walking
9 benefits of walking we bet you didn’t know! Did you know walking can be the miracle pill for eternal youth? Everyone knows walking is good for…
aspartame or sugar
Aspartame – Hidden truths about this storm in a teacup Aspartame, the artificial sweetener, has gone under the scanner on several occasions for allegedly doing more harm than…
gallbladder diet tomato
Gallbladder surgery :Tips on post-operative care and diet What to eat post a gallbladder surgery? What are the key things to avoid if you had a…