|
|
GASTROINTESTINAL
SYSTEM
PEPTIC ULCER
Peptic ulcer is
ulceration that develops on the inner lining (mucosa) of stomach,
proximal duodenum (first part of small intestine) or oesophagus.
CAUSES:
-
H. pylori
(Helicobacter pylori) :Infection in the stomach with H.Pylori
bacteria. The bacteria irritate the lining of the stomach and cause
ulcer.
-
NSAIDs : Non
steroidal anti inflammatory drugs such as Ibuprofen etc.
-
Stress: Mental
stress
-
Smoking.
-
Excess alcohol
intake.
-
Infections such
as herpes simplex, tuberculosis.
-
In case of
duodenal ulcer, some other causes are:
-
Zollinger
–Ellison syndrome is caused due to tumor of the pancreas which
secretes a hormone called gastrin. High levels of gastrin cause
increase in the production of acid in the stomach and leads to ulcer
formation.
-
Blood group ‘O’
-
Family history of
peptic ulcer.
SYMPTOMS:
-
Abdominal pain
may be mild, moderate or severe. In case of duodenal ulcer the pain
is often described as gnawing or burning.
-
Relation to
food: In case of duodenal ulcer, pain comes 2-3 hours after meals
and the patient feels better after eating.
-
In case of
gastric ulcer pain starts after eating food and is not relieved by
eating food.
-
Nausea and
vomiting.
-
Weight loss.
-
Vomiting of
blood is more in gastric ulcer and in duodenal ulcer blood is
present in the stools. (Haemetemesis and melena)
-
Heartburn.
-
Indigestion.
INVESTIGATIONS:
-
Complete blood
count.
-
Barium meal X ray
– The patient is asked to drink a liquid called Barium and then the
X rays are taken.
-
Endoscopy-
Endoscope is a thin tube with a small camera on the end. The tube is
inserted through the mouth into the stomach. This helps the doctor
to visualize the lining of oesophagus, stomach and duodenum.
-
Stool
examination.
MANAGEMENT
-
Regular hours of
rest and sleep.
-
Bland diet.
Small feeds should be given. One glass of milk should be included in
the diet.
-
Avoid tobacco,
alcohol and foods that irritate the gastrointestinal tract.
-
Avoid NSAIDs and
steroids.
-
If peptic ulcer
perforates it is an abdominal emergency and surgery is essential.
HOMEOPATHIC
MANAGEMENT
Mental stress is one
of the reasons for peptic ulcer formation. Homeopathic medicines act on
the mind and body thus helping the patient mentally and physically. Once
his mind is relaxed, he starts feeling better and it becomes easy to
treat the physical symptoms.
A careful follow up
is necessary in case of peptic ulcer.
|