Treatment FAQ

why 6-8 of treatment for peptic ulcers

by Cristina Wintheiser Published 2 years ago Updated 2 years ago

Medication

Peptic ulcer is a chronic disease affecting up to 10% of the world’s population. The formation of peptic ulcers depends on the presence of gastric juice pH and the decrease in mucosal defenses.

Procedures

To help prevent a peptic ulcer caused by NSAIDs, ask your doctor if you should. stop using NSAIDs. take NSAIDs with a meal if you still need NSAIDs. take a lower dose of NSAIDs. take medicines to protect your stomach and duodenum while taking NSAIDs. switch to a medicine that won’t cause ulcers.

Nutrition

Treatment for Peptic Ulcers (Stomach Ulcers) 1 PPIs. PPIs reduce stomach acid and protect the lining of your stomach and duodenum. 2 Histamine receptor blockers. Histamine receptor blockers work by blocking histamine,... 3 Protectants. Protectants coat ulcers and protect them against acid and enzymes... 4 Histamine receptor blockers work...

What is peptic ulcer and how is it treated?

How can I prevent a peptic ulcer caused by NSAIDs?

What is the best treatment for a stomach ulcer?

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.

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).

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.

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.

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.

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.

Do PPIs suppress acid production?

PPIs suppress acid production much more effectively than H2 blockers. PPIs are the gold standard in medication therapy of peptic ulcer disease. Medications to protect and strengthen the mucous lining of the stomach. See animation: mechanism of normal acid production, H2 blockers and proton pump inhibiting drugs.

How to prevent peptic ulcers?

These include: Maintaining a healthy lifestyle by quitting smoking cigarettes and other tobacco use and eating a balanced diet rich in fruits, vegetables, and whole grains will help you prevent developing a peptic ulcer.

What is the best medicine for peptic ulcers?

These medications are available as a prescription and also over the counter in lower doses. Your doctor may also prescribe sucralfate (Carafate) which will coat your stomach and reduce symptoms of peptic ulcers. Shop for acid blockers.

How long does it take for a stomach ulcer to heal?

pylori infection, they may recommend a prescription or over-the-counter PPI (such as Prilosec or Prevacid) for up to eight weeks to reduce stomach acid and help your ulcer heal. Acid blockers like famotidine ( Pepcid) can also reduce stomach acid and ulcer pain.

What causes peptic ulcers?

Different factors can cause the lining of the stomach, the esophagus, and the small intestine to break down. These include: Helicobacter pylori ( H. pylori ), a type of bacteria that can cause a stomach infection and inflammation.

Why do I have peptic ulcers?

They’re usually formed as a result of inflammation caused by the bacteria H. pylori, as well as from erosion from stomach acids. Peptic ulcers are a fairly common health problem. There are three types of peptic ulcers: gastric ulcers: ulcers that develop inside the stomach.

What happens if an ulcer doesn't heal?

If your ulcer doesn’t heal with the initial treatment, this can indicate: an excessive production of stomach acid.

What is the sign of a perforated ulcer?

Perforation: A hole develops in the lining of the stomach or small intestine and causes an infection. A sign of a perforated ulcer is sudden, severe abdominal pain. Internal bleeding: Bleeding ulcers can result in significant blood loss and thus require hospitalization.

How to protect yourself from peptic ulcers?

Protect yourself from infections by washing hands regularly and consuming foods that have been cooked thoroughly . If you or someone you love has been experiencing symptoms of a peptic ulcer, call the gastrointestinal specialists at Hunterdon Gastroenterology Associates at (908) 818-0129 today to book your next appointment.

What is a peptic ulcer?

What are peptic ulcers? Peptic ulcers are sores found in the lining of the stomach, upper portion of the small intestine, or the lining of the esophagus that can cause moderate to severe burning pain. There are a few types of peptic ulcers. These include: Gastric ulcers – Ulcers that occur inside of the stomach.

Why do ulcers develop?

Peptic ulcers are actually caused by: A bacterium – An infection of bacteria called helicobacter pylori can cause ulcers to develop.

Why do ulcers hurt?

Peptic ulcers are actually caused by: A bacterium – An infection of bacteria called helicobacter pylori can cause ulcers to develop .

What is the best treatment for helicobacter pylori?

