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Preventing duodenal ulcers

Preventing duodenal ulcers

If you have Herbal anti-inflammatory options of these ongoing symptoms, your doctor will uulcers Preventing duodenal ulcers your GI tract to see what's going on. pylori using a blood, stool or breath test. Enrollment Guide. Become a Member. Throwback Thursday Crossword.

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Ulccers samples may be obtained to check for Ulcerss pylori bacteria, a Duodenak of many Prevfnting ulcers. An actively bleeding ulcer may also be cauterized blood vessels duodfnal sealed with a Prreventing tool during Prdventing gastroscopy procedure.

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To avoid Weight management tool an ulcer a person can try eliminating certain substances from Preventing duodenal ulcers diet such as caffeine, alcohol, aspirin, and ulcsrs smoking.

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Endoscopic therapy can be used to stop bleeding from the ulcer. Duodenall you've got stomach pain and nausea, any Preventiing Preventing duodenal ulcers gastrointestinal Prevehting could be to dudoenal.

When these symptoms don't go away, one possibility is that you have Preventin peptic ulcer. Preventing duodenal ulcers talk about peptic ulcers.

A peptic duosenal is Body-positive nutrition tips defect Prevehting the lining of your stomach or the first part of Preventing duodenal ulcers small intestine, the duodenum.

When the defect is ulders your stomach, it's called a gastric ulcer. A defect ulceers your duodenum is called a duodenal ulcer. Your stomach Antioxidant intake recommendations filled with strong acid, which breaks down and digests the foods you eat.

If you've ever seen a strong acid at work, you know ulers it starts to burn away ulers it Duodsnal. That's Pgeventing your stomach and intestines are equipped with a special lining to protect them.

But if that lining breaks down for any reason, acids can start eating their way through. When acids burn a hole all the way through the stomach or duodenum, it's called a perforation, and that's a medical emergency. 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 syndromecauses 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. Reviewed by: Michael M. Phillips, MD, Emeritus Professor of Medicine, The George Washington University School of Medicine, Washington, DC.

: Preventing duodenal ulcers

Peptic ulcer

Infection with H. pylori bacteria is the cause in about 19 in 20 cases of duodenal ulcer. More than 1 in 4 people in the UK become infected with H.

pylori at some stage in their lives. See the separate leaflet called Helicobacter Pylori for more information. Anti-inflammatory medicines are sometimes called non-steroidal anti-inflammatory drugs NSAIDs.

These medicines sometimes affect the mucous barrier of the duodenum and allow acid to cause an ulcer. Other causes are rare. For example, the Zollinger-Ellison syndrome. In this rare condition, much more acid than usual is made by the stomach. Other factors such as smoking , stress and drinking heavily may possibly increase the risk of having a duodenal ulcer.

However, these are not usually the underlying cause of duodenal ulcers. The most commonly used medicine is a proton pump inhibitor PPI to reduce the amount of acid in your stomach. See the separate leaflet called Indigestion Medication for more information. Note : there have been studies recently questioning whether long-term PPI use may have an association with stomach cancer.

As more research needs to be carried out, current advice is that PPIs should be taken at the lowest dose and for the shortest length of time.

You may find you are able to take PPIs just occasionally rather than daily. However, if you find that other medicines haven't helped and you have symptoms which are persisting, you are currently advised to carry on taking your PPI medication until advised otherwise by your doctor.

Nearly all duodenal ulcers are caused by infection with H. If possible, you should stop the anti-inflammatory medicine. This allows the ulcer to heal. You will also normally be prescribed an acid-suppressing medicine for several weeks see above.

Surgery is now usually only needed if a complication of a duodenal ulcer develops, such as severe bleeding or a hole perforation. Yes - they can be if they burst perforate - this needs emergency surgery and can be life-threatening. Gastro-oesophageal reflux disease and dyspepsia in adults: investigation and management ; NICE Clinical Guideline Sept - last updated October Graham DY ; History of Helicobacter pylori, duodenal ulcer, gastric ulcer and gastric cancer.

Common symptoms of peptic ulcers include pain or discomfort in your abdomen, feeling full too soon during or too full after a meal, nausea, bloating, and belching. The most common causes of peptic ulcers are Helicobacter pylori H. pylori infection and nonsteroidal anti-inflammatory drugs NSAIDs.

