This test is important because treatment for an ulcer caused by H. Blood tests are most common. They detect antibodies to H. Breath tests are mainly used after treatment to see if treatment worked, but they can be used in diagnosis, too. The test is called a urea breath test. The blood carries the carbon to the lungs, where the patient exhales it. The breath test is 96 percent to 98 percent accurate. Stomach-lining protector : bismuth subsalicylate.
Antibiotics are used to kill the bacteria. Two types of acid-suppressing drugs might be used: H2-blockers and proton pump inhibitors. H2-blockers work by blocking histamine, which stimulates acid secretion. They help reduce ulcer pain after a few weeks. Proton pump inhibitors suppress acid production by halting the mechanism that pumps the acid into the stomach.
H2-blockers and proton pump inhibitors have been prescribed alone for years as treatments for ulcers. But used alone, these drugs do not eradicate H. Bismuth subsalicylate, a component of Pepto-Bismol, is used to protect the stomach lining from acid. It also kills H. Treatment usually involves a combination of antibiotics, acid suppressors, and stomach protectors.
At this time, the most proven effective treatment is a 2-week course of treatment called triple therapy. It involves taking two antibiotics to kill the bacteria and either an acid suppressor or stomach lining shield. Two-week triple therapy reduces ulcer symptoms, kills the bacteria, and prevents ulcer recurrence in more than 90 percent of patients.
Unfortunately, patients may find triple therapy complicated because it involves taking as many as 20 pills a day. Also, the antibiotics used in triple therapy may cause mild side effects such as nausea, vomiting, diarrhea, dark stools, metallic taste in the mouth, dizziness, headache, and yeast infections in women. Most side effects can be treated with medication withdrawal. If you have H. Most people with H. It's not clear why this is, but some people may be born with more resistance to the harmful effects of H.
When signs or symptoms do occur with H. Make an appointment with your doctor if you notice any persistent signs and symptoms that worry you.
Seek immediate medical help if you experience:. The exact way H. Risk factors for H. A peptic ulcer is a sore on the lining of your stomach, small intestine or esophagus. A peptic ulcer in the stomach is called a gastric ulcer. A duodenal ulcer is a peptic ulcer that develops in the first part of the small intestine duodenum. An esophageal ulcer occurs in the lower part of your esophagus.
Complications associated with H. NSAIDs are medicines widely used to treat pain, a high temperature fever and inflammation swelling. Many people take NSAIDs without having any side effects, but there's always a risk the medication could cause problems, such as stomach ulcers, particularly if taken for a long time or at high doses.
You may be advised not to use NSAIDs if you currently have a stomach ulcer or if you have had one in the past. Paracetamol can often be used as an alternative painkiller, as it's generally considered safer.
Once you return the container to your healthcare provider, they will send the sample to a laboratory for analysis. This and the breath tests usually will require you to stop medications such as antibiotics and proton pump inhibitors PPIs before the test.
If you have an endoscopy , your doctor will insert a long, thin instrument called an endoscope into your mouth and down into your stomach and duodenum. An attached camera will send back images on a monitor for your doctor to view. Any abnormal areas will be inspected.
If necessary, special tools used with the endoscope will allow your doctor to take samples from these areas. These include:. Studies show that infected people also have an increased risk of stomach cancer. While the infection is a major cause of stomach cancer, most people infected with H. If you have an H. Stomach cancer, along with duodenal and stomach ulcers, is associated with H. If you have close relatives with stomach cancer or a problem such as a stomach or duodenal ulcer, your doctor may want you to have treatment.
Treatment can cure an ulcer, and it may reduce your risk of developing stomach cancer. You will normally need to take a combination of two different antibiotics, together with another drug that reduces your stomach acid.
Lowering stomach acid helps the antibiotics work more effectively. This treatment is sometimes referred to as triple therapy. Treatment may vary depending on your past medical history and if you have allergies to any of these medications.
After treatment, you will have a follow-up test for H. In most cases, only one round of antibiotics is needed to clear the infection, but you might need to take more, using different drugs. However, spicy foods, alcohol , and smoking may worsen a peptic ulcer and prevent it from healing properly. Read about natural treatments for the H. For many people infected with H.
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