Gastric Ulcer: An ulcer is excavated area in stomach mucosa by excessive acid secretion which is produced by stomach own cells to digest food, in normal condition this doesn’t happen and stomach mucosa is resistant to digestive action of acid but certain factors destroys this barrier and acid begins to destroy stomach cells. There are two main factors, which produce gastric ulcers.
1. Long term of use of non-steroidal anti-inflammatory drugs, these drugs are used most commonly by arthritis patient to relieve inflammation of joints; these drugs are also given in recurrent dental pains and other inflammatory conditions.
2. Infection of gastric mucosa by helicopter pylori, which is bacterium. Smoking, coffee, tea and alcohol are aggravating factors for ulcer formation.
Symptoms: Symptoms are mild epigastric pain and burning after meals especially in empty stomach, ingestion of milk and other neutralizing foods lessen the intensity, pain and burning gets worse in night on lying down.
Sometimes nausea and vomiting are also present, in case of bleeding ulcer there is vomiting containing blood, patient passes black stools, sometimes ulcer perforates into abdominal cavity and results in serious emergency comprising of severe pain, and symptoms of shock.
Diagnosis: X ray of stomach with barium makes Diagnosis, barium is a dye, which is injected by mouth, and then X ray is taken to detect the ulcer, and dye stains the normal mucosa but not the ulcer. Another option is upper GI endoscopy. Blood testes are done to detect H. pylori antibody.
Treatment: Treatment involves giving drugs, which limit acid secretion; some drugs are designed to heal the ulcer by forming protective coating on them. Patients are advised to quit smoking and alcohol use. Use of Anti-inflammatory drugs should be reduced or alternatives are given to patients. Antibiotics are effective in most cases with H pylori infection.
In this page, we are going to discuss about Gastric Ulcer and symptoms, diagnosis and treatment in Urdu and Roman Hindi for the people of Pakistan and India.