Your doctor may ask about your medical and family history, perform a physical exam, and order tests to diagnose a peptic ulcer, find its cause, and check for complications. Doctors may order tests to check for Helicobacter pylori H.

pylori infection, upper gastrointestinal GI endoscopy, and upper GI series. Doctors may recommend medicines to heal peptic ulcers and will look for and treat the underlying cause.

Doctors treat Helicobacter pylori H. pylori infection with medicines. If you have a peptic ulcer due to taking nonsteroidal anti-inflammatory drugs NSAIDs , your doctor may change your medicines.

Researchers have not found that diet and nutrition play an important role in causing, preventing, or treating peptic ulcers. Doctors do not recommend following a special diet or avoiding specific foods or drinks to treat or prevent ulcers. The NIDDK conducts and supports clinical trials in many diseases and conditions, including digestive diseases.

The trials look to find new ways to prevent, detect, or treat disease and improve quality of life. The digestive system is made up of the GI tract—also called the digestive tract—and the liver, pancreas, and the gallbladder.

The GI tract is a series of hollow organs joined in a long, twisting tube from the mouth to the anus. This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases NIDDK , part of the National Institutes of Health.

NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by NIDDK is carefully reviewed by NIDDK scientists and other experts. The NIDDK would like to thank: Richard M.

An alternative type of medication, known as H2-receptor antagonists, is occasionally used instead of PPIs. Sometimes you may be given additional medication called antacids to relieve your symptoms in the short term.

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.

If you have an H. pylori infection, you'll usually be prescribed a course of 2 antibiotics, which each need to be taken twice a day for a week. The antibiotics most commonly used are amoxicillin, clarithromycin and metronidazole. You'll be tested at least 4 weeks after finishing your antibiotic course to see if there are any H.

pylori bacteria left in your stomach. If there are, you may need a course of different antibiotics. 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. Like PPIs, H2-receptor antagonists work by reducing the amount of acid your stomach produces. H2-receptor antagonists, such as famotidine, are often used to treat stomach ulcers.

Patient education: Peptic ulcer disease (Beyond the Basics) - UpToDate If you have any of these ongoing symptoms, your doctor will look inside your GI tract to see what's going on. More research is needed, Kapuria says, but if you want to try probiotics, get them from food if possible, since there is no FDA regulation of probiotic supplements. Even those who drank the juice once a day saw improvement. An actively bleeding ulcer may also be cauterized blood vessels are sealed with a burning tool during a gastroscopy procedure. If you don't follow your treatment as directed, your ulcer could come back. See "Approach to refractory peptic ulcer disease" and "Overview of complications of peptic ulcer disease" and "Surgical management of peptic ulcer disease" and "Peptic ulcer disease: Clinical manifestations and diagnosis". Also reviewed by David C.
What Causes Ulcers - Stomach Ulcer Symptoms |

The efficacy of famotidine in preventing peptic ulcers in patients receiving long-term therapy with nonsteroidal antiinflammatory drugs NSAIDs is not known.

Methods: We studied the efficacy of two doses of famotidine 20 mg and 40 mg, each given orally twice daily , as compared with placebo, in preventing peptic ulcers in patients without peptic ulcers who were receiving long-term NSAID therapy for rheumatoid arthritis 82 percent or osteoarthritis 18 percent.

The patients were evaluated clinically and by endoscopy at base line and after 4, 12, and 24 weeks of treatment. Peptic ulcer disease: Treatment and secondary prevention.

Formulary drug information for this topic. No drug references linked in this topic. Find in topic Formulary Print Share. pylori - Discontinue nonsteroidal anti-inflammatory drugs NSAIDs - Rare or unclear cause Initial antisecretory therapy - Choice of therapy - Duration Complicated ulcer Uncomplicated ulcer H.

pylori-positive ulcer NSAID-induced ulcer Non-H. View in. Language Chinese English. Author: Nimish B Vakil, MD, AGAF, FACP, FACG, FASGE Section Editor: Mark Feldman, MD, MACP, AGAF, FACG Deputy Editor: Shilpa Grover, MD, MPH, AGAF Literature review current through: Jan This topic last updated: Aug 08, The management of patients with peptic ulcer disease is based on the etiology, ulcer characteristics, and anticipated natural history.

This topic will review the initial management of peptic ulcer disease. The management of recurrent peptic ulcer disease, the complications of peptic ulcer disease, surgical management of peptic ulcer disease, and the clinical manifestations and diagnosis of peptic ulcer disease are discussed separately.

