Expert Homeopathy: Dr. Anutosh Chakraborty
A peptic ulcer is a frequently occurring and common disease, and it is also a type of chronic disease that recurs easily.
The 60 to 80-year-olds, a considerable number of people do not go to the hospital for treatment even if they feel unwell. They are often delayed and sent to the hospital once serious complications occur. Delays in treatment often lead to their illness. One of the important reasons for deterioration. In peptic ulcer disease, many elderly people are sent to the hospital for diagnosis and treatment because of gastrointestinal bleeding.
People with special occupations such as taxi drivers often face irregular diets and one meal without a meal. This is a very bad thing for the gastrointestinal tract when the mucosal defense and repair mechanisms are weakened. , Gastric acid can cause gastric and duodenal mucosal damage and even ulcers.
Intemperance in diet, coupled with poor diet, is one of the important reasons for the onset of peptic ulcers. This part of patients is mainly seen in young people.
The three major causes of peptic ulcers are the main reasons for the onset of peptic ulcers at present.
1. Helicobacter pylori infection
In recent years, experimental and clinical studies have shown that Helicobacter pylori are the main cause of peptic ulcers, especially related to duodenal ulcers.
The infection of Helicobacter pylori is relatively high in some countries, which has a certain relationship with our eating habits. One dish is placed on one dish. You can eat chopsticks one by one, and you don't use public chopsticks. Although the atmosphere of such a meal is very friendly, it is also easy to cause cross-infection. Therefore, Helicobacter pylori infection is generally high in all parts of our country. This is also a hidden danger for peptic ulcer disease.
2. Long-term use of non-steroidal anti-inflammatory drugs (NSAIDs )
Non-steroidal anti-inflammatory drugs are a class of drugs with antipyretic, analgesic, anti-inflammatory, anti-rheumatic, and anti-platelet effects. Some chronic diseases, such as rheumatic diseases, cardiovascular and cerebrovascular diseases, require long-term use of these drugs. However, these drugs have side effects on the gastrointestinal tract, which are mainly manifested as upper abdominal discomfort, indigestion, acid reflux, heartburn, nausea, vomiting, and even gastrointestinal bleeding, perforation, and other emergencies, sometimes uncontrollable without warning The bleeding is even life-threatening. It has been clinically found that many people do not have indications for taking non-steroidal anti-inflammatory drugs for a long time. Instead, they have heard that they can prevent cerebral infarction and myocardial infarction. Drugs have become the second leading cause of peptic ulcers and deserve attention.
3. Poor living habits
First of all, poor eating habits are the most important. Irregular eating, irregular eating, delicious and spicy food, like frying and barbecue, loves carbonated drinks and is addicted to alcohol, all of which can easily lead to peptic ulcers.
What needs to be reminded is that many people think that drinking a glass of milk before going to bed at night is good for sleep and protects the stomach. In fact, drinking milk before going to bed is an extremely bad habit for peptic ulcers. Milk does not form a protective film, but on an empty stomach, it will cause gastric acid secretion and cause pain. Before going to bed, it is 4 or 5 hours away from dinner in terms of time. At this time, the stomach has been emptied, and it is in an empty stomach state, so it is not suitable to drink milk at this time. Milk must be consumed when there is a staple food.
Second, smoking. According to statistics, smokers are more likely to develop peptic ulcers than non-smokers. And smoking can cause ulcers to heal slowly.
Third, the intensity of study and work and the psychological pressure can also cause peptic ulcers.
Peptic ulcer pain
The peptic ulcers early and treat them promptly, there are some symptoms that should be paid attention to. Once you have symptoms, seek medical advice promptly.
The common manifestations of peptic ulcer disease include mid-upper abdominal pain, heartburn, acid reflux, belching, nausea, vomiting, etc. The appetite remains normal, but sometimes due to the onset of pain after eating, fear of eating, resulting in weight loss, systemic symptoms may be Insomnia and other neurosis manifestations.
The pain of peptic ulcer disease has characteristics:
1. Long-term because ulcers can heal on their own after they are healed, but they often recur after healing, they often have the characteristics of long-term recurring epigastric pain, with an average medical history of 6 to 7 years, and some can last as long as one to twenty years. Even longer.
2. Periodic epigastric pain is one of the characteristics of this type of ulcer, especially a duodenal ulcer. The epigastric pain can last for several days, weeks, or longer. With a longer period of remission, it can occur throughout the year, but it is more common for authors to occur during the alternation of winter and spring, autumn and winter.
3. The pain of rhythmic duodenal ulcer often occurs on an empty stomach, that is, 2 to 4 hours after a meal. It is manifested as hunger pain, and it is relieved after eating or taking acid-suppressing drugs. Some patients with duodenal ulcers suffer from the night The stomach acid is high, especially when having a meal before going to bed, pain in the middle of the night may occur. Gastric ulcer pain often occurs within 1 hour after a meal, and gradually relieves after 1 to 2 hours.
