Treatment FAQ

what is the treatment of gastric ulcer disease

by Paige Mann DDS Published 3 years ago Updated 2 years ago
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Proton pump inhibitors — also called PPIs — reduce stomach acid by blocking the action of the parts of cells that produce acid. These drugs include the prescription and over-the-counter medications omeprazole (Prilosec), lansoprazole (Prevacid), rabeprazole (Aciphex), esomeprazole (Nexium) and pantoprazole (Protonix).

How do you cure ulcers naturally?

What You Have To Do

  • Mix the water and baking soda to form a paste.
  • Apply this on the mouth ulcers using your fingers. Let it dry for a few minutes.
  • Rinse your mouth with water and gargle.

What is the best natural remedy for stomach ulcers?

Ten evidence-based remedies for stomach ulcers

  1. Probiotics. Yogurts contain probiotics that help restore balance to the bacteria in the digestive tract. ...
  2. Ginger. Many people think that ginger has gastroprotective effects. ...
  3. Colorful fruits. Many fruits contain compounds called flavonoids, which are polyphenols. ...
  4. Plantain bananas. ...
  5. Honey. ...
  6. Turmeric. ...
  7. Chamomile. ...
  8. Garlic. ...
  9. Licorice. ...
  10. Aloe vera. ...

What over the counter medicine for ulcers?

Over-the-counter medications that treat ulcers are available at your local drug store. Antacids, digestive tract-fortifying medicines like Pepto-Bismol, and topical creams are available, along with other medications that may help relieve pain and hasten the healing process. However, although OTC drugs like antacids can reduce the pain caused by an ulcer, do not consider it a replacement for seeking medical attention if it is necessary.

How long to heal a stomach ulcer?

How long does it take for a stomach ulcer to heal? Uncomplicated gastric ulcers usually take two or three months to heal. Duodenal ulcers tend to heal quicker than gastric ulcers. While most ulcers are capable of healing, an ulcer can come back if precautions aren’t taken. Stomach ulcer complications:

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What is best treatment for gastric ulcer?

Proton pump inhibitors (PPIs) PPIs work by reducing the amount of acid your stomach produces, preventing further damage to the ulcer as it heals naturally. They're usually prescribed for 4 to 8 weeks. Omeprazole, pantoprazole and lansoprazole are the PPIs most commonly used to treat stomach ulcers.

What antibiotics treat gastric ulcer?

Examples of antibiotics for ulcers include:Amoxicillin (Amoxil)Clarithromycin (Biaxin)Metronidazole (Flagyl)Tinidazole (Tindamax)Tetracycline (Tetracycline HCL)Levofloxacin (Levaquin)

Which drug can cure ulcer permanently?

These ulcers can be completely healed. The development of H2 blockers (Pepcid®, Tagamet®, Axid®) and then Proton Pump Inhibitors (Prilosec®, Prevacid®, Nexium®, Aciphex®, Dexilant®, Zegerid®, and Protonix®) allow for most ulcers to be completely healed with medication.

What are the warning signs of an ulcer?

Here are the top five signs you may have an ulcer:Dull, burning pain. The most common sign of a stomach ulcer is dull, burning pain in the stomach area. ... Indigestion or heartburn. ... Nausea or vomiting. ... Change in stool color. ... Unexplained weight loss.

How to treat peptic ulcers?

Peptic Ulcer Disease Treatment: Medication. Several different medication therapies are available to help reduce gastric acid and coat the ulcers: Antacids neutralize gastric acid. The disadvantage is that you need to take a relatively large dose for them to be effective, and they can cause unwanted side effects like diarrhea.

What causes peptic ulcers?

Peptic ulcers are often caused by an overproduction of gastric acid. Many treatment options focus on reducing or suppressing gastric acid production. If your doctor determines that you have an H. pylori infection, you will need treatment for that as well.

What is the term for a bleed that occurs when the stomach wall is swollen?

Hemorrhage (excessive bleeding) Perforation/penetration, due to the ulcer burning through the stomach wall. Gastric outlet obstruction, or pyloric stenosis, occurs when the pylorus narrows. The pylorus is the opening from the stomach into the small intestine.

What is the best medicine for stomach ulcers?

Available by prescription or over the counter, acid blockers include the medications famotidine (Pep cid AC), cimetidine (Tagamet HB) and nizatidine (Axid AR).

How to get rid of stomach ulcers?

Lifestyle and home remedies. You may find relief from the pain of a stomach ulcer if you: Consider switching pain relievers. If you use pain relievers regularly, ask your doctor whether acetaminophen (Tylenol, others) may be an option for you. Control stress.

How to treat peptic ulcers?

