What is a Stomach Ulcer?

Ulcer is the circumstance that is caused by peeling of the cover-shaped epithelial tissue on the surface of the stomach due to excessive acid or irritant chemical and deepening the wound.

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Causes of stomach ulcers

Aggressive factors in the formation of gastric ulcers:

  1. Hyperacidity
  2. Helicobacter pylori
  3. Painkillers and aspirin
  4. Smoking
  5. Bile reflux
  6. Stress ulcers
  7. Zollinger Ellison syndrome

What are the Symptoms of Ulcers?

  • Burning in the stomach
  • Scraping in the stomach
  • Epigastric pain –> more between meals and at night.
  • Feeling of fullness in the stomach
  • Gas, bloating and belching
  • Intolerance to fatty foods
  • Chest pain
  • Nausea, vomiting
  • Change in appetite
  • Unexplained weight loss
  • When you have stomach bleeding –> vomiting blood in the form of coffee grounds, or the large stool being like black tar

How Is an Ulcer Diagnosed?

Endoscopy

If your doctor suspects an ulcer in your stomach, he or she may want to look inside your stomach with an endoscopy . This is called gastroscopy. Today, gastroscopy is usually performed within 5-10 minutes by putting the patient to sleep.

Helicobacter pylori test

In people with stomach and duodenal ulcers, helicobacter pylori bacteria often colonize the stomach. The presence of this bacterium in the stomach is tested by different methods.

Urea breath test

Foods containing urea containing labeled carbon are fed to the patient, and if there is helicobacter pylori in the stomach, the bacteria that break down urea secrete carbon dioxide that is marked. This carbon dioxide is excreted by the lungs. The exhaled breath is collected in a closed container. And the marked carbon dioxide is detected. It is the most accurate among the tests.

Fecal Antigen test

Helicobacter pylori bacteria, which go down the stomach, can be detected in feces. The accuracy rate is around 95%.

Rapid Urease test

If the patient underwent a gastroscopy, a millimeter-small tissue sample taken from her husband is placed in small wells containing urea. The stomach doctor converts the urea in the environment into ammonia, whatever bacteria are present. With ammonia, the color of the environment turns red

Gastric duodenum X-ray with barium

It is a technique that is done relatively quickly today. Ulcers on the inner surface of the stomach are tried to be detected by drinking a substance called Barium, which is displayed in a contrasting way in the radiological fluoroscopy device

How is Ulcer Treatment Done?

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Stomach ulcer inhibiting factors

Preventative factors in preventing gastric ulcers include:

  1. Bicarbonate release of the stomach
  2. Release of mucus in the stomach
  3. Good mucosal blood supply

If we review the normal physiology of the stomach, acid is released from parietal cells in the stomach and pepsin is released from the chief cells and foods are digested. Meanwhile, the mucus released from epithelial cells is laid like a cover on the surface so as not to digest stomach’s own surface. This prevents bicarbonate acid and pepsin, which are secreted into the mucus layer and mucus layer, from giving touch and damage to the stomach surface.

You can visit our other website to learn more about stomach ulcers and to see the questions others ask. saglikdanis.com

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