What Is Ulcers?
An ulcer refers to a wound that forms on body surface. The ulcers that are related to gastroenterology are mostly in the stomach or small intestine (peptic ulcers). It is also possible to get mouth ulcers or skin pressure ulcers. Dr. Rishi Chadha is the specialist with all kinds of ulcers and he is concerned with effective and safe relief.
Common Causes and Risk Factors
- Helicobacter pylori infection by bacteria.
- Long-term use of NSAID (ibuprofen, naproxen).
- Excessive secretion of stomach acid.
- Smoking and alcohol use
- Stress, which can worsen the balance of acids, and slow healing.
- The progression of pressure ulcers (bedsores): red skin - deep wounds, but this practice is the concern of GI ulcers.
Signs and Symptoms
- Pain in the stomach which is aching or chewing.
- Bloating, heartburn, nausea
- Appropriate inappropriate weight loss.
- Dark or bloody stools
- When there are mouth ulcers: small painful white lesions of inner lip or cheek.
How Dr. Rishi Diagnoses Ulcers?
Step-by-Step Evaluation
Medical History & Physical Exam
Dr. Chadha reviews your symptoms, history of NSAID/medications, alcohol/tobacco, diet, stress, and employs an abdominal focused examination to localize pain/tenderness.
Laboratory Testing
Blood antibody test or stool antigen Noninvasive (H. pylori infection detection, breath test, blood antibody test) and complete blood count (to determine whether anemia is a result of a bleeding or not).
Endoscopy & Imaging
- Optical observation of the stomach and duodenum lining through upper endoscopy (EGD), and biopsy of any suspicious ulcers.
- Abdominal ultrasound or CT scan indicates the presence of complications (bleeding, perforation) or other abdominal pathology.
Additional Studies (as needed)
In case of refractory cases or special imaging to rule out any rare causes, pH or gastric emptying studies in patients.
Frequently Asked Questions
What is a peptic ulcer?
Sore of the stomach or small intestine as a result of infection with H. pylori or through the long-term use of NSAID.
Does stress cause ulcers?
Stress is not the direct cause of the ulcers but it can increase the acid balance and slows down the healing.
How do I know if I have an ulcer?
A typical symptom is burning or gnawing pain of the belly, bloating, heartburn, nausea, or blood-streaked/bloody stools.
What drink is good for ulcers?
Even the Herbal teas like chamomile or aloe vera juice can calm and line the stomach.
Can diet help heal ulcers?
Yes. The good components in the balanced diet include the lean protein, vegetables and low-acid foods, which accelerate the process of recovery.
What are ulcer 7-day meal plans?
Among the examples, there is a day of eating lean meat, oatmeal, banana, steamed vegetables, and non-citrus smoothies.
Rationale of natural cure of mouth ulcers?
The symptoms can be relieved within no time by warm salt-water rinses, topical honey or over-the-counter gels.
Are there any stages of pressure ulcers?
Yes. Pressure ulcers pass through four stages- red skin-deep tissue damage- GI ulcers Dr. Chadha is worried about them.
What are their management of recalcitrant ulcers?
Endoscopy may help to avoid bleeding and the presence of non-healing ulcer tissue through endoscopic hemostasis, or tissue ablation.
How long is the treatment of ulcers?
Most ulcers can be cured in a period of 4-8 weeks through medical care and lifestyle change.