Can A Stomach Ulcer Cause Back Pain
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Can A Small Ulcer Cause Severe Pain
Jeffina
Hello everyone I’m new to e group and found out yesterday during endoscopy that I have a small ulcer.
I am under investigation for symptoms of IBS and more recently this year I’ve had several ‘attacks’ that me and my GP were convinced were gallstones. I had a gallbladder ultrasound that was all clear but the pain continued so I ended up seeing a gastroenterologist about it. He though I may have coeliac disease but found the ulcer during the examination.
The he attacks I get are severely painful, to the point I can barely breathe or speak during them and I have a fairly high pain threshold so I’m now confused if this is he true cause. I go back and see the doctor in a couple of weeks. Lanzoprazole in the meantime.
Thank you.
What Is Peptic Ulcer Disease
Peptic ulcer disease is a condition in which painful sores or ulcers develop in the lining of the stomach or the first part of the small intestine . Normally, a thick layer of mucus protects the stomach lining from the effect of its digestive juices. But many things can reduce this protective layer, allowing stomach acid to damage the tissue.
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H Pylori Infection Treatment
Patients infected with H. pylori will usually need PPIs and antibiotics. This treatment is effective in most patients, and the ulcer will start to disappear within days. When treatment is over, the individual will have to be tested again to make sure the H. pylori have gone. If necessary, they will undergo another course of different antibiotics.
What Are Peptic Ulcers
A peptic ulcer is a sore in the wall of the gastrointestinal tract caused by stomach acid. Peptic ulcers typically result from inflammation caused by infection with a bacterium called Helicobacter pylori or medicines, such as nonsteroidal anti-inflammatory drugs .
Peptic ulcers can form in the stomach or the duodenum, the first part of the small intestine.
The stomach produces acid, but its walls are typically coated with a layer of mucus that protects them from erosion. However, those medicines or an H. pylori infection can impair the mucus barrier of protection in the stomach, Dr. Yalamanchili says. This can eventually lead to a sore developing in the lining of the stomach or duodenum. Its not uncommon for gastric and duodenal ulcers to occur at the same time.
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What Causes An Ulcer
Most peptic ulcers are caused by:
- bacteria called Helicobacter pylori infecting the stomach and upper intestine. They weaken the protective coating of the stomach and upper small intestine. Acid in the stomach then gets through to the sensitive lining underneath. Acid and bacteria irritate this lining, causing ulcers.
- using nonsteroidal anti-inflammatory drugs , such as ibuprofen and aspirin. These medicines fight inflammation and help treat long-term, painful conditions like arthritis. If taken in high doses over a long period of time, NSAIDs can cause ulcers in some people.
- smoking cigarettes. Smoking increases the risk of ulcers because nicotine causes the stomach to make more acid. Drinking a lot of alcohol each day for a period of time can also increase a person’s risk of ulcers. Over time, alcohol can wear down the lining of the stomach and intestines.
Sometimes stress can help cause ulcers. Usually this happens only when a person has an illness involving severe emotional or physical stress. Any illness that makes it hard for the body to heal also can make someone more likely to get an ulcer.
Burning Pain In Your Abdomen
This may seem like a no-brainer but the most common sign that people experience when they have a stomach ulcer is a persistent burning pain in their abdomen. This sensation occurs when juices in the stomach used for digestion come into contact with the open sore. For the most part, the pain is felt from the breastbone to navel and is often worse at night than during the day. On the other hand, if you are someone who frequently skips meals, you may find that you experience this pain much throughout the daytime.
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What Are The Symptoms Of A Stomach Ulcer
Most people with a stomach ulcer do not experience any symptoms. The most common symptom is burning pain in the upper abdomen. The pain can travel to the chest and neck, bellybutton, or back.
Other less common symptoms include:
- feeling full and bloated, or belching
- not being able to tolerate fatty foods
Sometimes, stomach ulcers can lead to more serious symptoms, such as:
- a sudden sharp pain in the stomach that gets worse
- vomiting blood
- blood in your stool or black, tarry stools
- weight loss
If you have any of these symptoms, see a doctor immediately.
Upper Left Abdomen Anatomy
The upper left part of the abdomen contains several structures including:
- Pancreas
- Left adrenal gland
- Upper left sections of the large intestine
Pain in the upper left abdomen is also called pain in the left upper quadrant, pain under the left ribcage, or pain in the left hypochondrium.
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How Do Tumors From Zes Cause Peptic Ulcers
Zollinger-Ellison syndrome is a rare disorder that happens when one or more tumors form in your pancreas and duodenum. The tumors release large amounts of gastrin, a hormone that causes your stomach to produce large amounts of acid. The extra acid causes peptic ulcers to form in your duodenum and in the upper intestine.
Who Is Most Often Affected
People who are most likely to experience pain in the upper left abdomen include:
- Men
- Drinkers: Five or more alcoholic drinks per day can damage the pancreas
- Anyone with high triglyceride levels
- Anyone taking large amounts of prescription medication
- Anyone using illicit drugs
Pain may get worse after eating a large meal, especially one high in fat.
