Stomach Ulcers: What you need to know! 1 What is a stomach ulcer? A stomach ulcer is a hole in the inner lining of the stomach or sometimes in the upper part of the small intestine, or duodenum. An ulcer in the stomach is a gastric ulcer, and an ulcer in the upper part of the intestine is a duodenal ulcer. (doo-ODD-in-ul) 2 What are the symptoms? Symptoms include; A burning pain between the stomach and chest which can last from a few minutes to hours. Symptoms usually go away after taking an antacid. Loss of appetite or weight loss. Bloating or nausea after eating. Vomiting. Vomiting blood or what looks like coffee grounds. Black, tarry stool or blood in stool. 3 Do I have a stomach ulcer? Only a doctor can tell you for sure if you have an ulcer. You will need to have a test done called an endoscopy. Should I have an endoscopy? Talk to your doctor and tell her/him your symptoms. If you need to have this test your doctor will refer you to a gastroenterologist, who specializes in stomach disorders. 4 What causes ulcers? An infection of the Helicobacter pylori, (H. pylori) is the most common cause of stomach ulcers. The excessive use of non steroidal anti-inflammatory drugs (NSAID’s) is a contributing factor. H. Pylori and NSAID’s both break down the lining of the stomach and small intestine which prevents the digestive acids from causing damage. 5 How will I treat an ulcer? Your doctor will prescribe medication for you to take. You will get medicine for the symptoms and antibiotics to attack the cause of the problem. Remember that you should always take ALL your antibiotics for the full course, even if you feel better sooner. The bacteria has a way of coming back if you do not take the full course and destroy it completely. This will cause further damage to your stomach and a return of the symptoms. 6 H. Pylori – Do I need it? This is a question under current study. It is now thought that the H. Pylori can actually prevent Gastro esophageal reflux disease. (GERD) There may actually be a link between the complicated feedback actions of the bacteria and the digestive enzymes. More study is needed and you should follow up with your doctor after taking your course of antibiotics and note any return of gastric-related symptoms. 7 Additional information: The more we learn, the more we learn that we don’t know. It is now thought that there is indeed a complex ecosystem in the human body with regard to all the different bacteria that live in a symbiotic or parasitic relationship with their human hosts. It is far too early to tell but at this point it would seem to indicate that the bacteria are able to some extent direct reactions in the gastric cycle, and though candid albicans is not specifically mentioned in any of the articles listed, it is common 8 knowledge that an imbalance of normal human flora is the cause of the growth of this fungus which is the cause of what is known as a yeast infection. Again, it is an imbalance in the normal human flora which allows the fungus, candida albicans to grow and multiply beyond normal parameters, and one of those causes of imbalance is thought to be antibiotics. Research at this point, shows limited success with agents called probiotics, mainly because the hundreds of bacteria present in the human body have adapted and come to a balance 9 which is difficult for a newcomer to interact with. (Blaser, 2005) To put it another way, trying to introduce a probiotic into the current balance of human flora is like trying to add another letter to the alphabet. What words would we make with it? The other letters could not form words with it, and it would just sit there in isolation. If you’ve read this far, good for you. Keep an eye out for literature with new information about probiotics and be careful about your diet and use of NSAIDS! 10