Treatment and Care to be taken in Peptic Ulcer

Published on
October 17, 2024
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Open sores develop due to erosion of protective mucosal layer on the inner linings of the stomach or small intestine. For healing and preventing complications, it is important to receive effective treatment and care. This comprehensive guide examines the various treatment options as well as essential care strategies to manage peptic ulcers.

1. Treatments for Peptic Ulcers

The main treatment for peptic ulcers is medication that reduces stomach acid and eliminates infections. It also promotes healing. The main medical treatments are:

a. Proton Pump Inhibitors :- Commonly, PPIs reduce stomach acid and provide relief. They also allow ulcers to heal. PPIs are commonly prescribed for:

  • Omeprazole
  • Lansoprazole
  • Pantoprazole
  • Esomeprazole

These medications prevent further irritation by blocking acid production.

b. H2 Receptor blockers :- H2 receptor blockers reduce stomach acid, but they are less effective than PPIs. These include:

  • Ranitidine (withdrawn from some markets)
  • Famotidine
  • Cimetidine

These drugs can be used to treat mild cases of ulcers or patients who are unable to tolerate PPIs.

c. Antibiotics to treat H. Pylori infection :- If Helicobacter Pylori is the cause of an ulcer, then a combination antibiotics are prescribed. The usual regimen includes:

  • Amoxicillin
  • Clarithromycin
  • Metronidazole
  • Tetracycline

The antibiotics are taken 10-14 days in order to eradicate the bacteria completely and prevent its recurrence.

d. Antiacids, Cytoprotective Agents :- Antacids neutralize stomach acids and relieve ulcer pain quickly. Some protective medicines help strengthen the stomach lining.

  • Sucralfate
  • Misoprostol
  • Bismuth Subsalicylate

These agents form a protective layer over the ulcer, and help to promote healing.

2. Changes in lifestyle and diet for Peptic Ulcers

In addition to medical treatment, lifestyle changes are essential for preventing future ulcers and speeding up the healing process.

a. Avoiding Trigger Foods :- Some foods can worsen an ulcer by increasing acidity and irritation. Avoid:

  • Spicy and acidic foods
  • Caffeinated and Carbonated Beverages
  • Alcohol and tobacco
  • Fried and fatty food

b. Eating a balanced diet :- Diets rich in vitamins, fiber and probiotics are beneficial for digestive health. The following foods are recommended:

  • Fruits such as bananas, apples and berries
  • Vegetables like broccoli, spinach and carrots
  • Whole grains such as brown rice and oats
  • Fish and chicken are lean sources of protein
  • Yogurt and kefir are probiotic-rich foods

c. Stress Management:- Stress does not directly cause ulcers, but it can worsen the symptoms. Stress management techniques include:

  • Deep breathing and meditation
  • Yoga and light physical exercise
  • Maintaining a regular schedule of sleep and getting enough sleep

d. Proper Meal Timing :- It is important to eat regularly and not skip meals. This can increase acid production, which will worsen your ulcers. It is important to:

  • Small, frequent meals are best throughout the day
  • Avoid eating heavy meals before bedtime
  • Water is essential for digestion.

3. Natural Home Remedies

Many natural remedies can help to relieve the symptoms of ulcers and promote healing.

a. Herbal and natural supplements

  • Licorice root :- Helps stimulate mucus and protect stomach lining.
  • Honey :- Honey has antibacterial properties which may help to fight H. pylori infection. pylori infection.
  • Aloe Vera Juice :- It is known for its soothing effects on the digestive tract.
  • Chamomile tea :- Reduces stress and has mild anti-inflammatory properties.

b. How to Maintain a Healthy Gut Biome :- Probiotics or fermented food can help to maintain the balance of healthy bacteria in your stomach, and prevent ulcers.

4. Surgery for severe cases

Surgery may be necessary in rare cases when medications fail to heal the ulcer or if it causes serious complications.

a. Vagotomy :- To reduce acid production in the stomach, a procedure is performed to cut the vagus nervous, which controls acid output.

b. Pyloroplasty :- This procedure helps with digestion by reducing the pressure on the ulcer.

c. Partial Gastrectomy :- In severe cases, the entire stomach can be removed in order to reduce acid and prevent ulcers from recurring.

5. How to Prevent Ulcer Recurrence

It is important to take steps to prevent the development or recurrence of ulcers for your digestive health.

a. Limit NSAID Use :- Aspirin and ibuprofen, which are nonsteroidal anti-inflammatory (NSAIDs), can irritate your stomach lining. Take them with food if necessary or ask your doctor about alternatives.

b. Regular Medical Checkups :- Patients with a past history of stomach ulcers should have regular checkups in order to monitor their digestion and detect any potential problems early.

c. Maintain a Healthy Lifestyle

  • Avoid excessive alcohol and smoking.
  • Keep physically active to reduce stress and improve digestion.
  • Keep hydrated to maintain the health of your stomach lining.

6. Complications of untreated Peptic Ulcers

Untreated peptic ulcers may lead to serious complications such as:

a. Internal Bleeding :- Ulcers may cause bleeding that can lead to anemia, black stools, and dizziness.

b. Perforation :- A deep ulcer may cause a hole to form in the stomach wall. This can be a medical emergency requiring surgery.

c. Gastric Obstruction :- The ulcers that form near the opening of the stomach can cause nausea, vomiting and weight loss.

7. When to Seek Medical Assistance

If you have:

  • Sudden, severe stomach pain
  • Vomiting black or bloody stools
  • Unexpected weight loss
  • Constant nausea or loss in appetite

Conclusion

With the right treatment, lifestyle modifications, and prevention measures, peptic ulcers can be managed. It is important to seek medical attention as soon as you notice symptoms. This will help prevent complications. Most ulcers can be healed with the right care. This allows individuals to live a comfortable and healthy life

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