Gastric Ulcer

Definitions

A gastric ulcer: Also called a stomach ulcer, is a raw area or open sore in the lining of the stomach.

Peptic Ulcer: An ulcer occurring in the end of the esophagus, stomach or duodenum.

Gastroenterologist: is a physician specialist trained in the study of the physiology and pathology of the stomach, intestines, esophagus, liver, gallbladder and pancreas.

What causes gastric ulcers?

The stomach lining has a protective layer of cells that
produce mucus. This mucus prevents acids and
digestive juices from injuring the stomach.

Gastric ulcers may develop from:

• The presence of bacteria called Helicobacter pylori (H. pylori), the most common cause of stomach ulcers.
• Decreased resistance to acid in the stomach lining.
• Increased production of stomach acid.

Who gets Gastric Ulcers?

Gastric ulcers are more likely to occur in people
who:

• Regularly take non-steroidal anti-inflammatory drugs (NSAIDS), such as aspirin, ibuprofen, and naproxen.
• Drink alcohol.
• Smoke tobacco.
• Drink excessive amounts of caffeine (coffee, non-herbal tea, colas).
• Frequently are stressed.

Gatric Ulcer

What are the symptoms?

• Gnawing or burning abdominal pain, especially in the middle of the upper abdomen.
• Pain that wakes you up in the night.
• Heartburn.
• Nausea.
• Pain that may get better with food or antacids.

Complications:

If you have a bleeding ulcer you may:

• Vomit bright red blood or digested blood that looks like brown coffee grounds.
• Black, tarry bowel movements.

These are considered emergent situations. Please seek medical care immediately.

You may need hospitalization for bleeding ulcers.

How are ulcers diagnosed?

• An upper Endoscopy (EGD) performed by your Gastroenterologist.
• A biopsy to test for H. pylori taken during the EGD examination.
• Blood test to look for H. pylori.

How is it treated?

The goals of treatment are pain relief, healing and the prevention of complications (bleeding).

Your Gastroenterologist may prescribe:

• Medication to reduce your stomach acid.
• Antibiotics to treat H. Pylori
• Sucralfate (a medicine that forms a protective barrier over the ulcer site to enhance healing).
• Reduce stress