Stomach ulcer, symptoms, treatment, types and causes, natural remedies

by admin / Oct 10, 2016 / 0 comments

Smoking, alcohol and caffeine cause irritation and gastric mucosal lesions. If you feel the epigastric pain, it is not recommended to get painkillers immediately. Although they lead to a short-term pain relief at the same time attack the lining of the small intestine. Analgesic should be administered only after consulting your doctor. Even for chronic diseases that require long-term treatment (such as chronic articular rheumatism), the waiver of these drugs is only possible under certain conditions but most often, sufferers can not renounce them. In such cases you must check if it is not possible the use of newer drugs more easily tolerated by the stomach.

Ulcer Complications consist of the following:
hemorrhage shock
Perforation (tearing ulcer)
Penetration (ulcer extension to neighboring organs)
Pilorostenoza (narrowing of the pyloric orifice)
Strengthening malignant especially in combating the bacteria Helicobacter
The frequency of this complication, however, is a controversial topic.
Ulcer bleeding:
Gastric ulcer and the duodenal ulcer may bleed since the first symptoms, but also as recurrent ulcers in the case of a chronic ulcer. Treatment with certain painkillers or in combination with cortisone is the most important risk factor. Men with advanced age (over 60 years) who have complications of ulcer oldest and ulceration diameter greater than 2 centimeters are at greater risk of bleeding.

About 10% of all cases of ulcer bleeding, and 10% of fatal bleeding wind up. The pyloric hole is surrounded by large blood vessels that may be affected in case of a bleeding ulcer, causing bleeding them. The patient's life is in danger because if an emergency operation, access to this area of ​​the body is difficult, with the risk of unstopping bleeding on time. Chronic bleeding ulcers often remain unnoticed and are only detected during routine examinations, as is reflected in the values ​​of blood that indicate anemia. Acute bleeding may end up dramatically. Symptoms include massive loss of blood (red blood is removed through the stool, vomiting blood and hemorrhagic shock).

If there is suspicion of a bleeding ulcer patient should be immediately transported to the nearest hospital and examined! If massive blood loss, the circulatory system must be stabilized through blood transfusions and glucose. After or during stabilization of the circulatory system, it will try locating the source of bleeding and endoscopic improvement and by injecting its Suprarenin and / or fibrin based adhesive. If endoscopic techniques do not give any result, it will try to stop the bleeding surgically. For it will open the abdomen, will locate the source of bleeding and ulcers should be removed. Removing a portion of the stomach is necessary nowadays only in very isolated cases.

Perforated ulcer:
Perforations are more common than gastric duodenal ulcers. They form a link between the duodenum or the stomach and organs (pancreas, colon) or abdominal cavity free. The most important risk factor consists in the administration of certain drugs antineuralgic. Are typical spontaneous pain which is installed in the upper abdomen with spreading back. Radiographs of the chest cavity indicate if perforation, the presence of air under the dome of the diaphragm, which normally should not be there. Once interpreted radiography surgeon, it will seek an immediate emergency operation. In addition, they will be given strong antibiotics because infection gastric mucosa can be life threatening even today! Usually, these ulcers are sewn or sectioned. The method of removing a portion of the stomach is a rare procedure.

Pilorostenoza (narrowing of the pyloric opening):
Pilorostenozele form because of stomach ulcers in certain areas. Readable gastric mucosal infection or ulceration of acute or due to ulcer healing. Patients consume food in small quantities and have numerous episodes of vomiting, such as losing weight. Diagnosis is based on endoscopy of stomach and intestine area. When pilorostenoza is formed by an ulcer acute gastritis around, the likelihood of this narrowing after treatment is very high. If the context changes in acute pilorostenoza. It is formed by narrowing the scars that remain after each ulcer healing because they do not heal spontaneously but require reopening endoscopic balloon dilation. Narrowing recurrence risk is very high including drug treatments. In this case, it is necessary operation. The passage is achieved with a pyloroplasty.

