Peptic Ulcer: Why It’s Not Healing For So Long

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written by Pharm Unique (a brilliant Pharmacist on X)

Peptic ulcers, which are lesions in the stomach’s lining, lower esophagus, or small intestine resulting from stomach acid erosion and Helicobacter pylori (H. pylori) inflammation,

The first step in achieving  a cure for peptic ulcer  is identifying the type

Is it Stomach Ulcer or Duodenal Ulcer ?

In this thread, you will learn the difference and some habit that have been making your symptoms worse

TYPES OR PEPTIC ULCER

Peptic  ulcer is classified based on the location of  the sore in the gastrointestinal tract.

The two major  locations where peptic ulcer occurs the most are the stomach and duodenum.

Hence, giving  us the two major types of Peptic ulcer ;

1. Gastric or Stomach ulcer
2. Duodenal ulcer

Other types include; Esophageal ulcer and jejunal ulcer

Our focus in this thread is  the two major types.

WHAT MAKES THEM DIFFERENT?

While some people may have either stomach or duodenal ulcer, there are people who may  experience both at the same time, and it’s called Gastrofuodenal Ulcer.

People Also Read: Peptic Ulcer Disease The Actual Causes And Remedies

STOMACH ULCER

In stomach ulcers, once you eat, you feel the pain because food makes contact with the sores.

Also, remember that gastric acid is more produced when food comes into the stomach 

In stomach ulcers, people may lose weight due to the fear of eating and vomiting is common

Specific symptoms include:

– Abdominal  pain that comes soon as you finish eating

– Abdominal pain that worsens once you start eating

– Nausea and vomiting

– Weight loss due to fear of eating

– Pain that easily radiates to the back

– Vomiting blood (Hematemesis may occur)

DUODENAL ULCER

While people with stomach ulcer may feel pain while eating or just immediately after eating, it’s different for people with duodenal ulcer.

Remember, it’s the content of the stomach that enters the duodenum.

When you start eating, the valve between the stomach and duodenum closes  and food from the stomach won’t enter the duodenum for the time being.

At this point the duodenum ulcer is happy and taking some breaks.

Once  digestive starts and food starts emptying into the duodenum again, the sores become irritated and you begin to feel the pain.

In duodenum ulcers, the pain comes much later after eating.

Most people believe it’s happening because they need to eat again.

So, people tend to eat more with the aim to relieve the pain.

In duodenal ulcer there are chances of weight gain

Many people feel the duodenal ulcer kind of pain and it’s generally more common than stomach ulcers.

Most of its occurrence is due to  the bacteria H. Pylori, while Pain medications cause stomach ulcer more.

Other times, both factors can cause either
ulcer

Specific symptoms of duodenal ulcer ;

– Abdominal pain when your stomach is empty

– Abdominal pain a few hours after eating

– Abdominal pain at nighttime

– Pain that is relieved when you eat 

– Weight gain due to frequent eating

– Pain that relieves when the food you ate do not digest properly

– Dark tarry stool  may be observed

These revealed signs and symptoms  do not rule out carrying out the required tests in diagnosing PUD.

They are simply tips  to help you modify your lifestyle while adhering to your medications.

And they are aimed at helping you seek medical help on time.

Let’s look at some habits that might be  making thing worse

SOME REAONS  WHY  PEPTIC ULCER  MAY REFUSE TO HEAL

– The medications   given to you might not be the complete meds needed to treat the ulcer

– The type of ulcer you have is probably unknown because you diagnosed  yourself

– You might be taking the wrong medications 

– You are probably  eating  and drinking just anything you desire

– You are taking some medications  that are worsening your symptoms

– Your ulcer is probably caused by H.pylori bacteria, and you are taking only PPIs and antacids.

– You are probably not complying  with the medications’ instructions for use 

– Maybe you are  not aware of  the kind of  food and drinks to avoid until you heal

– You are probably not patient; You are looking for quick results and once you don’t get what you want immediately, you dump the medications and look for another one.

– You probably eat heavy meals a lot

– You might be taking the medications wrongly; they said 30 minutes before food but you take them immediately after food.

– You probably rush your food a lot  and you hardly don’t chew.

– Maybe you eat late at night close to bedtime.

– Maybe you  are always dehydrated.

– You are probably too stressed.

Modifying your lifestyle is essential and it plays a big role in achieving a cure.


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