Treatment for peptic ulcers depends on the cause. Usually treatment will involve killing the H. pylori bacterium if present, eliminating or reducing use of NSAIDs if possible, and helping your ulcer to heal with medication. Medications can include: Antibiotic medications to kill H. pylori.

Why does my peptic ulcer not heal?

There are many reasons why an ulcer may fail to heal, including: Not taking medications according to directions. The fact that some types of H. pylori are resistant to antibiotics.

What is the procedure to check for ulcers?

Endoscopy. Endoscopy. An endoscopy procedure involves inserting a long, flexible tube (endoscope) down your throat and into your esophagus. A tiny camera on the end of the endoscope lets your doctor examine your esophagus, stomach and the beginning of your small intestine (duodenum). To detect an ulcer, your doctor may first take ...

What antibiotics kill H pylori?

If H. pylori is found in your digestive tract, your doctor may recommend a combination of antibiotics to kill the bacterium. These may include amoxicillin (Amoxil), clarithromycin (Biaxin), metronidazole (Flagyl), tinidazole (Tindamax), tetracycline and levofloxacin.

What is the best way to find out if you have H pylori?

Using the endoscope, your doctor looks for ulcers. If your doctor detects an ulcer, a small tissue sample (biopsy) may be removed for examination in a lab. A biopsy can also identify whether H. pylori is in your stomach lining.

What is the best treatment for a stomach ulcer?

pylori) bacterial infection, a course of antibiotics and a medication called a proton pump inhibitor (PPI) is recommended.

How long does it take for a gastroscopy to heal?

You may have a repeat gastroscopy after 4 to 6 weeks to check that the ulcer has healed. There aren't any special lifestyle measures you need to take during treatment, but avoiding stress, alcohol, spicy foods and smoking may reduce your symptoms while your ulcer heals.

What causes gastric ulcers?

A common bacterial virulence factor is the production of cagA, which leads to more cytokine cell destruction and mucosal damage.[3] NSAID medications are the other most common etiology causing gastric ulcers.

How big is a gastric ulcer?

They are a break in the mucosal barrier of the stomach lining that penetrates through the muscularis mucosa and are greater than 5 mm in diameter.

What is a break in the mucosa of the stomach lining?

Gastric ulcers are a break in the mucosa of the stomach lining that penetrates through the muscularis mucosa and extends more than 5 mm in diameter. When alterations occur to the defense mechanisms of the stomach, it can cause changes in the gastric mucosa which will eventually result in erosion and then ulceration.

What is the most harmful physiological damage to the gastric mucosa?

Overall, the most harmful physiological damage results from the decrease in gastric blood flow and the mild ischemia it causes in the gastric mucosa. Overall, the pathophysiology of gastric ulcer development depends on the etiology, but they all lead to the loss or damage of the gastric mucosal integrity. Histopathology.

How much of the stomach is colonized by Helicobacter pylori?

First, regarding Helicobacter pylori - these bacteria colonize about 45-50% of the stomach mucosa worldwide. It is a bacterium that people are inoculated with at an early age, especially in developing countries with lower socioeconomic status and crowded households.

How many people have gastric ulcers?

Epidemiology. Gastric ulcers are a part of peptic ulcer disease, which carries a lifetime prevalence of 5 to 10% of patients, which is likely an underestimation of the disease as some patients may remain asymptomatic.

Does smoking cause gastric ulcers?

Studies have shown that the prevalence of gastric ulcers increases with age and with the chronicity of NSAID use. Research shows that smoking leads to a relative risk of 2.0 times that of non-smokers for developing gastric ulcers.   There is no difference between men and women in the prevalence of gastric ulcers.

What is the procedure to check for ulcers?

Endoscopy. If you have severe symptoms, your provider may recommend an upper endoscopy to determine if you have an ulcer. In this procedure, the doctor inserts an endoscope (a small, lighted tube with a tiny camera) through your throat and into your stomach to look for abnormalities. H. Pylori tests.

What happens if you have an ulcer in your stomach?

Without the right treatment, ulcers can lead to serious health problems, including: Bleeding. Perforation (a hole through the wall of the stomach). Gastric outlet obstruction (from swelling or scarring) that blocks the passageway from the stomach to the small intestine.

What is a peptic ulcer?

Peptic ulcer disease is a condition in which painful sores or ulcers develop in the lining of the stomach or the first part of the small intestine (the duodenum). Normally, a thick layer of mucus protects the stomach lining from the effect of its digestive juices. But many things can reduce this protective layer, ...

Why do ulcers form in the stomach?

Many cases of peptic ulcer disease develop because a bacterial infection eats away the protective lining of the digestive system . People who frequently take pain relievers are more likely to develop ulcers.

