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Management Of Peptic Ulcer

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A proper lifestyle may reduce the symptoms of a peptic ulcer, so we should keep ourselves away from spicy foods, coffee and alcohol, smoking, taking NSAIDs and paracetamol, lose excess weight if overweight.A certain medication will be prescribe by your doctor, in order to reduce the amount of acid produced by the stomach.There are two kinds of medicine available to do this.One are so called H2-antagonists for example the ranitidine (Zantac) and cimetidine (Tagamet).The other known as proton pump inhibitors seems to be more powerfuly in reducing the production of stomach acid. These are omeprazole (Losec) and lansoprazole (Zoton).



If a person is found positive with H. pylori, she will need some prescribed tablets to get rid of it. In most cases the treatment is a combination of three drugs: a proton pump inhibitor and two antibiotics, taken daily for one week.The existence of persistent ulcer symptoms even after a test where H.pylori has not been found leads to further tests, such as gastroscopy or barium swallow.

There are also severe cases when the peptic ulcer causes serious problems, especially the perforation of the stomach or duodenum. A severe pain is caused and needs emergency treatment. A well known complication is the bleeding of the ulcer. In this case appear the following symptoms:vomiting fresh, red blood, or vomit containing dark brown bits of older blood; blood which is usually dark red in the faeces and black,tarry faeces.

An anemia can be caused by a slowly bleeding ulcer, where the red cells can be found in a small number, so are unable to transport oxigen around the body. The narrowing in the duodenum sometimes let scars produced by healed ulcers.

Actualy surgery is very rarely needed for the peptic ulcers.Severe complications may appear such as bleeding from the ulcer or perforation of the duodenal or stomach lining, which maybe resolvable by a certain surgery.The development of the peritonitis needs an emergency hospital treatment. Through a gastroscope certain operations in treating a bleeding ulcer is required, but a sedative can be given.

To avoid surgery and to protect ourselves from the appearance of a peptic ulcer we should pay attention to what kind of food we weat and also to have a proper lifestyle.
Management Of Peptic Ulcer
Symptoms

There may appear no symptoms although you have ulcerus, but the most common ones are: pain in the abdomen and indigestion. Depending on the type of ulcerus you have the pain may be intense after or before you eat and may wake you up early in the morning. The pain may be in other spots for example in the back. The ulcer may bleed and you vomit blood or digested blood(coffee grounds) or have black stools known as melaena. In this cases you should announce your doctor as soon as possible.

Causes

There are many factors that determine ulcer:

Smoking, if one member of your family had ulcer you are very susceptible to develop too, drinking, drugs such as: aspirin and anti-inflammatory drugs, the ul;cer is more likely to occur in those who have infection with the germ Helicobacter pylori and is also very hard to treat. Popular beliefs consider that stress, coffee, colas, spicy foods, caffeine are important in ulcer formation.

Diagnosis

Your doctor will recommend you some specific tests such as: barium meal X-ray or upper gastrointestinal endoscopy when you have to swallow a fiber optic tube, in this case the lining of the stomach may be seen and the biopsies may be taken so one may observe the presence of Helicobacter pylori and blood tests may be helpfull, biopsies are often performed on gastric ulcers to exclude cancer. Biopsies can also be examined under a microscope to exclude cancer. Stop smoking, drinking and eat regularly in small amounts, avoid foods that give you pain.

Try using antiacids mixtures or tablets to neutralize the acids, high doses of NB shouldn't be used although these drugs ease the symptoms you have to take them as suggested by doctor. Active ulcer may be cured if you take a tablet that reduces the production of acid. Against Helicobacter pylori you may take antibiotics so the ulcer will cure and complications or reapparition are less likely to appear. Peptic ulcer disease is common.

The medical cost of treating peptic ulcer and its complications runs in the billions of dollars annually. Ulcers often come and go spontaneously without the individual ever knowing, unless a serious complication (like bleeding or perforation) occurs and then the treatment is harder to have effect and the lesions are quite severe, after a hemorragy there are many risks. Others experience no pain at all, even though ulcers return. There is no conclusive evidence to suggest that life stresses or personality types contribute to ulcer disease.
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