This week's Check-up looks at Peptic Ulcers
Can you explain to me what exactly a stomach ulcer is? And are duodenal and peptic ulcers just different names for the same thing?
The term peptic ulcer is used to describe a raw area or small hole in the lining of the gastric system. If the ulcer is situated in the stomach itself it is known as a gastric ulcer while an ulcer located in the first part of the small intestine is called a duodenal ulcer.
The stomach and small intestine are lined with a protective coating of mucus but we know that when this lining is damaged, particularly by the bacterium Helicobacter Pylori and by the acids and enzymes produced by the stomach to break down food, an ulcer forms.
I though you only got peptic ulcers if you drank or smoked heavily. I keep myself in pretty good shape. I play football, drink moderately and have never smoked. Apart from pain killers for sports related injuries I'm not on any medication. So why have I developed this problem?
Ulcers are common in young to middle aged adults, particularly men. Being a heavy drinker and/or smoker would make one more susceptible to peptic ulcers. But you mention that you suffer from sports related injuries. Do you by any chance take painkillers known as non-steroidal anti-inflammatory drugs (NSAIDS)? These drugs, used to treat pain and arthritis, can contribute to ulcers developing. Other drugs such as steroids and aspirin can have the same effect.
I've already had a scope to confirm the diagnosis and my doctor has given me medication but are there any other steps I can take to manage the problem?
A gastroscopy, an examination of the stomach and upper gastric tract with a flexible fibre optic telescope is used to confirm the presence of a peptic ulcer.
If you are found to have the bacteria Helicobacter Pylori, you will be treated with triple therapy - a combination of antibiotics and other drugs that reduce acid secretion.
You are helping yourself by not smoking and drinking moderately. In addition make sure your diet is well balanced and eat small meals regularly throughout the day, avoiding foods that upset your stomach.
Although easier said than done, minimise stress as this can promote the over production of stomach acid.
Should you develop sudden severe stomach pain, vomit or pass blood you should seek urgent medical assistance as this may be due to a perforation at the ulcer site.