Duodenal Ulcers Treatment in Indore

Duodenal Ulcers -Description.

A duodenal ulcer is a form of peptic ulcer, which occurs in the first section of the small intestine that is located right after the stomach, the duodenum. It develops in case of the erosion of the protective lining of the duodenum, often because of the excess stomach acid or the infection of the Helicobacter pylori (H. pylori). The others that cause it are long-term use of NSAIDs (painkillers), smoking, alcohol, stress and some medical conditions. The ulcer is painful, uncomfortable and digestive, and may impact the everyday life of an individual. Duodenal ulcers are more prevalent as compared to gastric ulcers and are also predominant in younger adults.

Types of Duodenal Ulcers

1. H. pylori-Associated Ulcers

The most common cause is brought about by Helicobacter pylori infection.

Easily controlled through antibiotics and acid suppression.

2. NSAID-Induced Ulcers

Long-term outcome of NSAIDs such as aspirin or Ibuprofen.

The condition is common in patients suffering from chronic pain or arthritis.

3. Stress-Related Ulcers

Take place in individuals in dire physical or emotional distress, e.g. critical ICU patients.

In most cases, hospital-based.

4. Zollinger-Ellison Syndrome Ulcers.

Uncommon types of ulcers that were caused by gastrointestinal tumours secreting gastrin (gastrinomas) that resulted in an excess of acid secretion.

Demands specialised care.

Symptoms of Duodenal Ulcers

Pain that is burning or grazing in the upper abdomen, usually 2 -5 hours after meals or at night.

Eating or taking antacids helps relieve pain.

Nausea, vomiting, bloating or belching.

Anorexia or inadvertent loss of weight.

In extreme cases, they end up vomiting blood or black faeces.

Duodenal Ulcers are treated with antibiotics and antimicrobials.

1. Eradication of H. pylori

Triple therapy:

Two antibiotics (e.g., amoxicillin + clarithromycin)

GABA1 (e.g. omeprazole, pantoprazole) inhibitor of Proton pumps.

Duration: usually 10–14 days.

2. Acid Suppression Therapy

They reduce acid with the help of PPIs (omeprazole, lansoprazole) or H2 blockers (ranitidine, famotidine) and accelerate healing.

3. Stop or Adjust NSAIDs

Stop taking NSAIDs when feasible.

Take other painkilling drugs such as acetaminophen.

4. Lifestyle and Dietary Interventions.

Eat small, frequent meals.

Steer clear of spicy foods, fried foods and acidic foods.

Do not consume alcohol, smoke, or caffeine.

5. Surgery

Uncommon, required only in case of complications, i.e. perforation, bleeding, and obstruction.

Prevention of Duodenal Ulcers.

1. Treat H. pylori Infection

Take all the antibiotics when infected.

2. Avoid Long-Term NSAID Use

Use NSAIDs with meals and do not take too long.

Take protective drugs (PPIs) in case of the necessity of NSAIDs.

3. Eating and Dietary Practices.

Eat smaller, frequent meals.

Avoid trigger foods: spicy, fried, acidic or very hot food.

4. Lifestyle Measures

Stop smoking and restrict alcohol.

Relax with relaxation methods, meditation or yoga.

5. Regular Medical Check-Ups

This is particularly true of persons who have had ulcers before, have chronic NSAID use or a history of ulcers in their family.