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    Overview of Duodenal Ulcer
    You are here: Home > Pharmacy News | Health Articles/Tips > Duodenal Ulcer

      Introduction

      Duodenal ulcer is a stomach disorder. This is a particular type of peptic ulcer (stomach ulcer) that affects the lining of the duodenum, the first part of the small intestine. The word “peptic” refers to pepsin, a stomach enzyme that breaks down proteins. If a peptic ulcer is located in the stomach it is called a gastric ulcer.

      What Causes Duodenal Ulcer?

      Normally, the lining of the stomach and small intestines have protection against the irritating acids produced in your stomach. For a variety of reasons, the protective mechanisms may become faulty, leading to a breakdown of the lining. This results in inflammation (gastritis) or an ulcer. Most ulcers are associated with Helicobacter pylori, a spiral-shaped bacterium that lives in the acidic environment of the stomach. Ulcers can also be caused or worsened by drugs such as Aspirin and other NSAIDs. Contrary to general belief, more peptic ulcers arise in the duodenum (first part of the small intestine, just after the stomach) than in the stomach. About 4% of stomach ulcers are caused by a malignant tumor, so multiple biopsies are needed to make sure. Duodenal ulcers are generally benign. Family history of ulcers or blood type O is likely to trigger ulcers. A rare condition called Zolliger-Ellison syndrome, a tumor in the pancreas secretes a substance that causes ulcers throughout the stomach and duodenum. Stress can also cause ulcers, probably in patients who are on breathing machine are at a risk of stress ulceration. However, this doesn’t account to the everyday stress at home or office.

      What Are the Types of Duodenal Ulcer?


      Peptic Ulcer: Any ulcer that is exposed to pepsin is referred to as peptic ulcers. Peptic ulcers are found in the lining of your stomach or duodenum. Pepsin is normally present along with hydrochloric acid in the stomach lining.

      Gastric Ulcer: When a peptic ulcer is in your stomach, it is called a gastric ulcer. The symptoms of gastric ulcers are more specific than peptic ulcer symptoms.

      Duodenal Ulcer: When a peptic ulcer is in your duodenum, it is called a duodenal ulcer. This type of peptic ulcer develops in the first part of the small intestine. Duodenal ulcers are the most common ulcers found in the Western world.

      Esophageal Ulcer: This type of ulcer occurs in the lower end of your esophagus. Esophageal ulcers are often associated with a bad case of acid reflux, or GERD (Gastro Esophageal Reflux Disease).

      Bleeding Ulcer: One of the most dangerous type of ulcer, it occurs when the internal bleeding is caused by peptic ulcers. Seek immediate medical attention if you have bleeding ulcers.

      Refractory Ulcer: It is a simple peptic ulcer that has not healed after three months of treatment.

      Stress Ulcer: Stress ulcers are a group of lesions (or lacerations) found in the esophagus, stomach or duodenum. These are normally only found in critically ill or severely stressed patients.

      What Are the Symptoms of Duodenal Ulcer?

      Burning pain experienced before or in-between meals, gnawing pain in upper abdomen or just below the ribs on the right side of the body, recurrent vomiting episodes which may appear black or red, anemia, chest pain, unexplained wait loss, and blood in feces are certain symptoms of duodenal ulcer.

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      What Are the Diagnosis & Tests for Duodenal Ulcer?

      As you report on the symptoms of duodenal ulcer, your doctor prescribes you to undergo a couple of tests which includes
      An upper GI (Gastrointestinal) X-ray: It’s a series of x-ray taken by your doctor, after you swallow barium that coats your digestive tract and makes the ulcer more visible. The X-ray helps your doctor to outline your esophagus, stomach and duodenum and find where the ulcer is located. However, an upper GI is not sufficient to detect all type of ulcers.

