Expert Treatment for Peptic Ulcer Disease by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He reviews your epigastric pain pattern (timing, triggers, relief), NSAID or aspirin use, alcohol and tobacco habits, stress levels, and family history of ulcers.
H. pylori Testing
Non-invasive tests (urea breath test, stool antigen) or blood antibody tests detect H. pylori infection, a leading ulcer cause.
Endoscopy
- Upper GI endoscopy visualizes the stomach and duodenum lining to locate and assess ulcer size, depth, and bleeding.
- Targeted biopsy of ulcer edges rules out malignancy and confirms H. pylori under the microscope.
Barium Upper GI Series (If Needed)
When endoscopy isn't possible, a contrast X-ray study outlines ulcers and evaluates motility issues.
Follow-Up Evaluation
After initial treatment, Dr. Pothuri often repeats testing or endoscopy to confirm ulcer healing and ensure no residual complications.
Frequently Asked Questions
What causes peptic ulcers?
Most peptic ulcers are caused by Helicobacter pylori infection or long-term use of NSAIDs like ibuprofen and naproxen.
How do I know if I have an ulcer or just heartburn?
Ulcers often cause a burning pain when your stomach is empty; an endoscopy is needed to confirm the diagnosis.
What foods should I avoid with an ulcer?
Avoid spicy, acidic, and caffeinated foods, as well as alcohol, which can worsen ulcer symptoms.
How long does ulcer treatment take?
Most peptic ulcers heal within 4 to 8 weeks with the right mix of acid-reducing medications and antibiotics if H. pylori is present.
Can ulcers be dangerous if untreated?
Yes. Untreated ulcers can lead to bleeding or perforation of the stomach or intestine, which requires emergency care.
What is the best treatment for peptic ulcers?
A combination of proton pump inhibitors or H2 blockers to reduce acid and antibiotics to eradicate H. pylori if detected.
When should I see a doctor?
Schedule an appointment if you have persistent stomach pain, black or bloody stools, or vomit blood.