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Possible Erectile Dysfunction Risk
A 2005 Finnish survey study found an association between long term use of NSAIDs and .
A 2011 publication in received widespread publicity. According to the study, men who used NSAIDs regularly were at significantly increased risk of erectile dysfunction. A link between NSAID use and erectile dysfunction still existed after controlling for several conditions. However, the study was observational and not controlled, with low original participation rate, potential participation bias, and other uncontrolled factors. The authors warned against drawing any conclusion regarding cause.
What Is The Gallbladder
Shaped like a tiny pear, your gallbladder resides on your right side, just below your liver. It stores bile, which is a vital fluid your liver manufactures that plays an essential role in digestion. Every time you eat, your gallbladder releases bile that travels through ducts into your small intestine.
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What Are The Complications Of Peptic Ulcers
With modern treatment, people with ulcer disease can lead normal lives without lifestyle changes or dietary restrictions. Cigarettesmokers have been found to have more complications from ulcers and treatment failure.
Eradication of the bacteria H. pylori not only heals ulcers but also prevents the recurrence of ulcer disease.
Patients with ulcers generally function quite comfortably.
Some ulcers probably heal even without medications . Therefore, the major problems resulting from ulcers are related to ulcer complications. Complications include
- bleeding,
- obstruction of emptying of the passage of food.
Patients with bleeding ulcers may report
- a sense of light-headedness or ay even pass out upon standing ,
- and vomiting blood . Initial treatment involves rapid replacement of fluids intravenously.
Patients with persistent or severe bleeding may require blood transfusions. An endoscopy is performed to establish the site of bleeding and to stop active ulcer bleeding with the aid of specialized endoscopic instruments.
Duodenum – A peptic ulcer that forms in the narrow outlet from the stomach, it can obstruct the flow of stomach contents into the duodenum. Duodenal ulcers sometimes also may obstruct the flow of intestinal contents.
Patients with obstruction often report
Can Ulcers Cause Dizziness
Most gastric ulcers go unnoticed until serious complications such as bleeding occur. This can lead to stomach pain and dizziness due to blood loss.
In addition, can ulcers cause nausea and dizziness? Contact your doctor about ulcers: If you are diagnosed with an ulcer and begin to develop symptoms of anemia such as dizziness, weakness, malaise, and pallor. The ulcer may be bleeding. There are symptoms of ulcers and severe back pain develops. Your ulcer may be perforating the stomach wall.
In addition, can stomach problems cause dizziness? Acid reflux and GERD Occasionally, acid reaches the ducts that connect to the inner ear. This irritates the inner ear and can cause dizziness in some people. Other symptoms of gastroesophageal reflux disease and acid reflux disease include postprandial and nocturnal heartburn.
In addition to the above, can ulcers make you feel sick? The most common symptom of gastric ulcer is burning or biting pain in the center of the abdomen . However, gastric ulcers are not always painful and some people experience other symptoms such as indigestion, heartburn, and feeling sick.
With this in mind, can ulcers cause nausea and dizziness? Contact your doctor about ulcers: If you are diagnosed with an ulcer and begin to develop symptoms of anemia such as dizziness, weakness, malaise, and pallor. The ulcer may be bleeding. There are symptoms of ulcers and severe back pain develops. Your ulcer may be perforating the stomach wall.
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Other Causes Of Peptic Ulcers
- Genetics: A significant number of individuals with peptic ulcers have close relatives with the same problem, suggesting that genetic factors may be involved.
- Smoking: People who regularly smoke tobacco are more likely to develop peptic ulcers when compared with non-smokers.
- Alcohol consumption: Regular heavy drinkers of alcohol have a higher risk of developing peptic ulcers.
- Corticosteroid use: People on large or chronic doses of corticosteroids are also at greater risk.
- Mental stress: This stress has not been linked to the development of new peptic ulcers, but symptoms appear to be more severe in people with ulcers who are experiencing ongoing mental stress.
A patientâs description of symptoms will normally cause a doctor to suspect a peptic ulcer.
Tests that can confirm a diagnosis include:
- a blood test to check for H. pylori, though a positive test does not always mean there is an active infection
- a breath test, using a radioactive carbon atom to detect H. pylori
- a stool antigen test to detect H. pylori in the feces
- an upper gastrointestinal X-ray to identify ulcers
An endoscopy may also be used. This involves a long, narrow tube with a camera attached to the end is threaded down the patientâs throat and into the stomach and duodenum. This is the best diagnostic test.
How Are Peptic Ulcers Diagnosed
Your healthcare provider will look at your past health and give you a physical exam. You may also have some tests.
Imaging tests used to diagnose ulcers include:
- Upper GI series or barium swallow. This test looks at the organs of the top part of your digestive system. It checks your food pipe , stomach, and the first part of the small intestine . You will swallow a metallic fluid called barium. Barium coats the organs so that they can be seen on an X-ray.