      Endoscopy: Technically termed as esophagogastroduodenoscopy (EGD), this is a special test performed by gastroenterologist. A small tube with an attached camera is inserted through your mouth into the gastrointestinal tract to look at your stomach and small intestines. If the doctor detects ulcer, he/she may take the biopsy from the intestinal walls to test for H.Pylori.

      Stool Guaiac or Stool Antigen test: This test checks for blood or H.Pyroli in your stool samples.

      Blood test: A blood test is taken to check the presence of H.Pyroli antibodies in your blood. A disadvantage of this test is that it sometimes can't differentiate between past exposure and current infection. After H. pylori bacteria have been eradicated, you may still have a positive result for many months.

      Breath Test: In this test, a radioactive carbon atom is used to detect H.Pyroli. First, you blow into a small plastic bag, which is then sealed. Then, you drink a small glass of clear, tasteless liquid. The liquid contains radioactive carbon as part of a substance (urea) that will be broken down by H. pylori. Thirty minutes later, you blow into a second bag, which also is sealed. If you're infected with H. pylori, your second breath sample will contain the radioactive carbon in the form of carbon dioxide.

      What Are the Treatments Available for Duodenal Ulcer?

      Younger patients with ulcer-like symptoms are often treated with antacids or H2 antagonists before EGD is undertaken. Bismuth compounds help protect the lining and kill the bacteria. Patients who are taking nonsteroidal anti-inflammatories (NSAIDs) may also be prescribed a prostaglandin analogue (Misoprostol) in order to help prevent peptic ulcers, which may be a side-effect of the NSAIDs. A combination of antibiotics, proton pump inhibitor (PPI) and sometimes bismuth compound is used to treat the presence of H.pyroli. Your doctor might also prescribe medications that protect the tissue lining. Recurrence of infection can occur and re-treatment with antibiotics becomes imperative. Most bleeding ulcers require endoscopy (EGD) urgently to stop bleeding with cautery or injection. If the bleeding doesn’t stop or the ulcer has caused a perforation, then surgery may be required.

      How Do You Cope Up with Duodenal Ulcer?

      You are not alone. Half of the Americans are affected by peptic and other forms of ulcers. Use these tips to cope with Diarrhea
      • Seek immediate medical attention if you feel the symptoms of duodenal ulcer.
      • Avoid eating spicy foods.
      • Relax yourself.
      • Continue with your core activities like swimming and dancing.
      • Use proton pump inhibitors (PPI), this might reduce the stomach acids. Check with your doctor before taking PPIs.

      What Are the Ways to Prevent Duodenal Ulcer?

      Duodenal ulcer is treatable provided proper medical attention is given at the right time. Following are certain tips that might help you prevent duodenal ulcers.
      • Lead a proper and balanced lifestyle
      • Avoid spicy foods.
      • Avoid caffeine and alcohol
      • Do not smoke.
      • If you are taking NSAIDs, check with your doctor as they cause ulcer.
      • Lose weight if you are over weight.

      Medications for Duodenal Ulcer Available at InternationalDrugMart.com

      We, at www.internationaldrugmart.com, supply a wide range of medicines to treat Duodenal Ulcer, which you can buy online and make incredible savings!
      Prescription Medications for Duodenal Ulcer at InternationalDrugMart.com
      Aciphex (Rabeprazole sodium),
      Cytotec (Misoprostol)
      ,
      Pepcid (Famotidine)
      ,
      Prevacid (Lansoprazole)
      ,
      Prilosec (Omeprazole)
      View All Other Medications >>

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      Self Care

      Here are few simple, effective duodenal ulcer self-care tips that can reduce diabetes breakouts and control future breakouts.
      • Avoid spicy foods.
      • Do not smoke.
      • Reduce your alcohol consumption, better to stop it.
      • Avoid drugs that cause stomach inflammation like aspirin, ibuprofen and naproxen.
      • Eat a balanced and nutritious meal.
      • Learn how to manage stress.
      • Get plenty of rest.
      • Exercise regularly.

       

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