What is the rarest condition that can occur if you have a peptic ulcer?

Having surgery. Taking other medications, such as steroids. Peptic ulcer disease can also occur if you have a rare condition called Zollinger-Ellison syndrome (gastrinoma). This condition forms a tumor of acid-producing cells in the digestive tract.

Why does H. pylori cause stomach acid?

This breakdown is a problem because your stomach contains strong acid intended to digest food.

How to stop bleeding from endoscopy?

Your doctor could also use a clamp or cauterization (burning tissue) to seal it off and stop the bleeding. For most people, doctors treat ulcers with medications, including:

What is the best medicine for gastritis?

pylori. For H. pylori in your digestive tract, your doctor may recommend a combination of antibiotics, such as clarithromycin (Biaxin) and amoxicillin (Amoxil, Augmentin, others) or metronidazole (Flagyl), to kill the bacterium. Be sure to take the full antibiotic ...

How to get rid of gastritis in stomach?

Avoid alcohol. Alcohol can irritate the mucous lining of your stomach. Consider switching pain relievers. If you use pain relievers that increase your risk of gastritis, ask your doctor whether acetaminophen (Tylenol, others) may be an option for you. This medication is less likely to aggravate your stomach problem.

What is the procedure to open the esophagus?

Close. Endoscopy. Endoscopy. An endoscopy procedure involves inserting a long, flexible tube (endoscope) down your throat and into your esophagus. A tiny camera on the end of the endoscope lets your doctor examine your esophagus, stomach and the beginning of your small intestine (duodenum). Although your doctor is likely to suspect gastritis ...

What is the tube used for endoscopy?

During an endoscopy your doctor gently inserts a long, flexible tube, or endoscope, into your mouth, down your throat and into your esophagus. A fiber-optic endoscope has a light and tiny camera at the end. Your doctor can use this device to view your esophagus, stomach and the beginning of your small intestine.

How to detect H pylori?

H. pylori may be detected in a blood test, in a stool test or by a breath test. For the breath test, you drink a small glass of clear, tasteless liquid that contains radioactive carbon. H. pylori bacteria break down the test liquid in your stomach. Later, you blow into a bag, which is then sealed.

What is the best medicine for stomach acid?

Available by prescription or over-the-counter, acid blockers include famotidine (Pep cid), cimetidine (Tagamet HB) and nizatidine (Axid AR). Antacids that neutralize stomach acid. Your doctor may include an antacid in your drug regimen. Antacids neutralize existing stomach acid and can provide rapid pain relief.

What drugs reduce acid?

Proton pump inhibitors reduce acid by blocking the action of the parts of cells that produce acid. These drugs include the prescription and over-the-counter medications omeprazole (Prilosec), lansoprazole (Prevacid), rabeprazole (Aciphex), esomeprazole (Nexium), dexlansoprazole (Dexilant) and pantoprazole (Protonix).

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Diagnosis

  • To detect an ulcer, your doctor may first take a medical history and perform a physical exam. You then may need to undergo diagnostic tests, such as: 1. Laboratory tests for H. pylori. Your doctor may recommend tests to determine whether the bacterium H. pylori is present in your body. He or she may look for H. pylori using a blood, stool or breath test. The breath test is the most accurat…
See more on mayoclinic.org

Treatment

  • Treatment for peptic ulcers depends on the cause. Usually treatment will involve killing the H. pylori bacterium if present, eliminating or reducing use of NSAIDsif possible, and helping your ulcer to heal with medication. Medications can include: 1. Antibiotic medications to kill H. pylori. If H. pylori is found in your digestive tract, your doctor may recommend a combination of antibioti…
See more on mayoclinic.org

Lifestyle and Home Remedies

  • You may find relief from the pain of a stomach ulcer if you: 1. Consider switching pain relievers.If you use pain relievers regularly, ask your doctor whether acetaminophen (Tylenol, others) may be an option for you. 2. Control stress.Stress may worsen the signs and symptoms of a peptic ulcer. Consider the sources of your stress and do what you can...
See more on mayoclinic.org

Alternative Medicine

  • Products containing bismuth may help with symptoms of a peptic ulcer. There is also some evidence that zinc can help heal ulcers. Mastic powder, the product of a type of evergreen shrub, may also help improve symptoms and speed healing of peptic ulcers. While certain over-the-counter and alternative medications may be helpful, evidence on effectiveness is lacking. Theref…
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Preparing For Your Appointment

  • Make an appointment with your regular doctor if you have signs or symptoms that worry you. Your doctor may refer you to a specialist in the digestive system (gastroenterologist). It's a good idea to be well prepared for your appointment. Here's some information to help you get ready, and what you can expect from your doctor.
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