Do you often feel that gnawing pain in your tummy even if you’re not hungry at all?Then you might be suffering from peptic ulceres and not know it.
Peptic ulcers are sores in the inner
lining of the gastrointestinal tract starting from the esophagus,
stomach or duodenum (the first part of the smal intestine). A peptic
ulcer of the stomach is called a gastric ulcer; of the duodenum, a
duodenal ulcer; and of the esophagus, an esophageal ulcer. Peptic ulcers
happen when the lining of these organs is corroded by the acidic
digestive (peptic) juices which are secreted by the cells of the
stomach.
Contrary to popular belief, alcohol,
coffee, colas, spicy foods, and caffeine have no proven role in ulcer
formation. Similarly, there is no conclusive evidence to suggest
that life stresses or personality types contribute to ulcer disease.
Spicy food and stress (except when associated with extreme medical
conditions) may aggravate ulcer symptoms in some people, but they do not
cause ulcers. The direct cause of peptic ulcers is the destruction of
the gastric or intestinal mucosal lining of the stomach by hydrochloric
acid, thus causing the sores. Hydrochloric acid is normally present in
the digestive juices of the stomach.
The truth is, the majority of ulcers are
caused either by infection with a bacterium called Helicobacter pylori
(H. pylori), a spiral-shaped bacterium that lives in the acidic
environment of the stomach or by use of pain medications such as
aspirin, ibuprofen, or naproxen, the so-called nonsteroidal
antiinflammatory drugs (NSAIDs).
The major symptom of an ulcer is a
burning or gnawing feeling in the stomach which can often interpreted
as heartburn, indigestion or hunger. Pain is usually caused by the ulcer
but it may be aggravated by the stomach acid when it comes into contact
with the ulcerated area. The pain caused by peptic ulcers can be felt
anywhere from the navel up to the sternum, it may last from few minutes
to several hours and it may be worse when the stomach is empty. Also,
sometimes the pain may flare at night and it can commonly be temporarily
relieved by eating foods that buffer stomach acid or by taking
anti-acid medication. However, peptic ulcer disease symptoms may be
different for every sufferer.
In some individuals the pain occurs
immediately after eating. In other individuals, the pain may not occur
until hours after eating. The pain frequently awakens the person at
night. Weeks of pain may be followed by weeks of not having pain. Pain
can be relieved by drinking milk, eating, resting, or taking antacids.
People with stomach ulcers sometimes
lose appetite and therefore lose weight. Persons with duodenal ulcers
may experience weight gain because the persons eats more to ease
discomfort. Recurrent vomiting, blood in the stool and anemia are also
symptoms of a stomach ulcer.
In severe cases, symptoms of ulcer may
include dark or black stool (caused by internal bleeding) and vomiting
blood (vomit may be grainy and black like “coffee-grounds”).
How are ulcers treated?
The goal of ulcer treatment is to
relieve pain, heal the ulcer, and prevent complications. The first step
in treatment involves the reduction of risk factors ( less intake of
NSAIDs and avoid smoking). The next step is medications such as
antacids, H2 blockers, Proton-pump inhibitors (PPIs), Sucralfate
(Carafate) and misoprostol (Cytotec). Some of these medications may
cause side effects so it would be best if you consult your doctor
first.
Many stomach ulcers heal on their own.
However, it is important to seek medical attention if you believe you
have a stomach ulcer. If not properly treated, stomach ulcers can lead
to serious health problems, including:
- Internal bleeding
- A hole through the wall of the stomach
- Gastric outlet obstruction from swelling or scarring that blocks the passageway leading from the stomach to the small intestine.
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