Peptic ulcers is the most appropriate term to describe a destroyed tissue in the stomach and duodenum by the interaction of acids produced in the stomach and gastric juices, the mucous membrane lining the digestive tract is eroded. The first symptom is a burning pain, and considerable discomfort in the upper abdomen. Peptic ulcer is very common in the US an especially in young people and men, ulcer complications kill people. Gastric ulcers appear especially in old people, luckily enough that we know many thinks about peptic ulcers and its treatment.
The duoden and stomach lining is eroded by the stomach acid and develops stomach and duodenal ulcers also known as peptic ulcer. There are no sufficient proves that intake of coffee and alcohol determines peptic ulcers, dietary restrictions and bland diets may not have the expected result. Ulcers often come and go spontaneously especially in young people without the individual ever knowing, unless a serious complication (like bleeding or perforation) occurs and when that happens patients have a severe anemia and are quite weak so the situation becomes suddenly severe.
Risk factors in producing peptic ulcers are: bacteria Helicobacter pylori that can be found also in the stomach of the healthy people, taking certain medicines regularly such as: ibuprofen, naproxen and diclofenac, smoking and alcohol in excess, radiation therapy.
H pylori can spread through the feces of a person infected, contaminated food and water due to poor personal hygiene. Studies try to discover why some people infected with H pylori develop ulcers and others do not, although they are infected too with H pylori bacteria.
H pylori affects people of all races, ages and socioeconomic situation. Those infected carry the bacteria through a life time. More common in people living together, sharing everything in lower economic classes in African Americans and Hispanic Americans. The treatment differs in ulcers caused by medications and those caused by the infection with H pylori.
Other medical conditions that may determine the apparition of peptic ulcer are: Zollinger-Ellison syndrome which is a tumor of the pancreas???s head that secrets acid and therefore causes peptic ulcers and generalized anxiety disorder in people who worry to much , who suffer from stress seem to be affected by peptic ulcers.
In many patients there may appear no symptoms at all, while some report pain as a burning indigestion, abdominal discomfort, but those symptoms are relieved by foods and antiacids. 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.
What Is A Peptic Ulcer
Many people are suffering from peptic ulcer.It is generally known that ulcer appears to men,but nowadays women also suffer from peptic ulcer.The peptic ulcer deals with the digestive process.For example the ulcer in the lining of the stomach is calling the gastric ulcer and the ulcer in the upper part of small intestine, or duodenum, is called a duodenal ulcer.
The lining of the stomach contains special cells, chemicals and mucous that prevent the stomach from being damaged by its own acids and digestive enzymes.The ulcer can be small or deep.The major cause of the ulcer is the bacterium H. pylori.This infection can harm only 20% of people infected.In some people, H. pylori infection somehow upsets the delicate balance between the damaging effects of gastric acids and the body's natural protection.A second common cause of ulcers can be the nonsteroidal anti-inflammatory drugs (NSAIDs)such as aspirin, ibuprofen (Advil, Motrin and others) and naproxen (Aleve, Naprosyn).Several factors can increase the risk of developing a peptic ulcer.These damaging factors are:cigarettes, alcohol, stress and spicy food.
The effect produced by the ulcer is the burning or gnawing pain in the upper abdomen. This typically occurs when the stomach is empty, and may be worse at night or upon waking.Other symptoms are: nausea, vomiting, loss of appetite, bloating, burping and weight loss.In more severe cases, ulcer may bleed or extend deep into the wall of the stomach or intestine.
For diagnosis are recommended the following tests:
1) a blood antibody test for evidence of H. pylori infection.If the test is positive a treatmentmay be given without more invasive tests.In some cases the test may remain positive even aftera given treatment. Unfortunately this test cannot tell if the ulcer is produced by the H. pylori.
2) an esophagogastroduodenoscopy is made with the lighted tube with a tiny camera on the end, which is passed through the stomach and intestines.Other way of examining ulcer is the biopsy(a small piece of the lining of the stomach), which is a close examination of the tissue in a laboratory.
3) an upper-gastrointestinal(GI)series is a test which involves X-ray taken after the person drinks a chalky liquid. With this method the existence of an ulcer can be observed.
Ulcers caused by medication should stop after the person stop taking drugs and the ulcer caused by H. pylori may heal or may not.Gastric ulcer heals more slowly than duodenal ulcer. But the worse is the fact that H. pylori can return and cause another ulcer,if the first infection is not eliminated completely.
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