It is important to avoid foods and flavorings that induce the stomach to produce acids, such as chili powder, garlic, black pepper, and caffeine. Alcohol has the same effect on the stomach and should also be avoided.
The diet should contain plenty of foods that provide plenty of vitamin A and fiber that dissolves easily. These can include:. Foods that are high in antioxidants , such as a range of berries and snap peas, are recommended. Green tea has also demonstrated a restrictive effect on the growth of H. However, it is unclear whether it would have the same impact inside the human body. A balanced diet filled with fruits and vegetables and lacking in intense spices and flavors should assist with a peptic ulcer.
NSAIDs are a less likely cause. Although many people naturally carry H. They live in the mucus that coats the lining of the stomach and duodenum, and they produce urease, an enzyme that neutralizes stomach acid by making it less acidic. To compensate for this, the stomach produces more acid, and this irritates the stomach lining.
The bacteria also weaken the defense system of the stomach and causes inflammation. Patients with peptic ulcers caused by H. Examples include aspirin and ibuprofen. This makes it more susceptible to damage by stomach acid. An endoscopy may also be used.
This is the best diagnostic test. If an ulcer is detected, the doctor may take a biopsy a small sample of tissue for examination under a microscope.
A biopsy can test for H. These people should discuss the various options for preventing ulcers with their physician. Some people are given an acid suppressing PPI. There are many myths about peptic ulcers. They are not caused by spicy foods or a rich diet. Certain foods might irritate an ulcer that is already there, however, the food is not the cause of the ulcer. People diagnosed with ulcers do not need to follow a specific diet. The days of ulcer patients surviving on a bland diet are a thing of the past.
The most typical way for ulcers to be diagnosed is by a procedure called an EGD. This flexible camera carefully inspects the most likely areas for ulcers to be located. Ulcers identified during an EGD may be photographed, biopsied and even treated, if bleeding is present. An upper GI series involves drinking a white chalky substance called barium, and then taking a number of x-rays to look at the lining of the stomach.
Doctors can see the ulcers on the x-rays when they have barium in them. Today, the preferred method for diagnosing ulcers is with an EGD given the flexible camera is better able to detect even small ulcers and because it allows for potential treatment at that time if the ulcer is bleeding. An upper GI series can miss small ulcers and also does not allow direct treatment of an ulcer.
The way that ulcers are treated depends on a number of features. Nearly all peptic ulcers will be treated with a proton pump inhibitor PPI. PPIs are powerful acid blocking drugs that can be taken as a pill or given in an IV. Often, the potent IV form is used if a patient is hospitalized with a bleeding ulcer.
There are very few medical differences between these drugs. PPIs require a meal to activate them. Patients should eat a meal within 30 minutes to 1 hour after taking this medication for the acid suppression therapy to work most effectively.
Waiting later than this time can decrease the positive effect of this medication. This might delay healing or even result in the failure of the ulcer to heal. An important part in treating ulcers is by identifying what caused them Patients with ulcers caused by NSAIDs should talk to their doctor about other medications that can be used to treat pain. If the person is infected with H.
Completing the full dose of antibiotics is very important. Just as important, is making sure that the infection is gone. Thank you for subscribing Your in-depth digestive health guide will be in your inbox shortly. Sorry something went wrong with your subscription Please, try again in a couple of minutes Retry.
Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Kellerman RD, et al. Gastritis and peptic ulcer disease. In: Conn's Current Therapy Elsevier; Accessed July 8, Peptic ulcer disease. American College of Gastroenterology.
Peptic ulcers stomach ulcers. Feldman M, et al. Saunders Elsevier; Nehra AK, et al. Proton pump inhibitors: Review of emerging concerns. Mayo Clinic Proceedings. Peptic ulcer disease adult. Mayo Clinic; Peptic ulcers. Natural Medicines. Accessed July 21, Dimens Crit Care Nurs. NIH Consensus Conference. Helicobacter pylori in peptic ulcer disease.
Correlation between cag pathogenicity island composition and Helicobacter pylori -associated gastroduodenal disease. Infect Immun. Relationship between Helicobacter pylori eradication and reduced duodenal and gastric ulcer recurrence: a review. Helicobacter pylori -negative duodenal ulcers: prevalence, clinical characteristics, and prognosis—results from a randomized trial with 2-year follow-up. Am J Gastroenterol. Role of Helicobacter pylori infection and non-steroidal anti-inflammatory drugs in pepticulcer disease: a meta-analysis.
Graham DY. Nonsteroidal anti-inflammatory drugs, Helicobacter pylori , and ulcers: where we stand. Non-steroidal anti-inflammatory drugs and peptic ulcer perforation. Evidence of aspirin use in both upper and lower gastrointestinal perforation. Taking a calculated risk: predictive scoring systems in dyspepsia. Scand J Gastroenterol Supp. Cappell MS. Gastric and duodenal ulcers during pregnancy. Gastroen-terol Clin North Am. Absence of abdominal pain in older persons with endoscopic ulcers: a prospective study.
Martinez JP, Mattu A. Abdominal pain in the elderly. Emerg Med Clin North Am. Hassall E. Peptic ulcer disease and current approaches to Helicobacter pylori. J Pediatr. American Gastroenterological Association technical review on the evaluation of dyspepsia. Update on Helicobacter pylori treatment. Am Fam Physician. One-day quadruple therapy compared with 7-day triple therapy for Helicobacter pylori infection. Arch Intern Med. Clinical outcome and influencing factors of a new short-term quadruple therapy for Helicobacter pylori eradication: a randomized controlled trial MACLOR study.
Meta-analysis of randomized clinical trials comparing lansoprazole with ranitidine or famotidine in the treatment of acute duodenal ulcer. Eur J Gastroenterol Hepatol.
Vakil N, Fennerty MB. Direct comparative trials of the efficacy of proton pump inhibitors in the management of gastro-oesophageal reflux disease and peptic ulcer disease. Behrman SW. Management of complicated peptic ulcer disease. Arch Surg. Risk factors associated with refractory peptic ulcers. Peura DA. Prevention of non-steroidal anti-inflammatory drug-associated gastrointestinal symptoms and ulcer complications.
Am J Med. Laparoscopic management of acid peptic disease. Surg Laparosc Endosc Percutan Tech. J Clin Epidemiol. Ebell MH. Prognosis in patients with upper GI bleeding. Systematic review and meta-analysis: proton-pump inhibitor treatment for ulcer bleeding reduces transfusion requirements and hospital stay—results from the Cochrane Collaboration. Standards of Practice Committee.
An annotated algorithmic approach to upper gastrointestinal bleeding. Gastrointest Endosc. Meta-analysis: Helicobacter pylori eradication therapy vs. Misoprostol reduces serious gastrointestinal complications in patients with rheumatoid arthritis receiving nonsteroidal anti-inflammatory drugs.
A randomized, double-blind, placebo-controlled trial. Ann Intern Med. Cochrane Database Syst Rev. Eradication of Helicobacter pylori prevents recurrence of ulcer after simple closure of duodenal ulcer perforation: randomized controlled trial.
Ann Surg. Malignancy is the most common cause of gastric outlet obstruction in the era of H2 blockers. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.
This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv aafp. Want to use this article elsewhere? Get Permissions.
Read the Issue. Sign Up Now. Previous: Bell's Palsy: Diagnosis and Management. Next: Hyperthyroidism.
0コメント