Expert Treatment for Gastric Ulcer by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He reviews your epigastric pain-its timing, triggers (like meals or NSAID use), alcohol and tobacco history, stress levels, and family history of ulcers. A physical exam checks for abdominal tenderness or signs of complications.
Blood Tests
He orders a complete blood count to look for anemia and inflammatory markers. Tests for H. pylori infection may include blood antibody assays, a stool antigen test, or a urea breath test.
Imaging Studies
- Upper endoscopy (EGD) allows direct visualization of the stomach lining and biopsy to confirm an ulcer, detect H. pylori, and rule out malignancy.
- CT scan or barium swallow may be used if there are signs of perforation, obstruction, or severe complications.
Advanced Testing (if needed)
In select cases, endoscopic ultrasound or specialized imaging helps assess ulcer depth, evaluate nearby structures, or investigate persistent bleeding.
Frequently Asked Questions
What is the ICD-10 code for gastric ulcer?
The code is K25.9 when the ulcer is unspecified and does not involve bleeding or perforation.
Can a gastric ulcer cause back pain?
Yes. If the ulcer is located near the back wall of the stomach, you may feel pain radiating to your back.
How long does it take to heal a gastric ulcer?
With proper treatment-acid-reducing medications and, if needed, antibiotics-most ulcers heal within four to eight weeks.
Which foods should I avoid?
Avoid spicy dishes, citrus fruits, caffeine, alcohol, chocolate, and high-fat meals that can irritate your stomach lining.
What foods are best for healing?
Gentle options include oatmeal, bananas, low-fat yogurt, cooked vegetables, and lean proteins like chicken or fish.
Do I need an endoscopy?
If you have severe stomach pain, unexplained weight loss, vomiting, or signs of bleeding (dark, tarry stools), Dr. Pothuri may recommend an upper endoscopy.
Does stress cause ulcers?
Stress doesn't directly cause ulcers but can worsen symptoms and slow the healing process. Managing stress is an important part of treatment.