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Duodenal Ulcer

At GastroDoxs in Houston, our leading expert gastroenterologists specialize in diagnosing and treating duodenal ulcers with compassionate personalized care, state-of-the-art endoscopic procedures, cutting-edge testing, and ongoing support to ensure quick relief, digestive wellness, and peace of mind for Houston-area patients.

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Harris County Medical Society
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Houston Methodist leading Medicine
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Bharat Pothuri
Symptoms

What is a Duodenal Ulcer?

A duodenal ulcer is a sore in the lining of the duodenum-the first part of your small intestine. It develops when the protective mucus barrier is weakened, allowing stomach acid to damage the tissue. Common triggers include bacterial infection and certain medications.

Common Symptoms

Many people with a duodenal ulcer experience discomfort that may come and go. Typical symptoms include:

  • Burning or aching pain in the upper abdomen
  • Pain relief after eating or taking antacids
  • Feeling full, bloated, or nauseated
  • Heartburn or acid reflux
  • Referred pain in the upper back

Causes

Duodenal ulcers arise when acid overwhelms the protective lining of the intestine. Key causes are:

  • Helicobacter pylori (H. pylori) bacterial infection
  • Regular use of NSAIDs (ibuprofen, aspirin, naproxen)
  • Excess stomach acid (can be worsened by stress or spicy foods)
  • Smoking and excessive alcohol intake
  • Genetic factors that increase acid secretion
Treatment

Treatment Options for Duodenal Ulcer in Houston

Treatment includes medication, dietary and lifestyle changes:

  • Antibiotics: A 10-14 days course of medications (such as amoxicillin and clarithromycin) to eradicate H. pylori infection.
  • Acid suppression: Proton pump inhibitors (omeprazole, esomeprazole) or H2 blockers (ranitidine) to reduce stomach acid and promote healing.
  • Mucosal protectants: Sucralfate or bismuth subsalicylate to coat the ulcer lining and shield it from acid.
  • Duodenal ulcer diet plan: Focus on soft fruits, lean proteins, cooked vegetables and whole grains; avoid spicy, caffeinated, acidic and fried foods.
  • Lifestyle modifications: Quit smoking, limit alcohol and NSAID use, manage stress with relaxation techniques and maintain healthy sleep habits.
  • Follow-up testing: Urea breath test, stool antigen test or endoscopy to confirm H. pylori eradication and assess ulcer healing.

Why Choose GastroDoxs?

With a focus on patient-centered care and comprehensive digestive health solutions, GastroDoxs provides expert diagnostics and effective treatment for duodenal ulcers and related conditions. Our approach is rooted in compassionate, personalized care to help you achieve long-term relief and improved quality of life. Don't wait to get relief-book an appointment today with our trusted duodenal ulcer specialists near Houston.

1.3K

Patients Treated

We've successfully treated more than 1.3K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

How long does it take to heal a duodenal ulcer?

Most duodenal ulcers heal in 4 to 8 weeks with appropriate medication and a suitable diet.

What is the ICD-10 code for duodenal ulcer?

The ICD-10 codes for duodenal ulcer range from K26.0 (with bleeding) to K26.9 (unspecified).

Can stress cause duodenal ulcers?

Stress does not directly cause duodenal ulcers, but it can exacerbate symptoms and slow healing.

What foods are safe with a duodenal ulcer?

Safe foods include soft fruits, lean meats, cooked vegetables, whole grains, and non-acidic dairy products.

What foods should I avoid with a duodenal ulcer?

Avoid spicy dishes, caffeine, citrus fruits, alcohol, fried foods, and other irritants that can increase acidity.

Are natural remedies safe for duodenal ulcers?

Some natural remedies like peppermint tea, aloe vera, and probiotics may help, but always consult your doctor before use.

Can a duodenal ulcer cause back pain?

Yes, some people experience referred pain in their upper back when they have a duodenal ulcer.

When should I see a doctor for a duodenal ulcer?

See a doctor if you have persistent belly pain, vomiting, black or tarry stools, or unexplained weight loss.

What's the difference between gastric and duodenal ulcer ICD-10 codes?

Duodenal ulcers use the K26 code series, whereas gastric ulcers are coded under K25.

How do I find a great gastroenterologist in Houston?

Look for board-certified specialists with strong patient reviews and experience treating ulcers-like the team at GastroDoxs.

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