Peptic Ulcer Disease (PUD)| Gastroenterology Endoscopy Center | St. Thomas Medical Group

Overview
A peptic ulcer is a sensitive in the line of the stomach or first character of the small intestine called the duodenum. When an individual has chronic peptic ulcers, it is known as peptic ulcer disease ( PUD ). A healthy digestive tract is coated with a layer of mucus that protects against acidic deterioration. If the mucus decreases or the acid increases, an ulcer can result. Some ulcers may be associated with infection from a bacteria called Helicobacter Pylori ( H. pylorus ) .
H. pylori can live in the mucus level and much causes no problems, but sometimes the bacteria can cause ignition in the digest line and lento produce an ulcer. H. pylorus can be transmitted through food, water, and close human contact .
Another campaign of PUD is long-run use of anti-inflammatory medicines like aspirin and ibuprofen. And contrary to popular belief, while stress and piquant foods can aggravate ulcers, they do not cause them. If untreated, peptic ulcers may get worse and cause more unplayful problems.

Symptoms of PUD
Burning stomach pain is the most common symptom of peptic ulcers and may come and go for a few days or weeks. trouble is more annoying when the digest is empty and normally recedes after the affected role corrode. The burning sensation may become worse at night and is about always worse on an empty stomach. sometimes, peptic ulcer disease has more hard symptoms .

  • nausea
  • Vomiting of blood—Blood may appear loss or black
  • unexplained burden loss
  • Loss of appetite
  • Dark blood in the stools or tar-like stools

Risk Factors for PUD

  • Alcohol—Alcohol can wear away the mucus trace of the stomach and gut, and it besides increases the sum of abdomen acid that is produced .
  • Smoking—Smoking can increase the risk of peptic ulcers for those who are infected with H. pylorus .
  • long-run use of pain relievers and/or nonsteroid anti-inflammatory drugs ( NSAIDs ) .

Tests to Diagnose PUD

  • H. pylori test- Doctors can test for the bearing of H. pylorus in the system by a blood sample, stool sample or a breath test. It can besides be diagnosed by obtaining a sample of tissue during endoscopy .
  • Endoscopy- an endoscopy is a test that uses a empty tube with a lens attached. The oscilloscope can view the throat, digest and humble intestine and detect an ulcer .
  • Biopsy- if an ulcer is found, a small tissue sample will be removed and examined
  • X-ray- Swallowing barium ( a white liquid ) before the x-ray help doctors see details of the esophagus, stomach, and belittled intestine adenine well as scene the ulcer

Treatments for PUD
Depending on the campaign of the peptic ulcer, treatments will vary .

  • Antibiotics—antibiotics can kill the bacteria H. pylorus in the digestive system. A two-week treatment should be sufficient, and then antacid medicine may be prescribed to control stomach acid .
  • Proton pump inhibitors—these medications reduce abdomen acid by blocking the action of cells that produce acid. Examples of brand-name proton pump inhibitors are Prilosec, Prevacid, Aciphex, Nexium and Protonix .
  • H2 blockers—these medications reduce abdomen acid, reduce annoyance and bring healing. Brand-name products are Zantac, Pepcid, Tagamet, and Axid .
  • Antacids—these medications neutralize stomach acid. side effects can include stultification or diarrhea. Antacids salvage symptoms but do not constantly produce healing .

If medication does not heal a peptic ulcer, this may be an indication of another emergence .

  • An infection early than H. pylorus
  • Zollinger-Ellison syndrome—extreme overproduction of gastric acidic
  • digest cancer
  • Crohn ’ s disease

Lifestyle Changes to Treat PUD
Along with medication, these life style changes may be helpful in assisting to control the pain of peptic ulcer disease .

  • Wise diet choices—eating plenty of fresh fruits, vegetables and hale grains may promote healing. Processed foods, fried foods and junk food will make it harder to heal .
  • Change your annoyance reliever—because PUD can be aggravated by using certain annoyance relievers, talk to your repair about a different option.

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  • Stop smoking—Smoking can affect the mucus trace of the stomach and produce more digest acidic .
  • Avoid alcohol—Alcohol can wear away the mucus layer of the abdomen and intestine .
  • wield stress—Use drill, mediation, relaxation techniques and diversion to reduce stress and reduce stomach acid production .

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