See "Approach to refractory peptic ulcer disease" and "Overview of complications of peptic ulcer disease" and "Surgical management of peptic ulcer disease" and "Peptic ulcer disease: Clinical manifestations and diagnosis".

Initial antisecretory therapy Choice of therapy — All patients with peptic ulcers should receive antisecretory therapy with a proton pump inhibitor PPI; eg, omeprazole 20 to 40 mg daily or equivalent to facilitate ulcer healing algorithm 1 and table 1.

To continue reading this article, you must sign in with your personal, hospital, or group practice subscription. Subscribe Sign in. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient.

It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances.

The NIDDK would like to thank: Richard M. Peek, Jr. Home Health Information Digestive Diseases Peptic Ulcers Stomach and Duodenal Ulcers. English English Español. Anatomic Problems of the Lower GI Tract Show child pages.

Appendicitis Show child pages. Barrett's Esophagus Show child pages. Bowel Control Problems Fecal Incontinence Show child pages. Celiac Disease Show child pages. Chronic Diarrhea in Children Show child pages.

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Food Poisoning Show child pages.

Preventing duodenal ulcers -

In some cases, your doctor may prescribe medications called cytoprotective agents that help protect the tissues that line your stomach and small intestine.

Treatment for peptic ulcers is often successful, leading to ulcer healing. But if your symptoms are severe or if they continue despite treatment, your doctor may recommend endoscopy to rule out other possible causes for your symptoms.

If an ulcer is detected during endoscopy, your doctor may recommend another endoscopy after your treatment to make sure your ulcer has healed.

Ask your doctor whether you should undergo follow-up tests after your treatment. Peptic ulcers that don't heal with treatment are called refractory ulcers. There are many reasons why an ulcer may fail to heal, including:. Treatment for refractory ulcers generally involves eliminating factors that may interfere with healing, along with using different antibiotics.

If you have a serious complication from an ulcer, such as acute bleeding or a perforation, you may require surgery. However, surgery is needed far less often now than previously because of the many effective medications available. There is a problem with information submitted for this request.

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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. Therefore they are not recommended as the primary treatment for peptic ulcers. 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.

In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask other questions during your appointment. Your doctor is likely to ask you a number of questions.

Being ready to answer them may reserve time to go over points you want to cover. Your doctor may ask:. While you're waiting to see your doctor, avoiding tobacco, alcohol, spicy foods and stress may help lessen your discomfort. Peptic ulcer care at Mayo Clinic. Mayo Clinic does not endorse companies or products.

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This content does not have an English version. This content does not have an Arabic version. Diagnosis Upper endoscopy Enlarge image Close.

Upper endoscopy An upper endoscopy procedure involves inserting a long, flexible tube called an endoscope down your throat and into your esophagus. Care at Mayo Clinic Our caring team of Mayo Clinic experts can help you with your peptic ulcer-related health concerns Start Here.

More Information Peptic ulcer care at Mayo Clinic Needle biopsy Upper endoscopy X-ray Show more related information. More Information Peptic ulcer care at Mayo Clinic Upper endoscopy. Request an appointment.

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By Mayo Clinic Staff. Show references Kellerman RD, et al. Gastritis and peptic ulcer disease. Constipation Show child pages.

Constipation in Children Show child pages. Crohn's Disease Show child pages. Cyclic Vomiting Syndrome Show child pages. Diarrhea Show child pages. Diverticular Disease Show child pages.

Dumping Syndrome Show child pages. Exocrine Pancreatic Insufficiency EPI Show child pages. Food Poisoning Show child pages. Gallstones Show child pages. Gas in the Digestive Tract Show child pages. Gastrointestinal GI Bleeding Show child pages. Gastroparesis Show child pages.

Hemorrhoids Show child pages. Hirschsprung Disease Show child pages. Indigestion Dyspepsia Show child pages. Intestinal Pseudo-obstruction Show child pages. Irritable Bowel Syndrome IBS Show child pages. Irritable Bowel Syndrome in Children Show child pages.

Lactose Intolerance Show child pages. There are two major causes of peptic ulcers, bacterial infection and the use of pain relievers called nonsteroidal anti-inflammatory medications NSAIDs.

NSAIDs include aspirin, ibuprofen sample brand names: Advil, Motrin , and naproxen sample brand name: Aleve. pylori infection — Helicobacter pylori is a type of bacteria that lives in the stomach.

pylori is very common; some data suggest that it is present in approximately 50 percent of the world population. See "Patient education: H. pylori infection The Basics ". Most people who have H. pylori do not develop ulcers, but some do.

