Peptic ulcer – Symptoms and causes

Overview

Ulcers

Ulcers

Ulcers

A peptic ulcer is a sore on the line of your digest, modest intestine or esophagus. A peptic ulcer in the stomach is called a gastric ulcer. A duodenal ulcer is a peptic ulcer that develops in the first character of the small intestine ( duodenum ). An esophageal ulcer occurs in the lower separate of your esophagus .
peptic ulcers are open sores that develop on the inside line of your stomach and the upper part of your little intestine. The most coarse symptom of a peptic ulcer is stomach pain .
peptic ulcers include :

  • Gastric ulcers that occur on the inside of the stomach
  • Duodenal ulcers that occur on the inside of the upper portion of your small intestine (duodenum)

The most common causes of peptic ulcers are infection with the bacteria Helicobacter pylorus ( H. pylorus ) and long-run use of nonsteroid anti-inflammatory drugs ( NSAIDs ) such as ibuprofen ( Advil, Motrin IB, others ) and naproxen sodium ( Aleve ). tension and piquant foods do not cause peptic ulcers. however, they can make your symptoms worse .

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Symptoms

  • Burning stomach pain
  • Feeling of fullness, bloating or belching
  • Intolerance to fatty foods
  • Heartburn
  • Nausea

The most common peptic ulcer symptom is burning stomach annoyance. Stomach acid makes the trouble bad, as does having an empty stomach. The trouble can frequently be relieved by eating certain foods that buffer stomach acid or by taking an acid-reducing medication, but then it may come spinal column. The pain may be worse between meals and at night .
many people with peptic ulcers do n’t even have symptoms .
Less often, ulcers may cause severe signs or symptoms such as :

  • Vomiting or vomiting blood — which may appear red or black
  • Dark blood in stools, or stools that are black or tarry
  • Trouble breathing
  • Feeling faint
  • Nausea or vomiting
  • Unexplained weight loss
  • Appetite changes

When to see a doctor

See your doctor if you have the austere signs or symptoms listed above. besides see your doctor if nonprescription antacids and acid blockers relieve your pain but the pain returns .

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Causes

peptic ulcers occur when acerb in the digestive tract eats aside at the inner coat of the stomach or small intestine. The acerb can create a atrocious receptive afflictive that may bleed .
Your digestive tract is coated with a mucous layer that normally protects against acidic. But if the sum of acerb is increased or the measure of mucus is decreased, you could develop an ulcer .
common causes include :

  • A bacterium. Helicobacter pylorus bacteria normally live in the mucous layer that covers and protects tissues that line the stomach and small intestine. Often, the H. pylorus bacteria causes no problems, but it can cause excitement of the stomach ‘s inner layer, producing an ulcer .
    It ‘s not clear how H. pylori infection spreads. It may be transmitted from person to person by close contact, such as kissing. People may besides abridge H. pylorus through food and water .
  • Regular use of certain pain relievers. Taking aspirin, as well as certain over-the-counter and prescription pain medications called nonsteroidal anti-inflammatory drugs (NSAIDs), can irritate or inflame the lining of your stomach and small intestine. These medications include ibuprofen (Advil, Motrin IB, others), naproxen sodium (Aleve, Anaprox DS, others), ketoprofen and others. They do not include acetaminophen (Tylenol, others).
  • Other medications. Taking certain other medications along with NSAIDs, such as steroids, anticoagulants, low-dose aspirin, selective serotonin reuptake inhibitors (SSRIs), alendronate (Fosamax) and risedronate (Actonel), can greatly increase the chance of developing ulcers.

Risk factors

In accession to having risks related to taking NSAIDs, you may have an increased gamble of peptic ulcers if you :

  • Smoke. Smoking may increase the risk of peptic ulcers in people who are infected with H. pylori.
  • Drink alcohol. Alcohol can irritate and erode the mucous lining of your stomach, and it increases the amount of stomach acid that’s produced.
  • Have untreated stress.
  • Eat spicy foods.

alone, these factors do not cause ulcers, but they can make ulcers worse and more difficult to heal .

Complications

Left untreated, peptic ulcers can result in :

  • Internal bleeding. Bleeding can occur as slow blood loss that leads to anemia or as severe blood loss that may require hospitalization or a blood transfusion. Severe blood loss may cause black or bloody vomit or black or bloody stools.
  • A hole (perforation) in your stomach wall. Peptic ulcers can eat a hole through (perforate) the wall of your stomach or small intestine, putting you at risk of serious infection of your abdominal cavity (peritonitis).
  • Obstruction. Peptic ulcers can block passage of food through the digestive tract, causing you to become full easily, to vomit and to lose weight either through swelling from inflammation or through scarring.
  • Gastric cancer. Studies have shown that people infected with H. pylori have an increased risk of gastric cancer.

Prevention

You may reduce your risk of peptic ulcer if you follow the like strategies recommended as home remedies to treat ulcers. It besides may be helpful to :

  • Protect yourself from infections. It ‘s not clear good how H. pylori spreads, but there ‘s some tell that it could be transmitted from person to person or through food and water .
    You can take steps to protect yourself from infections, such as H. pylorus, by frequently washing your hands with soap and water and by eating foods that have been cooked wholly .
  • Use caution with pain relievers. If you regularly use pain relievers that increase your risk of peptic ulcer, take steps to reduce your risk of stomach problems. For example, take your medication with meals .
    work with your doctor to find the lowest venereal disease possible that still gives you pain relief. Avoid drinking alcohol when taking your medicine, since the two can combine to increase your risk of stomach upset.

    If you need an NSAID, you may need to besides take extra medications such as an antacid, a proton pump inhibitor, an acidic blocker or cytoprotective agent. A classify of NSAIDs called COX-2 inhibitors may be less likely to cause peptic ulcers, but may increase the risk of heart attack .

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