STOMACH ULCERS
WHAT IS STOMACH ULCER?
Stomach ulcers, which are also known as peptic ulcers, are painful sores in the stomach lining. It occur's when the thick layer of mucus that protects your stomach from digestive juices is reduced. This allows the digestive acids to eat away at the tissues that line the stomach, causing an ulcer. Stomach ulcers may be easily cured, but they can become severe without proper treatment.
Peptic ulcers include:
⚫ Gastric ulcers that occur inside the stomach.
⚫ Duodenal ulcers - that occur inside the upper portion of your small intestine (duodenum).
⚫ Esophageal ulcers - esophageal ulcer is a type of peptic ulcer that develops in the lining of the esophagus, the tube that connects the throat to the stomach. Esophageal ulcers occur when the layer of mucus, which lines and protects the gastrointestinal tract, wears away.
What causes stomach ulcers?
Stomach ulcers are almost always caused by one of the following:
⚫ An infection with the bacterium Helicobacter pylori (H. pylori).
⚫ Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen, or naproxen.
Rarely, a condition known as Zollinger-Ellison syndrome can cause stomach and intestinal ulcers by increasing the body's production of acid. This syndrome is suspected to cause less than 1 percent of all peptic ulcers.
Symptoms of Stomach Ulcers
A number of symptoms are associated with stomach ulcers. The severity of the symptoms depends on the severity of the ulcer.
The most common symptom is a burning sensation or pain in the middle of your abdomen between your chest and belly button. Typically, the pain will be more intense when your stomach is empty, and it can last for a few minutes to several hours.
Other common signs and symptoms of ulcers Include:
⚫ Dull pain in the stomach
⚫ Weight loss
⚫ Not wanting to eat because of pain
⚫ Nausea or vomiting
⚫ Bloating
⚫ Feeling easily full
⚫ Burping or acid reflux
⚫ Heartburn, which is a burning sensation in the chest)
⚫ Pain that may improve when you eat, drink, or take antacids
⚫ Anemia, whose symptoms can include tiredness, shortness of breath, or paler skin
⚫ Dark, tarry stools
⚫ Vomit that's bloody or looks like coffee grounds
Talk to your doctor if you have any symptoms of a stomach ulcer. Even though discomfort may be mild, ulcers can worsen if they aren't treated. Bleeding ulcers can become life-threatening.
Ulcer Risk Factors
In addition to having risks related to taking NSAIDS, you may have an increased risk of peptic ulcers if you:
⚫ Smoke - Smoking may increase the risk of peptic ulcers in people who are infected with H. pylori.
⚫ Drink alcohol - Alcohol can irritate and erode the mucous lining of your stomach, and it increases the amount of stomach acid that's produced.
⚫ Have untreated stress.
⚫ Eat spicy foods.
Alone, these factors do not cause ulcers, but they can make ulcers worse and more difficult to heal.
Ulcer Complications
Left untreated, Peptic ulcers can result in:
⚫ Internal bleeding - Bleeding can occur as slow blood loss that leads to anemia or as severe blood loss that may require hospitalization or a blood transfusion. Severe blood loss may cause black or bloody vomit or black or bloody stools.
⚫ A hole (perforation) - in your stomach wall. Peptic ulcers can eat a hole through (perforate) the wall of your stomach or small intestine, putting you at risk of serious infection of your abdominal cavity (peritonitis).
⚫ Obstruction - Peptic ulcers can block passage of food through the digestive tract, causing you to become full easily, to vomit and to lose weight either through swelling from inflammation or through scarring.
⚫ Gastric cancer - Studies have shown that people infected with H. pylori have an increased risk of gastric cancer.
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