Doctor insights on:
Gnawing pain/None: Interestingly, one can have a severe gnawing pain in the middle and upper stomach and some have no symptoms at all. Usually painful and will go away at times with use of antacids, Zantac (ranitidine) type drugs, Prilosec type drugs and food. If you are concerned about an ulcer, please see your pcp or GI doctor. There are tests to help find out and procedures to help diagnosis and heal. Cancer can cause it! ...Read more
Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more
Can be serious: Peptic ulcer disease can be a serious. The ulcer can lead to maternal blood loss, perforation, etc. Gastritis (irritation of the stomach lining) and heatburn are common in pregnancy. If you have a known ulcer you should see your ob/gyn to assist with treatment with antiacids and in some cases antibiotics for an infection known as helicobacter pylori. These conditions are all managable. ...Read more
Size doesn't matter: Regardless of size, if you really have an ulcer in your stomach (found by x-ray or endoscopy) please seek doctor's advice. Even small ulcers can bleed (sometimes massively), perforate stomach, obstruct stomach emptying. Sometimes, an ulcer can form in a cancer so to avoid this possibility it is important to make sure the ulcer actually heals. Relief of ulcer symptoms doesn't always mean healing. ...Read more
Transnasal endoscopy vs upper endoscopy to diagnose stomach ulcer? Which is more accurate? I perfer to be awake, can I request transnasal instead?
Depends: If your doctor just wants to see if there is an ulcer there, then the transnasal is great. However often they will want to biopsy it. They cannot do this through the transnasal approach. So have a conversation with your gastroenterologist to see what the likelihood is that he/she will want biopsies. ...Read more
Cause and effect: If you are a chronic user of Ibuprofen or other non-steroidal anti-inflammatory drugs and you are symptomatic (abdominal pain, nausea/vomiting, blood in the stool etc) it is very possible that the drug is the cause. A more common cause of a stomach ulcer is helicobacter pylori (a bacterium that can infect the stomach). A gastroenterologist can help make the diangosis with endoscopy if needed. ...Read more
Stress affects GI: Functioning, including stomach upset, diarrhea, constipation, increase or decrease in appetite, etc., and it certainly seems to contribute to ulcer activity in many people. But an australian physician discovered in 1982 that the bacterium helicobacter pylori plays a major role in stomach and duodenal ulcers. Manage stress and check with a physician about an antibiotic for stomach ulcers. ...Read more
Does triple therapy mean you have stomach ulcer and if yes can this case a rise in ALT and AST blood result, itching and hot feet?
Stomach ulcer?: First, see doc to confirm it is an ulcer. If already diagnosed, can use otc ppi like Prilosec or Prevacid or can have doc rx optimal dose of ppi. Sometimes carafate (sucralfate) is added to heal ulcers more quickly. It bonds to ulcer site(s) like a patch to prevent further erosion by acid. Important to take it on empty stomach as food interferes with its function. Avoid acidic foods, caffeine, soda pop, fats. ...Read more
How would be a patient taking Plavix (clopidogrel) treated if he/she got a stomach ulcer? Would Plavix (clopidogrel) be quitted/changed with something else?
Plavix (clopidogrel) stopped: Yes, Plavix (clopidogrel) would be discontinued in this situation. Unfortunately it is really not safer than aspirin when it comes to risk for bleeding from ulcers. In this situation all factors would be considered: reason/need for anti-coagulation, how strong is it, etc. Options would include no anti-coagulation, low or intermediate dose aspirin, self-administered shots/heparin, or warfarin/Coumadin. ...Read more
First, stomach ulcers are often related to infection with H. Pylori. Conventional treatment is with antibiotics but herbs like Mastic Gum can help too. Drugs like Prilosec or Zantac (ranitidine) are usually prescribed but there are natural options like DGL & cabbage juice. See http://tinyurl.com/mp2xh62 &
Dietary changes & supplements can cure reflux- see http://tinyurl.com/7t2gecq ...Read more
Also known as proton pump inhibitors like Omeprazole etc. Are recommended for the treatment of ulcers. Otc antacids may help with short term symptom relief but will not heal ulcers.
If h. Pylori bacterium is present you will need antibiotics as well. Avoid any nsaids, or Aspirin and make sure you eat light avoiding heavy, spicy and acidic foods, including citrus, sodas, caffeine, alcohol & smoking. ...Read more
Sir I have stomach ulcer since 5years what is the best treatment of this. I have pain in stomach 24hour?
See below: Stomach ulcers, like any other tissue injury, will heal on its own. Ulcers don't last 5 years. Ulcers should heal withing 2 months and if not have a high risk for being cancerous. Most who are told they have ulcers, (without an endoscopy to prove it) don't have ulcers. If you have persistent pain for 5 years you need to see your doctor and have an endoscopic evaluation. ...Read more
Is their a surgical way to get rid of stomach ulcers? If so what would my options be. Iv been in hospital twice-three times a year
At 16 years: Of age, seek a good gastro-enterologist! if necessary go to a large medical center for consult. ...Read more
My boyfriend has stomach ulcer and hasnt been to the doctors for years about it. He gets pain after a meal. Does he need a check up?
Hello...dr... Anal fingered a girl and wet same finger with my toung. To lubricate .Am i at risk of getting HIV. I am worried.As i have stomach ulcer?
Small risk: I'm going to make this as simple as I can but it will be gross. Putting your finger in someone's anal area and licking it is the same as eating their poop just in smaller amount. Your stomach can handle a lot bec it has a lot of acid that will break things down so usually won't cause you a problem other than if the partner had diarrhea or other infectious GI issues. Think before you do anything ...Read more
I take NSAIDs for about 1.5 weeks a month due to endometriosis pain. How can I protect my stomach and prevent ulcers?
Silent stomach ulcer: Not always. Ulcers may not hurt if they are due to ongoing use of nsaid's that patients take for their "pain killer" property. Sometimes ulcers in the elderly are without any warning symptoms until they bleed, obstruct, perforate. If you think you have an ulcer, don't wait for it to become overtly painful before you seek medical evaluation. ...Read more