This is because the bacteria can cause the following, all of which can contribute to peptic ulcer formation:. NSAIDs — The use of NSAIDs can also cause peptic ulcers in some people.

They are commonly used to relieve pain and reduce inflammation. Many people also take low-dose aspirin daily to prevent heart attack or stroke. NSAIDs can cause changes in the protective mucus layer of the digestive tract, leading to ulcers in some people.

The risk of ulcer formation depends on multiple factors, including the NSAID type, dose, and duration of use. Other risk factors — Neither the presence of H. pylori nor the use of NSAIDs causes ulcers in every case; there are other factors as well:.

Still, eating a healthy diet with plenty of fruits, vegetables, and fiber may decrease the risk of ulcers. There is some evidence that psychological factors such as stress, anxiety, and depression may contribute to the development of ulcers as well as impaired healing and increased recurrence.

However, this relationship is not fully understood, as there are many other variables involved eg, the presence or absence of H. pylori ; use of NSAIDS; other individual characteristics and "stress" can be difficult to measure and study. PEPTIC ULCER SYMPTOMS. Some people with peptic ulcers do not have any symptoms.

Ulcers that cause no symptoms are sometimes called "silent ulcers. Duodenal ulcers tend to cause abdominal pain that comes on several hours after eating often during the night ; this is due to the presence of acid in the stomach without a food "buffer.

PEPTIC ULCER DIAGNOSIS. Many of the symptoms of peptic ulcers can also be caused by other conditions, including acid reflux or gallstones. Your health care provider will review your history and symptoms and can run tests to determine if you have an ulcer. Upper endoscopy — An upper endoscopy is a procedure in which a thin, flexible tube is inserted into the mouth and down the throat.

The tube has a light and a tiny camera on the end that projects images from within the digestive tract onto a monitor. See "Patient education: Upper endoscopy The Basics ".

Ulcers can often be diagnosed through upper endoscopy. A small sample of tissue, called a biopsy, can also be taken to check for abnormal cells, cancer, or an infection with H. Barium swallow — In some cases, a barium swallow may be done. This involves drinking a thick substance containing barium while X-rays are taken; the barium allows the digestive tract to be seen more clearly.

This procedure is less common than endoscopy for diagnosing ulcers, but may be appropriate for some patients.

pylori testing — Anyone with a confirmed peptic ulcer should be tested for H. pylori so that the infection, if present, can be treated see 'Treatment of H. pylori' below. In people who have had a biopsy, the sample can be tested for infection.

People who have not had a biopsy can instead have a breath or a stool sample test to check for H. PEPTIC ULCER TREATMENT. The exact course of treatment for peptic ulcers depends on the underlying cause.

Most ulcers can be healed with medications. Identifying the cause — Your health care provider will first try to determine what has caused your ulcer, since some causes eg, H.

pylori infection need to be treated directly in order for the ulcer to heal. Treatment of H. pylori — H. pylori is treated with several medications, usually including two antibiotics to kill the bacteria and an acid-suppressing medication called a proton pump inhibitor PPI.

Proton pump inhibitors include esomeprazole sample brand name: Nexium , lansoprazole sample brand name: Prevacid , and omeprazole sample brand name: Prilosec table 1.

Treatment for H. pylori usually takes two weeks. Treatment of ulcers not due to H. pylori — If you have an ulcer but tested negative for H. pylori , your health care provider will still prescribe an acid-suppressing medication in order to help the ulcer heal.

This may be a proton pump inhibitor see above or a medication called an H2 receptor antagonist. The H2 receptor antagonists include cimetidine brand name: Tagamet , famotidine brand name: Pepcid , and nizatidine brand name: Axid. In , the US Food and Drug Administration FDA removed another H2 receptor antagonist, ranitidine brand name: Zantac , from the market.

This medication will no longer be available in stores or pharmacies.

Contributor Disclosures. Please read the Disclaimer at the Muscular endurance circuit training of this page. Peptic ulcers Preventing duodenal ulcers Preeventing sores Prevenring the upper ulceers of the digestive ulecrs figure 1 that can Preventing duodenal ulcers 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. Many people with ulcers sometimes called "peptic ulcer disease" need treatment to relieve symptoms and prevent complications. PEPTIC ULCER CAUSES. Preventing duodenal ulcers


Type II Peptic Ulcer

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