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Dx Duodenal Ulcer Treatment:

Duodenal/ Peptic Ulcer

The Merck Manual Home Edition states:
[Peptic ulcers]: The names given to specific ulcers identify their anatomic locations or the circumstances under which they developed. Duodenal ulcers, the most common type of peptic ulcer, occur in the first few inches of the duodenum. Gastric ulcers, which are less common, usually occur along the upper curve of the stomach. Marginal ulcers can develop when part of the stomach has been removed surgically, at the point where the remaining stomach has been reconnected to the intestine. Stress ulcers, like acute stress gastritis, can occur as a result of the stress of severe illness, skin burns, or trauma. Stress ulcers occur in the stomach and the duodenum.

Ulcers develop when the normal defense and repair mechanisms of the lining of the stomach or duodenum are weakened, making the lining more likely to be damaged by stomach acid.
  By far, the two most common causes of peptic ulcer are infection of the stomach with Helicobacter pylori bacteria and use of certain drugs.
  Before current treatments for Helicobacter pylori infection were used, these bacteria were present in nearly 90% of people with duodenal ulcers and in 75% of people with stomach ulcers. Currently, the percentage is lower, about 50 to 75%.
  Many drugs, especially aspirin, other non-steroidal anti-inflammatory drugs (NSAIDs), and corticosteroids, irritate the stomach lining and can cause ulcers. However, most people who take NSAIDs or corticosteroids do not develop peptic ulcers.

   Eating may relieve pain temporarily or may cause pain rather than relieve it. Gastric ulcers sometimes cause swelling of the tissues (edema) that lead into the small intestine, which may prevent food from easily passing out of the stomach. This blockage may cause bloating, nausea, or vomiting after eating.

  Complications of peptic ulcers, such as bleeding or rupture, are accompanied by symptoms of low blood pressure, such as dizziness and fainting.

G.E.R.D.: Gastric Esophageal Regurgitation Disease, i.e. heartburn, needs to be differentiated from an ulcer. Most cases of G.E.R.D. are due to a lack of stomach acid due to age, smoking, and stress.

*[Editor] Normal digestion takes three over-the-counter supplements: B12 2000mg twice daily to form hydrochloric acid; Betaine HCL (the hydrochloric acid) that cleaves and activates the digestive enzymes; and the digestive enzymes (Wobenzym® or Biotics® Intenzyme®). Taking two Betaine® HCl before meals and two digestive enzymes with meals will usually resolve G.E.R.D. within three days-- so one can stop the omeprazole, Priolsec®, Zantac®...

When Betaine® HCl and digestive enzymes fail, it is usually because the gallbladder is non-functional: replace Ox Bile (Biotics® Beta®-Plus) 2 with meals. With success, one can discontinue the Prilosec® and other medications listed above. With failure of the symptoms to improve, you should be prompted to make a visit to the stomach specialist (gastro-enterologist) who will do the listed laboratory tests (if you have not done them in preparation for the visit), add medication and determine is a gastro-endoscopy (scope) of the stomach is indicated.

Medications Used in Treatment:
1. Proton Pump Inhibitors: Prilosec®, Prevacid®, Nexium®, Zegerid® esomeprazole strontium®
2. Histamine-2 Antagonists: Zantac®, Pepcid®, Axid®, Tagamet®
3. Cytotec®:

Suggested Links:
* Alternative/ Natural Treatments for Stomach Ulcers
*N.H.S. Choices

*[Editor] As the cause of a gastric/ peptic or duodenal ulcer is due to the bacteria Helicobacter pylori 50% of the time, when diagnosed simple oral antibiotics can often eradicate the bacterial infection and cure the ulcer. The editor suggests, if good results are not forthcoming from the simple suggestions of Betaine HCl/ digestive enzymes and ox bile made above, to consider performing a comprehensive Gastric Ulcer and Complete Blood Count and Metabolic Panel and blood test for Helibacter pylori a complete blood count, metabolic panel and assay for Helicobacter pylori may offer insight into what is causing your stomach complaints and may assist your physician with your visit. The laboratory tests may help define other vitamin, mineral, nutrient and hormonal deficiencies. Over-the-counter supplements may be available at the on-line Vitamin site.

*[Editor] See more information about Stomach Cancer on this site.

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