|
| Home | Issues | The Daily Star Home | Volume 3, Issue 52, Tuesday August 15, 2006 |
|
|
|
|
Tips Peptic ulcer disease (PUD) and treatment Not too long ago, lifestyle factors such as stress and eating spicy foods were thought to be the leading causes of peptic ulcers. It wasn't until the discovery of a bacterium called Helicobacter pylori (H. pylori) that this theory was proven false. H. pylori is now known to be the most common cause of peptic ulcers, and this has brought about a new method of treating this condition. Peptic ulcer disease occurs when sores develop in different parts of the digestive system, including the lining of the stomach, the oesophagus, or the upper portion of the small intestine (duodenum). If the ulcer appears in the lining of the stomach, it is called a gastric ulcer. Ulcers that form in the duodenum are called duodenal ulcers; in the oesophagus, they are called oesophageal ulcers. Having a peptic ulcer means dealing with several symptoms that range in severity from painless to quite painful, depending on the size and location of the ulcer itself. Proper treatment helps kill the bacteria and reduce acid levels in the stomach in order to speed the healing process and relieve symptoms. Common causes of peptic ulcer disease (PUD) Although anyone can develop a peptic ulcer, certain risk factors increase the chance of a person developing the condition. People who are infected with H. pylori, use NSAID medications regularly, or have both of these factors are more likely to develop a peptic ulcer if they regularly drink alcohol, smoke cigarettes, or are over the age of 50. Getting the right treatment Proper diagnosis of PUD is very important to ensure that the patient receives the most appropriate treatment. The correct diagnosis of PUD may require the use of several tests. Since H. pylori is the cause of 66% of peptic ulcers, looking for this bacterium by testing the blood, breath, or tissue samples from the stomach is common. Other tests that a doctor may recommend include an upper gastrointestinal series of X-rays or an endoscopic search for the problem ulcer. Treating PUD is critical to improving overall health. In the past, doctors recommended that patients stop eating spicy foods and reduce stress in their lives as a way of curing the condition. Recent findings make these recommendations a thing of the past. Today, to improve the health of a person with PUD, doctors focus on: Most recommended treatments for PUD are 85 to 90% effective when taken properly. Usual treatments include three medications taken for a period of 7 to 14 days: two antibiotics and an acid-lowering medication. Recently, the Canadian Helicobacter pylori Study Group (CHSG) also recommended the use of a four-medication therapy. For added benefit and to encourage the healing process, doctors may also look at neutralising acid that is already in the stomach and protecting the lining of the stomach with other medications. Antacids may be prescribed to neutralise stomach acid during treatment to help produce rapid pain relief. Also, if a person is taking an NSAID, a doctor may recommend the addition of another type of medication to protect the stomach lining and minimise any irritation caused by NSAID medications more about peptic ulcer disease and heartburn symptoms. |
| home
| Issues | The Daily Star Home © 2006 The Daily Star | |