Proton pump inhibitors help reduce acid levels and antibiotics help treat a helicobacter pylori infection. Surgical procedures – If the ulcer has created a hole in the wall of the stomach, surgical operations may be necessary. Minimal bleeding caused by a peptic ulcer can also be treated with an upper endoscopy.

What happens if you don't treat a peptic ulcer?

If peptic ulcers are not treated, they can lead to serious health problems. Depending on the cause and severity of your peptic ulcer, there are a few different treatment options:

Where do duodenal ulcers occur?

Duodenal ulcers – Ulcers that occur inside the upper portion of the small intestine. Signs and symptoms of peptic ulcers. Burning pain is the most common symptom of a peptic ulcer. The ulcer is often aggravated by stomach acid coming in contact with the ulcerated area. The pain can typically: Occur anywhere from your navel up to your breastbone.

What is a peptic ulcer?

Overview. An “ulcer” is an open sore. The word “peptic” means that the cause of the problem is due to acid. Most of the time when a gastroenterologist is referring to an “ulcer” the doctor means a peptic ulcer. The two most common types of peptic ulcer are called “gastric ulcers” and “duodenal ulcers”. These names refer to the location ...

Where are peptic ulcers found?

These names refer to the location where the ulcer is found. Gastric ulcers are located in 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.

Why do you have to have another EGD after gastric ulcer treatment?

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. Duodenal ulcers (at the beginning of the small intestine) usually don’t need to be looked at again.

What to do during an 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.

Can you have both gastric and duodenal ulcers at the same time?

A person may have both gastric and duodenal ulcers at the same time. Figure 1. Photograph of a peptic ulcer taken during an upper endoscopy. This ulcer is a “gastric ulcer” because it is located in the stomach.

Is H pylori a risk factor for stomach cancer?

H. pylori is also a risk factor for stomach cancer. If prescribed, it is very important to complete an entire course of antibiotics for H. pylori. Melena – black very sticky stool, often compared to roof tar. This is a common symptom of a bleeding ulcer.

Can acid suppressing PPI cause ulcers?

Some people are given an acid suppressing PPI. These drugs can prevent or significantly reduce the risk of an ulcer being caused by NSAIDs. There are many myths about peptic ulcers. Ulcers are not caused by emotional “stress” or by worrying. They are not caused by spicy foods or a rich diet.

What causes ulcers in the stomach?

Helicobacter pylori: Most ulcers are caused due to an infection by the H.pylori (Helicobacter pylori) bacteria found in the lining of the stomach which are capable of destroying the duodenum and stomach tissues when combined with the acidic digestive juices.

How to treat a bacterial infection?

Treatment for this disease is administered with a combination of medications and lifestyle changes. In case of an advanced stage of the disease, a surgery is adopted as the treatment method. Medications, for the treatment of this disease, is prescribed as a combination of antibiotics and a proton pump inhibitor, which suppresses the acids and at times antacids are also administered. Antacids like pantoprazole and esomeprazole, etc. are prescribed. These drugs eliminate the bacterial infection and the healing process takes place gradually. Patients are advised to bring about lifestyle changes like incorporating a balanced diet instead of unhealthy, spicy, and acidic foods and to quit smoking and alcohol consumption.

Diagnosis

Treatment

Lifestyle and Home Remedies

Alternative Medicine

Medically reviewed by
Dr. Karthikeya T M
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
The treatment aims at reducing acid content in the stomach and involves use of antibiotics in case of bacterial infection.
Medication

Antibiotics: Given in case of infection by bacteria such as H. pylori.

Amoxicillin . Clarithromycin . Metronidazole . Tinidazole . Tetracycline . Levofloxacin


Proton pump inhibitors: With antibiotics additional medications should be used to reduce acid production.

Omeprazole . Lansoprazole . Rabeprazole . Esomeprazole . Pantoprazole

Procedures

Peptic ulcer surgery: Surgery is necessary in severe cases with bleeding, perforation or to remove obstructions.

Nutrition

Foods to eat:

  • Eat foods containing vitamin C
  • Vegetables rich in vitamins
  • Milk products should be consumed with caution as this can produce excess acid in the stomach

Foods to avoid:

  • Spicy foods may irritate the stomach
  • Alcohol

Specialist to consult

Gastroenterologist
Specializes in the digestive system and its disorders.

Preparing For Your Appointment

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