Ulcer: Ten Signs That Don't Lie
The stomach uses gastric juices to interrupt down the food we eat. to guard these powerful substances, it's covered with a thick mucosa. But when the regeneration of this wall is disrupted, its insufficient irrigation or excessive ambient corrosive, damage may occur. This "hole within the stomach" may be a few square millimeters of the partial or total ulcer.
Two sorts of ulcer are often distinguished consistent with their location:
• peptic ulcer is within the duodenum, the junction between the stomach and little intestine. this sort of ulcer covers 90% of cases.
• peptic ulcer is within the stomach itself. More rare, these complications are often more serious.
Ten signs of an ulcer which don't lie are:
1. "The ulcer is an alteration of the liner of the stomach or duodenum is that the first a part of the tiny intestine," said Dr. Angelo Mathew. "In most cases, the pain from the ulcer is found at the epigastrium, that's to mention within the middle of the abdomen and above the umbilicus (belly button). Sometimes it also located right under the ribs (right upper quadrant). "
2. "This is extremely characteristic of the pain of ulcer says Dr. Mathew, gastroenterologist, is that it's punctuated by meals. Generally, when the person is in pain, he just has got to eat something or drink a glass of water or milk to form it "buffers" acidity, so calm the pain. was wrong again 2 or 3 hours later, when the acidity within the stomach is its maximum. Pain can also be night. "
3. "We must take care to not confuse the pain of a stomach ulcer thereupon of coronary heart condition ," warns Angelo Mathew gastroenterologist doctor. "In both cases, the patient may have pain within the middle of the chest. But typically, the ulcer doesn't radiate into the arm or jaw." If this is often the case, it's going to be a non-ulcer, but a stroke, and it's shown in an emergency. However, no risk of confusing with gastro-oesophageal reflux. "The ulcer gives pain sort of a cramp or a painful feeling of hunger while the reflux causes a burning back to the esophagus."
4. it had been long thought that the ulcer was of psychosomatic origin. In fact, the bacterium Helicobacter pylori is liable for most of the ulcers of the stomach or duodenum. Other cases are due mainly to the utilization of nonsteroidal anti-inflammatory drug drugs (NSAIDs), Aspégic ® type Kardégic ® Aspirin Rhone, Aspirin Upsa, Salipran... "And if, additionally , people regularly take aspirin or antiplatelet following cardiovascular problems, we must be vigilant because the danger of bleeding ulcer has increased," said Dr Mathew.
5. "Beyond 65 years, when a doctor prescribes a nonsteroidal anti-inflammatory drug (Aspégic ®, Kardégic ® Aspirin Rhone, Aspirin Upsa, Salipran... ) for any pain he must prescribe an equivalent time an anti drug gastric-secretory (IPP) to guard the stomach, "says Angelo Mathew gastroenterologist." Before this age, counting on the sector ." And altogether cases alcohol, tobacco and history of ulcer within the family are factors that ought to cause them to be aware of his stomach.
6. there's talk about perforated ulcer when "ulcer attack and digs the liner of the stomach. Sometimes it can rupture. Liquid stomach contents spread into the peritoneum, that's to mention , within the abdomen , "explains Dr. Angelo Mathew gastroenterologist. the way to account for this complication? "The pain initially located at the epigastrium wins all the belly becomes hard."
Warning: it's a life-threatening emergency.
7. Bleeding is that the main complication of the ulcer. "This is that the sign that the ulcer has touched a vessel wall of the stomach or duodenum," said Dr. Mathew gastroenterologist. "In this case, we see two sorts of symptoms: either the person vomits blood or stool contains blood they're then digested black and sticky like tar with a really strong odor More rarely, the sole sign is.. acute anemia with drop and tachycardia (continuous or paroxysmal acceleration heartbeat). altogether cases, it's a life-threatening emergency. "
8. "The only thanks to make certain that it's an ulcer is gastroscopy which is to introduce a skinny tube with a camera and mini instruments within the stomach to observe the condition of the mucosa and practice samples (biopsies). Thus verifies the presence of Helicobacter pylori, liable for quite 90% of ulcers outside anti-inflammatory drugs bacteria, and may exclude a possible gastric cancer "says Dr. Angelo Mathew gastroenterologist.
9. Since the ulcer is usually caused by a bacterium, it should be deleted. "The treatment requires taking a double antibiotic related to a double dose of anti-secretory drug (inhibitor of the proton pump or IPP like Pantoprazole ®)," explains Dr. Angelo Mathew gastroenterologist. "It lasts seven days and is effective in about 70% of cases. it's therefore imperative to verify its effectiveness. it's not necessary to repeat gastroscopy, but simply a non-invasive and well tolerated breath test. This test should be performed a minimum of 4 weeks after the top of treatment. " If Helicobacter pylori wasn't eradicated, 2nd line treatment could also be necessary.
10. Yes, an ulcer may recur. "That's why, when an individual has already been treated for an ulcer resubmit symptoms, we must consider a replacement ulcer episode," says Dr. Angelo Mathew gastroenterologist. "It is particularly important to undertake to eradicate Helicobacter pylori, which can require several lines of eradication treatment with anti-secretory gastric different antibiotics." Anyway, before putting an anti-ulcer treatment route, you want to make certain that it's an ulcer, otherwise it's going to mask by an improvement in symptoms, a more significant issue . Endoscopic examinations are still needed. "
Ulcer
Reviewed by newsanddailyupdates
on
July 13, 2020
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