Peptic ulcer


Gastritis is a chronic irritation of the gastric mucosa, which, when inflamed, can become the basis for an ulcer. The doctor calls an ulcer a clearly defined defect in the tissue or mucous membrane (“hole”). If this defect itself is in the stomach, we are talking about a stomach ulcer, if in the duodenum – about a duodenal ulcer. Both types of ulcers have so much in common that they would be described as one disease.30e98e9eadef1884e384af9233417358

Knowledge about the nature of the occurrence of ulcers and has greatly expanded in recent years. In 1983, a spiral-shaped gastric bacterium was discovered in Australia, which is now called Helicobacter pylori. These bacteria live in the lining of the stomach and duodenum and produce enzymes that attack the lining. As a result, local inflammation (gastritis) occurs, under the influence of gastric acid, they can develop into an ulcer. It is now known that almost any duodenal ulcer and most stomach ulcers occur in this way.

Other types of ulcers are affected by drugs that harm the mucous membrane, such as acetylsalicylic acid or other painkillers and antirheumatic drugs.

In most cases, gastric ulcer pain occurs when eating. They appear (or increase) either directly during eating or drinking, or some time later. Most patients feel diffuse pain in the epigastric region and experience a feeling of pressure or fullness, spasms or pain on an empty stomach. In many cases, the pain lasts for weeks and occurs several times a day.

Since these patients experience pain at the time of eating, they usually lose weight by refusing to eat.artwork-of-duodenal-ulcer-endoscope-john-bavosi

For duodenal ulcers, pain is more typical that occurs some time after eating, at night or on an empty stomach. Immediately after eating, the pain may ease or stop altogether. Therefore, the patient eats relatively often and, despite the illness, gains weight.

When a stomach or duodenal ulcer is detected, the doctor always prescribes medication. Your own contribution is to start treatment as soon as possible, follow the doctor’s instructions exactly and prevent the occurrence of a new ulcer.

Patients who are found to have Helicobacter pylori bacteria receive a complex of drugs that inhibit acid formation and various antibiotics. The goal of this treatment is to destroy these bacteria in the stomach and duodenum and thereby heal the ulcer.

Currently, the most commonly used is the so-called triple therapy – a combination of two different antibiotics and an acid-reducing drug (the so-called proton pump blocker).

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