Ulcers - treatment and prevention
A certain percentage (40%) of duodenal ulcers and gastric heal spontaneously. The healing process is facilitated by actively modifying the context of the psycho-vegetative patient. This theory is supported by scientific studies that have shown that about 40- 50% of patients were cured by placebo tablets (pseudo-drugs without active ingredients). Effective antacid drugs a little over that of placebo drugs. Uncomplicated ulcers are treated outpatient, bed rest is not necessary. The purpose of treatment is to stop the rapid pain, ulcer healing and prevention of recurrence. On the long term, ulcer disease recurs. Approximately 80% of patients suffer a recurrent ulcer within a year, if for healing ulcers were earlier used drugs inhibiting acid secretion. The explanation is: by these inhibitors is not done killing bacteria Helicobacter pylori ulcers forming. If it realizes a long-term therapy with inhibitors of acid without treating infection, inflammation of the stomach lining may worsen. Therefore, any treatment should begin by killing bacteria Helicobacter pylori. This treatment carries a special name: the bacterium Helicobacter eradication treatment pylori. Both in cases of peptic ulcerations initial and recurrent destruction of bacteria Helicobacter pylori is the primary measure of treatment. Thus not only treating ulcer current, but also provide an effective prophylaxis. Which involves only conventional treatment of acid secretion inhibitors, ulceration heals slower than the combination to eradicate Helicobacter pylori infection and does not confer any protection against a recurrent ulcer that forms in a year after the end of treatment in 60- 80% of the cases. Helicobacter pylori infection for treatment is currently recommended a combination of proton pump to reduce gastric acid production with two antibiotics. The antibiotics used are either Clarithromycin, metronidazole or amoxicillin. Obtain eradication of infection in 85-100% of cases. Successful treatment of an ulcer is possible only if the patient consistently eradication treatment. Treatment should always start with all three drugs in succession. After seven days, the treatment ends. Under normal circumstances, gastric ulcers healing of duodenal ulcers respectively occurs within four- to eight weeks. Eight weeks after starting treatment eradication, it creates a new endoscopy gastrointestinal tract. At this time, between 85-90% of ulcers completely healed. Then biopsies are taken from scarring ulcers to confirm their benign, malignant ulcers may appear as including the criteria endoscopic healed. Simultaneously and tissue samples are collected from different regions of the gastric mucosa to determine the presence of Helicobacter pylori. If by gastroscopy Control finds eight weeks of starting treatment that infection with the bacterium Helicobacter pylori is not yet cured completely in gastric mucosa are sampled tissue from the edge of ulcers and base to determine exactly malignancy or benign. However, if eradication method has proved effective and the event was also ruled out malignancy, treatment will continue for four weeks with a proton pump inhibitor. In the end, it will make a new gastric endoscopy. If after a phase of eradicating the infection has not been destroyed, it will try a new treatment with three drugs. After four - six weeks after the end of the second treatment, its effectiveness will be verified again. A bacterium Helicobacter pylori re-infection occurs in less than 1% of cases. Eradication of the infection is so permanent. Inconsistency in treatment compliance may adversely impact the disease and could facilitate the emergence of another major bleeding.

Pharmaceutical treatment
Antacids: Antacids neutralize stomach acid already formed. These contain magnesium hydroxide and aluminum or carbon bonds and are commercially available as a gel, suspension or tablets in a wide range. Preparations should be administered after an hour or two at meal times and again after 3 hours. Any other drugs must be administered at an interval of one-hour security, otherwise, their assimilation in the stomach could be influenced.

Histamine H2 receptor antagonists: These drugs occupy an important role in treating the acute ulcer and recurrence prevention. Unlike antacids, they decrease the production of stomach acid by blocking histamine receptors in the parietal cells H12. The most important substances are ranitidine, famotidine, nizatidine, cimetidine. Among the advantages are that it is sufficient a single daily dose in the evening. Among the major side effects of H2 inhibitors include allergic reactions, gastrointestinal symptoms such as diarrhea, fatigue, headache and dizziness. Rarely is a general increase in serum creatinine or liver values ​​and an increase in breast cancer among men and a disorder of libido.

Proton pump inhibitor: Omeprazole is a proton pump inhibitor. They reduce acid secretion by inhibiting a key enzyme that is responsible for the transport of protons of the parietal cells of the stomach. They are used mainly in combating infection with helicobacter pylori bacteria in the stomach, small intestine, or recurrent ulcers in Zoller-Ellison syndrome. The most important side effects include gastrointestinal symptoms, constipation and bloating but also to modify the blood. If high doses are injectable, can register vision problems or even blindness due to optic nerve damage. Trainers protective film: protective film makers such as Sucralfate coats the lining of the stomach in a protective coating that lasts up to six hours to the action of gastric acids. Side effects include constipation. These drugs are administered about 1 hour before meals, preferably on an empty stomach. Allowed water consumption. Antacids and H2 receptor antagonists should not be administered concurrently with protective film formers, but only after an hour to avoid any influence on efficiency. ( for more health tips visit )

Anticholinergic: First, pirenzepine inhibits the secretion of gastric juices, by occupying the receptor requiring transport to nervus vagus substance to stimulate the parietal cells of the gastric mucosa. Anticholinergics are used primarily in combination with other anticancer therapies. Given that inhibited not only the main nerve of the parasympathetic but also other nerves, there are a number of effects seconded for those affected in case of a dosage too high, such as dry mouth, impaired bladder emptying disorders, adjustment or heart rhythm increased. In patients with an increased internal pressure of the eye (glaucoma) or suffering from enlargement of the prostate, these drugs can not be administered.

Preparations of bismuth: Treatments include ulcers and preparations based on bismuth, which is now issued in combination with antibiotics to fight infection with the bacterium Helicobacter pylori. They are administered 30 minutes - 1 hour before meals. The patient should know that the seat will turn black (depending on the formulation), and even the tongue, gums or dental prosthesis will color passerby.

Antibiotics: The containing penicillin such as amoxicillin, but also substances such as metronidazole are in increasingly more important in fighting infection with the bacterium Helicobacter pylori in the treatment of ulcers.

Preventive measures
Compliance with treatment instructions and giving up alcohol, nicotine and caffeine supports the healing process. Easily digestible food consumption, divided into several tables, small (about 5 / day) does not overload the stomach, allowing it to be empty at more frequent intervals. In this way, it avoids keeping large amounts of stomach hydrochloric acid for a long time. In principle, all those suffering from ulcer could be recommended psychotherapeutic treatment.