Aloe Vera. pylori infection. To treat peptic ulcers, doctors typically recommend medicines to help rherapy ulcer heal.

Gastric ulcer therapy -

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. 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. Many people with ulcers have no symptoms at all. Some people with an ulcer have belly pain. This pain is often in the upper abdomen. Sometimes food makes the pain better, and sometimes it makes it worse.

Other symptoms include nausea, vomiting, or feeling bloated or full. Bleeding from an ulcer can be slow and go unnoticed or can cause life-threatening hemorrhage. Ulcers that bleed slowly might not produce the symptoms until the person becomes anemic.

Symptoms of anemia include fatigue, shortness of breath with exercise and pale skin color. People with bleeding ulcers may also vomit. Symptoms of rapid bleeding represent a medical emergency.

If this occurs, immediate medical attention is needed. People with these symptoms should dial or go to the nearest emergency room.

The two most important causes of ulcers are infection with Helicobacter pylori and a group of medications known as NSAIDs. Helicobacter pylori also called H.

The understanding that H. pylori can cause ulcers was one of the most important medical discoveries of the late 20th century. In fact, Dr. Barry Marshall and Dr. Robin Warren were awarded the Nobel Prize in Medicine for this discovery.

People infected with H. pylori are at increased risk of developing peptic ulcers. When a person is diagnosed with an ulcer, testing for H. pylori is often done. There are a number of tests to diagnose H. pylori and the type of test used depends on the situation.

People with ulcers. who are infected with H. should have their infection treated. Treatment usually consists of taking either three or four drugs.

The drug therapy will use acid suppression therapy with a proton pump inhibitor PPI along with antibiotic therapy and perhaps a bismuth containing agent such as Pepto-Bismol. pylori can be very difficult to cure; so it is very important that people being treated for this infection take their entire course of antibiotics as prescribed.

NSAIDs N on- S teroidal A nti- I nflammatory D rugs are a group of medications typically used to treat pain. There are many drugs in this group. A few of these include: aspirin Bayer ® , ibuprofen Motrin ® , Advil ® , naproxen Aleve ® , Naprosyn ® , ketorolac Toradol ® and oxaprozin Daypro ®.

Acetaminophen Tylenol ® is NOT an NSAID and is therefore the preferred non-prescription treatment for pain in patients at risk for peptic ulcer disease. NSAID use is very common because many are available over the counter without a prescriptionand therefore they are a very common cause of peptic ulcers.

NSAIDs cause ulcers by interrupting the natural ability of the stomach and the duodenum to protect themselves from stomach acid. NSAIDs also can interfere with blood clotting, which has obvious importance when ulcers bleed.

These people should discuss the various options for preventing ulcers with their physician. 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. They are not caused by spicy foods or a rich diet. Certain foods might irritate an ulcer that is already there, however, the food is not the cause of the ulcer. People diagnosed with ulcers do not need to follow a specific diet.

The days of ulcer patients surviving on a bland diet are a thing of the past. The most typical way for ulcers to be diagnosed is by a procedure called an EGD.

EGD stands for E sophago G astro D uodenoscopy. This flexible camera carefully inspects the most likely areas for ulcers to be located.

Ulcers identified during an EGD may be photographed, biopsied and even treated, if bleeding is present. An upper GI series involves drinking a white chalky substance called barium, and then taking a number of x-rays to look at the lining of the stomach. Doctors can see the ulcers on the x-rays when they have barium in them.

Today, the preferred method for diagnosing ulcers is with an EGD given the flexible camera is better able to detect even small ulcers and because it allows for potential treatment at that time if the ulcer is bleeding. An upper GI series can miss small ulcers and also does not allow direct treatment of an ulcer.

The way that ulcers are treated depends on a number of features. Nearly all peptic ulcers will be treated with a proton pump inhibitor PPI. PPIs are powerful acid blocking drugs that can be taken as a pill or given in an IV. Often, the potent IV form is used if a patient is hospitalized with a bleeding ulcer.

There are six PPIs available in the United States. These are omeprazole Prilosec ® , Zegerid ® , lansoprazole Prevacid ® , pantoprazole Protonix ® , rabeprazole Aciphex ® , esomeprazole Nexium ® , and dexlansoprazole Dexilant ®.

There are very few medical differences between these drugs. PPIs require a meal to activate them. Patients should eat a meal within 30 minutes to 1 hour after taking this medication for the acid suppression therapy to work most effectively.

Waiting later than this time can decrease the positive effect of this medication. This might delay healing or even result in the failure of the ulcer to heal.

An important part in treating ulcers is by identifying what caused them Patients with ulcers caused by NSAIDs should talk to their doctor about other medications that can be used to treat pain.

If the person is infected with H. pylori this infection should be treated. You may joke that your boss is giving you an ulcer, and it's possible that stress does play some part in ulcers. More likely, your ulcer is caused by a stomach infection with a type of bacteria called H.

Other common ulcer risks include smoking cigarettes, drinking a lot of alcohol, or regularly using NSAID pain relievers like aspirin and ibuprofen.

