Endoscopy. Has largely replaced less clear contrast barium swallows.
What's the least invasive way to test for duodenal ulcer? My symptoms point to it, but I have conditions that make sedation risky do want to avoid it.
Barium x-ray. You may wish to discuss having a barium x-ray of your upper GI tract, if you do not wish to undergo sedation for an upper endoscopy which would be the better test.
Upper GI. Endoscopy, as you likely know, is the best way to diagnose duodenal ulcer. The second best way is an upper gastrointestinal (UGI) x-ray using swallowed barium sulfate as a contrast agent. The latter does not require sedation.
Most commonly. Related to acid insult and treated with proton pump inhibitors or h2 blockers.
H. pylori. The majority of ulcers are caused by this bacterium helicobacter pylori. Other causes may involve high doses of anti inflammatory drugs or rarely tumors that secrete gastrin causing acid hyper secretion- zollinger ellison syndrome.
Acid, bacteria. Duodenal ulcers are assoc with a bacteria (h.Pylori) in the majority of cases. Other causes include: too much acid production, which can be seen with certain conditions/medications: (cushings/cortisol, stress, some tumors, short bowel length), toxins (alcohol, nsiad's-iboprofen).
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.
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.
No real restrictions. My only suggestion would be to avoid "NSAIDs" (such as motrin, aleve, (naproxen) advil, naprosyn) and avoid alcohol. No dietary restrictions otherwise.
Duodenal ulcer. Most duodenal ulcers are caused by an infection. You should see your doctor about the cause of your ulcer and treatment. If you have an infection, diet alone will not help you heal.
4-6 weeks. Need to work up the cause of the ulcer. Most commonly related to the bacteria h.Pylori. Need to have medical follow up to be sure the infection is eradicated.