Doctor insights on:
Duodenal Bulb Ulcer
Recent egd showed erythematous in the antrum and a single bleeding ulcer in the distal duodenal bulb. Can these be from the nissen I had?
Intestinal ulcer: The duodenum is the first portion of the small intestine where the stomach empties. It is exposed to stomach acid and is at significant risk of ulcer formation. The 2 most common causes of stomach or duodenal ulcers are infection with the helicobacter pylori bacteria and the use of non-steroidal anti-inflammatory (NSAID) drugs such as aspirin, ibuprofen, naproxen, meloxicam, etc.
Duodenal ulcer heal: Complex issue. 1. What is the cause of the ulcer 2. Where exactly in duo is it. 3. What other illness do you have. 4. What treatments are being given. 5.Surgery will fix it immediately-usually. Let's chat so I can give the best answer in YOUR situation.
Not really: Duodenal ulcers do not heal on their own as these are caused by h pylori infection and need antibiotics and acid suppression therapy to heal. In rare cases these may heal on its own with proper diet and acid suppression, that was the case in past before we knew that these ulcers are caused by bacteria.
HPylori?: The majority of duodenal ulcers occur in the setting of hpyloriminfection, so that needs to be eradicated. In addition one should be on a ppi and avoid nsaids.
Duodenal Ulcers: The most common cause of duodenal ulcer is a stomach infection associated with the helicobacter pylori (h pylori) bacteria. Other risk factors for duodenal ulcers include overuse of alcohol, tobacco, and medications such as Aspirin and nonsteroidal anti-inflammatory drugs (nsaids). Severe illness has also been implicated as a risk factor in the development of duodenal ulcer.See 3 more doctor answers
Cuts down stom acid: It is an effective medicine in treating inflammation and pain in the stomach. It is in a class of drugs known as an H2 blocker and has been used for years to treat stomach related issues. There are now other, stronger medicines available, so Zantac (ranitidine) is less frequently used.
Very complex: The pathophysiology of stress-related ulcers is complex. Infection with h pylori is by now a well-known factor. Chronic stress can lead to changes in GI blood flow that allows breakdown and disrepair of protective barriers to stomach & intestinal lining -- resulting in tiny micro-erosions that proceed to larger ones (ulcers). Patients in the ICU often experience such changes also.
Currently ongoing: Active means that it is actually ongoing at this time. As opposed to a resolved, or healed ulcer. The difference can be seen on direct visualization by a procedure known as gastro-esophageal-duodenoscopy, or EGD for short
Burning pain, nausea: Gnawing pain, discomfort that persists, nausea, general malaise....Pain may be in mid upper abdomen, but also could radiate toward the sides, and even thru to the back. If take simple over the counter antacids and it goes away, fine. But if it persists, and you have to keep taking them daily, not fine. Get thee to the doc.
Ulcer: A duodenal ulcer is an ulcer located in the first part of the small intestine, right after the stomach. This can be caused by many things, most commonly from NSAID use (e.g. Advil, (ibuprofen) motrin, aspirin) and bacterial infections (e.g. Helicobacter pylori). These are treated by endoscopy and acid blocking medications.
Duodenal ulcer: Any break in the lining mucosa of the first portion of the small intestine.
Bland, nonspicy: Bland non spicy timely food... will help.
Meds will help: Previously recommendations were to avoid spicy foods, acidic foods, coffee and the like. More recently it has be determined that for most people those dietary restrictions are not needed. But if a certain food bothers you, coffee etc., by all means, avoid those foods.