If the ulcer is small, you may have no idea that you have it because there are no symptoms. Larger ulcers can cause abdominal pain, a feeling of fullness in the stomach, and nausea. If you have any of these ongoing symptoms, your doctor will look inside your GI tract to see what's going on. One way to do this is with an upper endoscopy, a thin tube with a camera on one end that takes pictures as it moves through your stomach and small intestine.

A lower GI is a series of x-rays that are taken after you drink a radioactive substance called barium. Your doctor will also test you for the H. pylori bacteria that may be causing your ulcer. Treatment for peptic ulcers works in two ways. If you have an H. pylori infection, you'll have a medication regimen to kill the bacteria.

You'll also get a medicine called a proton pump inhibitor, such as Prilosec or Prevacid, which reduces the amount of acid in your stomach. Try to avoid taking NSAID pain relievers for long periods of time, especially if you have a problem with H. Use Tylenol instead. If you do have to take NSAIDs, also take an acid-blocking drug to protect your sensitive stomach.

Also avoid tobacco smile and excess alcohol. Follow your doctor's instructions carefully for treating a peptic ulcer. If you don't follow your treatment as directed, your ulcer could come back.

Call your doctor right away if you have sharp stomach pain, you're sweating a lot or feeling confused, or your stomach feels hard to the touch. These could be signs of a serious ulcer complication that needs immediate medical help.

Normally, the lining of the stomach and small intestines can protect itself against strong stomach acids. But if the lining breaks down, the result may be:. Most ulcers occur in the first, inner surface, layer of the inner lining.

A hole in the stomach or duodenum is called a perforation. This is a medical emergency. The most common cause of ulcers is infection of the stomach by bacteria called Helicobacter pylori H pylori. Most people with peptic ulcers have these bacteria living in their digestive tract.

Yet, many people who have these bacteria in their stomach do not develop an ulcer. A rare condition, called Zollinger-Ellison syndrome , causes the stomach to produce too much acid, leading to stomach and duodenal ulcers.

Small ulcers may not cause any symptoms and may heal without treatment. Some ulcers can cause serious bleeding. Abdominal pain often in the upper mid-abdomen is a common symptom. The pain can differ from person to person. Some people have no pain.

To detect an ulcer, you may need a test called an upper endoscopy esophagogastroduodenoscopy or EGD. Testing for H pylori is also needed.

This may be done by biopsy of the stomach during endoscopy, with a stool test, or by a urea breath test. Sometimes, you may need a test called an upper GI series. A series of x-rays are taken after you drink a thick substance that contains barium.

This does not require sedation. Your health care provider will recommend medicines to heal your ulcer and prevent a relapse. The medicines will:.

Take all of your medicines as you have been told. Other changes in your lifestyle can also help. If you have a peptic ulcer with an H pylori infection, the standard treatment uses different combinations of the following medicines for 7 to 14 days:.

Your provider may also prescribe this type of medicine regularly if you continue taking aspirin or NSAIDs for other health conditions. If a peptic ulcer bleeds a lot, an EGD may be needed to stop the bleeding.

Methods used to stop the bleeding include:. Peptic ulcers tend to come back if untreated. There is a good chance that the H pylori infection will be cured if you take your medicines and follow your provider's advice.

You will be much less likely to get another ulcer. Avoid aspirin, ibuprofen, naproxen, and other NSAIDs. Try acetaminophen instead. If you must take such medicines, talk to your provider first. Your provider may:. Chan FKL, Lau JYW.

Peptic ulcer disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. Philadelphia, PA: Elsevier; chap Cover TL, Blaser MJ. Helicobacter pylori and other gastric Helicobacter species. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases.

Lanas A, Chan FKL. PMID: pubmed.

Ulcer - Green tea and weight management Ulcer - duodenal; Ulcer Gaxtric gastric; Duodenal Gastric ulcer therapy Tjerapy ulcer; Dyspepsia - ulcers; Bleeding ulcer; Gastrointestinal Gastric ulcer therapy thefapy peptic tjerapy Gastrointestinal hemorrhage - Gastric ulcer therapy ulcer; G. bleed - peptic ulcer; H. pylori - peptic ulcer; Helicobacter pylori - peptic ulcer. Peptic ulcers may lead to emergency situations. Severe abdominal pain with or without evidence of bleeding may indicate a perforation of the ulcer through the stomach or duodenum. Vomiting of a substance that resembles coffee grounds, or the presence of black tarry stools, may indicate serious bleeding.

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Peptic Ulcer Disease: Mechanisms and Treatment - Lecturio Medical Contributor Disclosures. Please read the Greek yogurt breakfast at the end of this Gashric. Peptic ulcers GGastric Gastric ulcer therapy sores Gastric ulcer therapy the upper part Gastric ulcer therapy the digestive tract figure 1 that can cause stomach pain or stomach upset, and that can lead to internal bleeding. There are two types of peptic ulcers:. In some cases, peptic ulcers heal without treatment, but ulcers that have not been fully treated tend to recur.