, << GP >> What is plague? Ulcers is an area of damage to the inner lining (mucosa) of the stomach or upper intestine (duodenum). Bacteria,
Helicobacter Pylori, a major cause of ulcers in this area. Why do people sores? The most common cause is infection Helicobacter Pylori >>. This
<< have up to 90 percent of all cases of peptic ulcer >>. << The second most common cause is damage caused by pain medications such as
or (NSAIDs such as ibuprofen or
) are used >> << for many, rheumatism
,
and. People weakened by severe disease (eg chronic respiratory disease or severe trauma) and during physiological stress are particularly prone to form ulcers. It is believed that due to poor oxygenation of gastric mucosa. Sometimes (in Europe), stomach ulcers caused by the
,,
and rarely, some other specific disease, found guilty. Such >> << terms include:
(inflammatory disease affecting any part of the intestine). What ulcers want? This is very different from person to person. Many people never realize that they have an ulcer, if dramatic symptoms develop suddenly, such as vomiting blood. Others feel pain or burning sensation in the upper abdomen. Symptoms often described as indigestion, hunger
flour or dyspepsia. Some sufferers that really helps settle their discomfort
at the time, others find that it makes them worse. Citrus drinks, spicy >> << and smoked food can make pain. Finally, it is important to emphasize that most people with pain
stomach have ulcers. sudden, severe and disabling pain in the abdomen. What can I do to help yourself? and drinking alcohol
puts you at higher risk of developing ulcers. It's a good idea to
and moderate your. If for some reason you have an increased risk of ulcers, it is important to consult
before considering NSAIDs or aspirin. If you experience symptoms of an ulcer, your doctor
You may need a thorough examination in the hospital. This
. safe and frequently performed procedures to help your doctor determine
Are your symptoms associated with ulcer or something else. As a doctor diagnoses? Diagnosis can be confirmed or definitely excluded. More formally known as oesophagogastroduodenoscopy (OGD or endoscopy of the upper gastrointestinal tract), this includes looking at the alignment of your esophagus (gullet), stomach and duodenum with a small fiber optic camera that can be swallowed. Gastroscopy is more useful in the diagnosis, if it is done
before taking any. >> << Expertise (including Barium meal) can also be used, but it is not reliable or
, useful diagnostic tool, as gastroscopy, and so is not often used nowadays for suspected ulcer. It does not offer any opportunities >> << take tissue samples () for
microscopic diagnosis of tissue abnormalities and infection. What is helicobacter pylori? Helicobacter Pylori is a moment that, despite the very acidic conditions, can live at home and in the gastric mucosa. Studies show that up to 10 percent of the population of developed countries are bacteria, although most of them have no symptoms from it only about 15 of every 100 infected people will go to the disease. people in developing countries to 95 percent can wear it. Those who carry the bacteria present, is likely to have been infected in childhood (it seems to be associated with distress and child poverty). The risk of infection for an adult is modest - less than 1 percent annually, and children today seem less likely to pick it up. Helicobacter Pylori in itself does not usually cause
ulcer symptoms. However, this bacterium is the most common cause >> << gastric ulcer and duodenal ulcer. Bacteria may also play a role in development. Helicobacter infection can be eliminated by taking antibiotics. There are about 80 per cent chance of successful treatment of infection and treatment of ulcers with just one short course of treatment. If bacteria are not eliminated, most people get >> << repeat their ulcers after a short period of time. The second or third course of treatment usually is most of these cases. Gastroscopy after gastric mucosal biopsy
(mucosa) may allow bacteria, inflammation and irregularities in the fabric
evaluated under a microscope. In biopsy tissue of the mucous membrane may be
checked for bacteria. H. pylori
"exhale": a person first takes a small drink that contains a substance called urea. Then they breathe to the machine that checks for expired air of bacteria >> << blood sample if you are or have been,
Helicobacter pylori, can detect the presence of antibodies in the blood sample chair
: it is the tracking of bacterial DNA or antigen in stool sample or a chair, showing bacteria present in the intestines. Who should be screened and treatment of Helicobacter Pylori >> <<? These issues are still debated. All patients with confirmed gastric or duodenal >> << should be checked and treatment, if bacteria were found. People under 45 years of peptic ulcer disease, symptoms can avoid
gastroscopy, choosing breath test. If it is positive for
. infection Helicobacter pylorus patient should be treated with
. People are diagnosed with stomach >> << (very rare) should be examined and if bacteria are present,
treatment. People diagnosed with early stage must undergo examination and treatment, if bacteria are present. Almost all of past history of proven duodenal ulcer >> << a Helicobacter Pylori, and therefore it
It was suggested that these people could be treated without testing. Anyone who has an ulcer, similar to the symptoms, but normal gastroscopy will
not benefit from testing or treatment. What types of drugs can cause ulcers and ulcer complications
and (NSAIDs such as ibuprofen, diclofenac or naproxen) can cause ulcers, but only a small part >> << to people who take these drugs the disease. However, because they are so widely used, hundreds of
people in the UK die each year as a result of complications of peptic ulcer related
? with these drugs. Some people have very high sensitivity to aspirin and NPVS
(such as the elderly) and people should not take such drugs regularly2. If you have been bleeding ulcer, you should not accept
medicine, which includes aspirin (acetylsalicylic acid) or NSAIDs. Who is at risk of aspirin treatment (acetylsalicylic acid)
and NPVS? People over 60 years the risk increases with age. If you have had previous disease, the risk is high. If you are taking (blood thinners for
treatment), at the same time, bleeding is likely and more serious when he
happening. Oral (for example)
increase the chances of irritation of the stomach and intestines. The higher dose of aspirin or NSAIDs the greater risk.
The longer duration of treatment, the greater the risk.
Is it possible to reduce the risk of aspirin or NPVS? If you are prone to this problem, the risk is diminished
taking medicine:
through other routes, such as suppositories or injections.
However, the acid-lowering drugs (proton pump inhibitors or strattera PPI such as omeprazole or lansoprazole, inhibitors
such as or) not
reduce ulcer risk associated with aspirin and NSAIDs. Treatment with another drug called protects mucous membranes and are potentially viable. Mizoprostol can cause diarrhea, but this trend varies from person to person >>. << Can I avoid NSAID therapy? If you need pain medicine, you may want to consider a drug that is not
predisposition to peptic ulcer. may be worth a try
in this regard because it is not associated with peptic ulcer >>. <<,
And chronic abdominal pain is a condition in which NSAIDs can be easily replaced by
other painkillers. In the case of acute attacks can be treated
with other drugs, such as
instead NPVS. Can I avoid aspirin therapy? In many cases, aspirin can be replaced by other drugs
such as paracetamol, which does not attract ulcers while offering
the same therapeutic effect. In the case of aspirin, paracetamol is less
effective, no ulcer risk. At low doses prescribed for
reducing cardiovascular risk (complications associated with "hardening of the arteries"
), << balance >> need to find a middle ground between the risk of heart / artery and risk
from peptic ulcer. If you have a history of peptic ulcer, cardiovascular risk
may be reduced to the alternative of aspirin, such as
or. The relative risk of each of these conditions and their management
varies from person to person, so it is always worth talking to your doctor
. If you think that the ulcers, contact your doctor as disease
fairly easy to detect (or gastroscopy screening for ulcer bacteria) and
easily cured. If you have a history of digestive problems or pain, only
taking aspirin and NPVS after consulting your doctor or pharmacist. If you
previously had bleeding from peptic ulcer, you should avoid aspirin and NSAIDs
completely .. How bleeding ulcers treated? : Wrestling with physical dependence. How infection with viruses and bacteria spread? How gastroscopy performed? .
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