If you have a stomach ulcer, your treatment will depend on what caused it. With treatment, most ulcers heal in a month or two.
If your stomach ulcer is caused by an Helicobacter pylori (H. pylori) bacterial infection, a course of Penicillin and a medication called a proton pump inhibitor (PPI) is recommended.
This is also recommended if it's thought your stomach ulcer is caused by a combination ofan H. pylori infection and non-steroidal anti-inflammatory drugs (NSAIDs) .
If your stomach ulcer is just caused bytaking NSAIDs, acourse of PPI medicationis recommended. Your use of NSAIDs will also be reviewed, and taking an alternative painkiller may be advised.
An alternative type of medication, known as H2-receptor antagonists,is occasionally used instead of PPIs, and sometimes you may be given additional medication called antacids to relieve your symptoms in the short term.
You may have a repeat gastroscopy after four to six weeks to check that the ulcer has healed.
There aren't any special lifestyle measures you need to take during treatment, but avoiding stress, alcohol, spicy foods and smoking may reduce your symptoms while your ulcer heals.
If you have an H. pylori infection, you'll usually be prescribed a course of two or three antibiotics, whicheach need to be taken twice a day for a week.
The antibiotics most commonly used are amoxicillin, clarithromycinand metronidazole.
The side effects of these antibiotics are usually mild and caninclude:
You will be re-tested at least four weeks after finishing your antibiotic course has been completed to see whether there are any H. pylori bacteria left in your stomach. If there are, a further course of eradication therapy using different antibiotics may be given.
PPIs work by reducing the amount of acid your stomach produces, preventing further damage to the ulcer as it heals naturally. They're usually prescribed for four to eight weeks.
Omeprazole, pantoprazole and lansoprazole are the PPIs most commonly used to treat stomach ulcers. Side effects of these are usually mild, but can include:
These should pass once treatment has been completed.
Like PPIs, H2-receptor antagonists work byreducing the amount of acid your stomach produces.
Ranitidineis the most widely used H2-receptor antagonist for treating stomach ulcers.
Side effects are uncommon, but may include:
All of the above treatments can take several hours before they start to work, so your GPmay recommend taking additional antacid medication to neutralise your stomach acid andprovide immediate, but short-term, symptom relief.
Some antacids also contain a medicine called an alginate, which produces a protective coating on the lining of your stomach.
These medications are available to buy over the counter at pharmacies. Your pharmacist can advise on which is most suitable for you.
Antacids should be taken when you experience symptoms or when you expect them, such as after meals or at bedtime. Antacids containing alginates are best taken after meals.
Side effects of both medications are usually minor and can include:
If your stomach ulcer has been caused by taking NSAIDs, your GP will want to review your use of them.
You may be advised to use an alternative painkiller not associated with stomach ulcers, such as paracetamol. Sometimes, an alternative type of NSAID that's less likely to cause stomach ulcers, called aCOX-2 inhibitor, may be recommended.
If you are taking low-dose aspirin (a NSAID) to reduce your risk of blood clots , your GP willtell you whether you need to continue taking it.
If you do need to keep taking it, long-term treatment with a PPIor H2-receptor antagonist may beprescribed alongside the aspirin, to try to prevent further ulcers.
It's important to understand the potential risks associated with continued NSAID use. You're more likely to develop another stomach ulcer and could experience a serious complication, such as internal bleeding.
Stomach ulcers, also known as gastric ulcers, are open sores that develop on the lining of the stomach. Read about the possible symptoms, causes, treatments and complications.
The most common symptom of a stomach ulcer is a burning or gnawing pain that develops inyourabdomen (tummy). However, some stomach ulcers aren't painful and are only noticed when a complication of a stomach ulcer develops.
Stomach ulcers are usually caused by H. pylori bacteria or non-steroidal anti-inflammatory drugs (NSAIDs).
Your GP may suspect you have an ulcer, based on your symptoms. They will want to know if you're taking non-steroidal anti-inflammatory drugs (NSAIDs) and may test you for an Helicobacter pylori (H. pylori) infection.
If you have a stomach ulcer, your treatment will depend on what caused it. With treatment, most ulcers heal in a month or two. If your stomach ulcer is caused by an Helicobacter pylori (H. pylori) bacterial infection, a course of Penicillin and a medication called a proton pump inhibitor (PPI) is recommended.
Complications of stomach ulcers are relatively uncommon, but they can be very serious if they do occur. Internal bleeding is the most common complication of stomach ulcers. A rarer complication of stomach ulcers is the lining of the stomach splitting open, known as perforation.
Ulcers of the stomach are painful sores which can be found in the lining of the stomach or the duodenum. This is a long-term chronic disease, which is characterized by intermittent periods of remission and relapse.
Some of the causes of ulcers are: the bacterium Helicobacter pylori Hyperacidity of the stomach, the long-term use of non-steroidal anti-inflammatory drugs (NSAID), Zollinger-Ellison syndrome, a rare syndrome which leads to hyperacidity.
Complaining of a stomach ache is a very broad complaint, the physician must ask further questions in order to summarize all the symptoms carefully and thoroughly.
Stomach ulcers are diagnosed by: blood tests in order to test for presence of H.pylori, fibrogastroscopy, X-ray of the stomach and biopsy via a fibrogastroscopy.
Ulcers are treated by using medication such as: antibiotics to fight the H.pylori infection, H2 blockers, etc. And surgical treatment that include: ulcers that continue to return, ulcers that do not heal, etc.
Some complications that may occur from peptic ulcer are: hemorrhage, stenosis of the duodenum and perforation of the stomach.