- Upper endoscopy or EGD . This test looks at the lining of your esophagus, stomach, and duodenum. It uses a thin lighted tube called an endoscope. The tube has a camera at one end. The tube is put into your mouth and throat. Then it goes into your esophagus, stomach, and duodenum. Your health care provider can see the inside of these organs. A small tissue sample can be taken. This can be checked for H. pylori.
You may also have the following lab tests to see if you have an H. pylori infection:
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H Pylori Infection With Peptic Ulcer
A peptic ulcer is an open sore in the lining of the stomach. It may also form in the lining of the first part of the small intestine . Symptoms of a peptic ulcer include stomach pain and upset. Nausea, vomiting, bloating, or bleeding may sometimes occur. In many cases, bacteria called H. pylori are thought to be involved in the development of a peptic ulcer.
Many people have H. pylori in their bodies. Most of the time, it causes no problems. In some people, though, the H. pylori infection causes irritation of the stomach lining. This may make the lining more likely to be damaged by normal stomach acids. H. pylori may also increase the amount of acid in the stomach. It is not clear why this infection leads to problems in some people and not in others.
Tests may be done to check for H. pylori infection. These include a blood test, a breath test, and a stool test. In some cases, a test called endoscopy may be done. During this test, a thin, lighted tube is put into the mouth and down the throat. The healthcare provider can look at the esophagus, stomach, and duodenum through this tube. During this test, a tiny sample of stomach lining may be taken and tested for H. pylori.
Symptoms Of A Stomach Ulcer
- The main symptom of an ulcer is pain.
- Pain is usually felt in the stomach, although may radiate up to the neck or down the legs.
- Usually described as a burning pain.
- Often pain comes on a few hours after eating.
- Pain at night is common.
- Other less common symptoms include a loss of appetite, vomiting, and indigestion.
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You Bleed When You Use The Bathroom
Blood coming from the gastrointestinal tract can signal a variety of underlying health issues, but Dr. Sengupta says when this bleeding is combined with upper abdominal pain, hes highly suspicious that its one of the signs of an ulcer. Many patients notice this blood either when vomiting, or when using the bathroom, as their stools may appear black. If you notice youre suffering from a bleeding GI tract, along with nausea and pain in the stomach or chest, Dr. Sengupta says doctors will often perform a blood test or an upper endoscopywhere they use a camera to look into the stomach itselfto check if an ulcer is the culprit. Blood in your stool can also be due to hemorrhoids or a symptom of colon cancer, so its a good idea to get checked out by your doctor.
What Are The Symptoms Of A Peptic Ulcer Does It Cause Pain
Ulcers do not always cause symptoms. Sometimes, a serious complication such as bleeding or a sudden, bad upper abdominal pain is the first sign of an ulcer.
The most common symptom of peptic ulcers is abdominal pain.
- The pain is usually in the upper middle part of the abdomen, above the belly button and below the breastbone.
- The ulcer pain can feel like burning, or gnawing, and it may go through to the back.
- Pain often comes several hours after a meal when the stomach is empty.
- The pain is often worse at night and early morning.
- It can last anywhere from a few minutes to several hours.
- The ulcer pain may be relieved by food, antacids, or vomiting.
Other symptoms of peptic ulcers include the following:
- Nausea
- Loss of appetite
- Loss of weight
Severe ulcers may cause bleeding in the stomach or duodenum. Bleeding is sometimes the only symptom of an ulcer. This bleeding can be fast or slow. Fast bleeding reveals itself in one of the following ways:
- Vomiting of blood or dark material that looks something like coffee grounds: This is an emergency and warrants an immediate visit to an emergency department.
- Blood in the stool or black, tarry, sticky-looking stools
Slow bleeding is often more difficult to detect, because it has no dramatic symptoms.
- The usual result is low blood cell count .
- The symptoms of anemia are tiredness , lack of energy , weakness, rapid heartbeat , and pale skin .
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What Is The Treatment For Peptic Ulcers
The choice of treatment depends on whether or not the ulcer is caused by infection with H pylori. Correct diagnosis is key to whether a treatment works or not. If the bacteria are the cause, treatment focuses on killing the infection. Regardless of whether the bacteria are the cause, reducing acid in the stomach is another important focus of treatment.
The following treatments are recommended for ulcers:
- Lifestyle changes: Quit smoking, avoid alcohol, aspirin, and NSAIDs
- Acid-blocking medications
- Medications that protect the lining of the stomach and duodenum
- “Triple-therapy” or “dual-therapy” regimens for ulcers caused by H pylori
No single medication works to get rid of H pylori infection. Two combinations have been found that work well in most people.
These treatments are generally given for two weeks.
Once H pylori bacteria are eradicated from a person’s digestive tract, usually it will not come back. The ulcers usually heal completely and do not return.
Treatment for bleeding ulcers depends on the severity of blood loss and includes:
It is important to remember that treatment may not work if the diagnosis is not correct. If the doctor diagnoses an ulcer, it is important to determine whether the ulcer is caused by infection with H pylori.