Peptic Ulcers

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Classification

By Region :

Modified Johnson Classification of peptic ulcers:

  • Type I: Ulcer along the body of the stomach, most often along the lesser curve at incisura angularis along the locus minoris resistantiae.
  • Type II: Ulcer in the body in combination with duodenal ulcers. Associated with acid oversecretion.
  • Type III: In the pyloric channel within 3 cm of pylorus. Associated with acid oversecretion.
  • Type IV: Proximal gastroesophageal ulcer
  • Type V: Can occur throughout the stomach. Associated with chronic NSAID use (such as aspirin).

Symptoms

  • abdominal pain, classically epigastric strongly correlated to mealtimes. In case of duodenal ulcers the pain appears about three hours after taking a meal;
  • bloating and abdominal fullness;
  • waterbrash (rush of saliva after an episode of regurgitation to dilute the acid in esophagus - although this is more associated with gastroesophageal reflux disease);
  • nausea, and copious vomiting;
  • loss of appetite and weight loss;
  • hematemesis (vomiting of blood); this can occur due to bleeding directly from a gastric ulcer, or from damage to the esophagus from severe/continuing vomiting.
  • melena (tarry, foul-smelling feces due to oxidized iron from hemoglobin);
  • rarely, an ulcer can lead to a gastric or duodenal perforation, which leads to acute peritonitis, extreme, stabbing pain,[3] and requires immediate surgery.

Home remedies

  • Manuka Honey : it'antibacterial nature appears to have effects on internal problems such as: Acid reflux, Infections in the stomach and digestive tract, Ulcers (both in the stomach and peptic), Diarrhea.
  • Meadowsweet seems to be an effective stomachic, which is used in the treatment of gastritis, heartburn, hyperacidity, and Peptic Ulcers.
  • Licorice (Glycyrrhiza glabra) is used in many traditional medicines to treat a variety of ailments including ulcers.
  • Zinc Carnosine : A preliminary research on gastritis, peptic ulcer and gastric cancer patients found that the lower the zinc level in the blood, the more severe the damage to the gastric membrane, suggesting a possible link between serum zinc level and the integrity of the gut lining.

Warnings

References

Medical Disclaimer

This information is not meant to be substituted for medical advice. Always consult a medical professional regarding any medical problems and before undertaking any treatment or dietary changes.