4. The pain of duodenal ulcer at the painful part is mostly in the upper middle abdomen, or above the navel, or on the right side above the navel; the location of gastric ulcer pain is mostly in the upper middle abdomen, but slightly higher, or Below the xiphoid process and to the left of the xiphoid process, the pain range is about a few centimeters in diameter. Because the pain of the cavity and internal organs is generally not very precise on the body surface, the painful location may not accurately reflect the anatomy of the ulcer location.
5. The nature of the pain is mostly dull pain, burning pain, or starvation-like pain, generally mild and tolerable, and persistent severe pain indicates ulcer penetration or perforation.
Unhealed ulcers can cause complications
Gastrointestinal bleeding is the most common complication of this disease, and its incidence accounts for about 20% to 25% of patients with this disease. It is one of the most common causes of upper gastrointestinal bleeding. 10% to 15% of patients can cause massive bleeding as digestive The first symptoms of ulcers. It is especially common in the elderly. Some elderly patients often have atypical symptoms and may not have obvious symptoms such as pain before the onset. This has a certain relationship with the slow response of the elderly, or some elderly people take non-steroidal anti-inflammatory drugs for a long time. Drugs, these drugs have an analgesic effect, and can also cause symptoms to be unobvious. Therefore, some patients only know that they have peptic ulcers after they have gastrointestinal bleeding. Ulcer bleeding often manifests as melena or hematemesis; duodenal ulcers are mainly melena, and gastric ulcers can occur simultaneously with hematemesis and melena.
Another type of complication caused by peptic ulcers is perforation. In acute perforation, due to the duodenum or stomach content flowing into the abdominal cavity, it may be manifested as sudden severe abdominal pain.
If you feel a little uncomfortable in your upper abdomen, you should seek medical treatment in time, and let a professional doctor help you clarify the cause, so as to avoid delay in treatment and terrible complications.
Diagnosis and treatment of peptic ulcer
From the perspective of diagnosis, since the stomach-duodenum is a hollow organ, the gold standard diagnostic method is gastroscopy, which requires a biopsy and pathological diagnosis, so that the cause can be clarified. Many people now know the "breath test". Professor Liu pointed out that this method can only be used as a method for detecting Helicobacter pylori, but it cannot be used as a method for diagnosing peptic ulcers and has no diagnostic value. It should be said that gastroscopy is the most important method in upper gastrointestinal diseases. During the entire inspection process, it will only cause a little discomfort to the human body, but it will not cause harm. You do not need to be afraid and resist the inspection. Diagnosis is very necessary.
In addition, ulcer disease has a certain rate of cancer. Therefore, Professor Liu recommends that people with the following factors have a gastroscopy every year:
1. Middle-aged or older
2. People with a family history of gastrointestinal tumors, especially immediate family members
3. Intestinal metaplasia, atrophic gastritis
4. Patients with gastric ulcers.
In terms of treatment, targeted treatment should be done on the basis of clarifying the cause.
Patients with ulcers infected by Helicobacter pylori should be eradicated. The combined application of bactericidal drugs for standardized treatment is required. Eradication refers to negative results at least 4 weeks after the end of drug treatment. The disappearance of Helicobacter pylori at the end of drug treatment can only be called elimination. It is clinically required to achieve Helicobacter pylori eradication, and the recurrence rate of peptic ulcers can be greatly reduced.
For peptic ulcer disease caused by long-term use of non-steroidal anti-inflammatory drugs, the use of such drugs should be stopped first. If the drug cannot be discontinued, acid-suppressing drugs should be added. Proton pump inhibitors are currently the most commonly used acid-suppressing drugs.
If the gastric mucosa is damaged, drugs that protect the gastric mucosa can be added. The weakening of the protective effect of the gastric mucosa is an important factor in the formation of ulcers. Strengthening the protective effect of the gastric mucosa and promoting the repair of the mucosa are some of the important links in the treatment of peptic ulcers.
In addition to medication, diet therapy is also very important. The diet of patients with peptic ulcers is best to do the following:
1. Chew slowly and avoid fast food. Chewing can increase saliva secretion. The latter can dilute and neutralize gastric acid and may have the effect of improving the mucosal barrier.
2. Eat regularly and regularly to maintain the rhythm of normal digestive activities.
3. The diet should pay attention to nutrition, but no special recipes are required.
4. Avoid snacks between meals and not eat before going to bed.
5. During the acute period of activity, you should quit smoking and alcohol, and avoid coffee, strong tea, spicy food or beverages such as cola, and drugs that damage the gastric mucosa.
6. The diet is too full to prevent excessive expansion of the gastric antrum and increase the secretion of gastrin.
Conclusion
Finally, I would like to remind everyone that it is quite reasonable for the folks to say that "the third part of the stomach disease depends on the treatment and the seventh part depends on nourishment". It can be seen from the causes of peptic ulcers that there are some details that are neglected in our daily life. If we can pay more attention to the details of life to nourish the stomach, it is possible to avoid the onset of peptic ulcer disease or reduce the frequency of attacks. Therefore, whether the stomach is good or not also comes from your attitude towards it.
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