FAQ - Duodenal Ulcer
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Why are duodenal ulcers more common than gastric ulcers?

How peptic ulcers are formed:
"H. pylori weakens the protective mucous coating of the stomach and duodenum, which allows acid to get through to the sensitive lining beneath. Both the acid and the bacteria irritate the lining and cause a sore, or ulcer."

A couple of websites have stated stastics that duodenal ulcers more common than gastric ulcers but hvaen't stated why.

I don't know but my husband has them. He was hospitalized for 4 days last month cuz they were bleeding.  (+ info)

If you have a peptic ulcer, should you diet high in fats or high in proteins?

What if you had a duodenal peptic ulcer? Would it be better if you eat many meals in small portions? Or few meals in large portions?

Have u done the antibitoics treatment for 14 days ....i usually eat like a pregnant woman with gas ...so small meals in portion....i really hat ehavin this  (+ info)

duodenal ulcer and prevacid?

i have very like 2 or 3 duodenal ulcers. the doc gave me prevacid and i want to know in how long will the ulcers get cured? im freaking outt! and i lost alot of weight , i am already thin:(

unless there is bacterial infection it last about 6 weeks  (+ info)

pregnant or duodenal ulcer? im very worried?

i do not know if im pregnant or if i have an ulcer.
1. upper abdominal pain.
2.stomach never stops hurting
3.pain seems to worsen at night.
4.i have an irregular period so i dont really start fluently since
im still in my early years.

please help.

Go to the doc. It could be gall stones.  (+ info)

info and cure for a non H.pylori duodenal ulcer?

my doctor has me on 2. 40mg pantoloc a day for life and am told this ulcer is hereditary with no h,pylori infection.i can't find a cure for this on the internet

I'm sorry, but if the doctor can't find a cure, you won't find one on the Internet either. I wish I could give you more info. I will look it up though and see what I can find for you
OK, this is what my nursing dictionary says. First. it is the most common of peptic ulcers and I will give a direct quote, "Peptic ulcer is a sharply circumscribed loss of the mucous membrane of the stomach or duodenum or of any other part of the gastrointestinal system exposed to gastric juices containing acid and pepsin. They may be acute or chronic. Acute lesions are almost always multiple or superficial. They may be totally without symptom and usually heal without scarring or other sequelae. Chronic ulcers are true ulcers; they are deep, single, persistent, and symptomatic; the muscular coat of the wall of the organ does not regenerate, a scar forms, marking the site, and the mucosa may heal completely."So that's all the info for now. There's more, but to many medical words. Hope this is enough.  (+ info)

Whether to eat or not during IBS/duodenal ulcer?

Hi friends,

My diagnosed condition details can be found here:


I only get very painful symptoms when I eat and up to 5 hours afterwards. I guess it takes 5 hours from stomach to bum to go through our digestive system.

Strange thing is that if I don't eat anything, my symptoms virtually dissapear and I can get my work done, and feel almost normal :-)

I wished we didn't have to eat LOL ;-)

My latest question is that when my symptoms are at their worst and I can't face eating anything. Am I best to:

a) Eat nothing for a few days and rest my entire digestive system from stomach to bum.

b) Eat small quality clean snacks (avoiding caffeine, wheat, lactose, etc)

c) Force myself to eat 3 proper meals, clean meals, low in gluten, lactose, etc and put up with the awful pain (so much I can't work).




If you're considering the possibility of celiac / gluten intolerance by doing a dietary challenge, all gluten would need to be completely removed from your diet, or you're not going to be able to tell if it's the gluten that's the problem. Low in gluten or avoiding gluten wouldn't tell you anything.

If you have a gluten problem, it's an autoimmune reaction, which means that your immune system considers gluten an invader and tries to attack and destroy it. Just as your immune system immediately reacts when a virus invades. Think about how small a virus is, and then think about how much gluten you're getting if you're not being very careful. Basically, it takes a fraction of a breadcrumb for someone with a gluten intolerance to get an immune system reaction from it.

For more on how to eat 100% gluten free visit http://www.glutenfreeforum.com . There are nearly 12 thousand registered users there and tons of information.

By the way, lactose intolerance actually goes along with celiac. (Although it is caused by other things too.) When the immune system attacks your body, thinking that gluten is toxic, it destroys the lining of your intestines. It's the very outer edge of that lining where the enzymes for digesting lactose are made. So it just happens to destroy that along with the rest. Therefore, lactose intolerance is part of celiac. The good news if you've got celiac is that chances are once your intestines heal, you can eat dairy again.

I can really relate to what you said about wishing you didn't have to eat. I had to go in for surgery about five years before I was diagnosed with celiac. I was on an IV for two days. I hadn't felt better in years. Once I started eating again, I started feeling bad again. Never connected it until after I was diagnosed. I always kind of wished after that that I could just do the IV thing. I also discovered that if I didn't eat, I was fine. I was so sick for so long. I don't know how I could have worked during the last few years either. I'm lucky that I'm a stay-at-home mom.

I'm obviously biased toward giving 100% gluten-free a shot because it worked for me, but you've got a lot of the symptoms... Enough that it's worth a shot. Gluten-free is a healthy way to eat anyway, so you're not hurting anything.

If you're feeling fine when you don't eat, but then sick if you do, I'd suspect that your recovery time would be very quick.

After I went gluten-free all my symptoms went away like somebody flipped a switch. After 18 years of GI symptoms I had a full turn-around within just a couple of days of being GF. It still blows my mind how CLOSE I was to not being sick all those years and I had no idea.

So I would suggest option D: 100% gluten free for a time to see if your symptoms improve. I always suggest at least a month because a lot of people take a long time to see improvement. But I'd suspect that if gluten is your problem, you'll see a difference much quicker than that. If not, you'll at least know for sure it's not the gluten and not have to wonder about that anymore.

That being said, if you want or need a medical diagnosis of celiac, you have to continue to eat gluten until all of your medical testing is done. Get a full celiac blood panel and ask to be referred to a gastroenterologist. The blood tests detect the antibodies against gluten. If you're not eating gluten, your blood tests will be negative because no gluten = no anti-gluten antibodies.

If you're not eating gluten (or enough gluten), your test results can come back negative even though you've actually got celiac disease. I stopped eating gluten a month before my tests were done and none of my tests were positive. But by that point, the improvement in my health was so dramatic that my doctor didnt even advise any retesting. Just told me to stay gluten free. She says that she has several other patients just like me who tested negative, but who obviously have celiac reactions based on dietary response.

You feeling fine if you don't eat is a big sign that SOMETHING that you're eating isn't agreeing with you. People are intolerant to all sorts of things.

Geez. Sorry this is so long. I hope you find out what is causing your symptoms, gluten or not. I just know how awful it is to feel that way and I hate to see it happening to other people.

Feel better soon.

Nancy  (+ info)

what is chronic duodenal ulcer? differentiate it from acute duodenal ulcer.?

chronic dueodenal ulcer is dangerous and has a long period of stayin. if a disease prolongs it is called chronic  (+ info)

I have been diagnosed with a duodenal ulcer in my stomach is this serious - anything i shoud be aware of ?

The 2 most common causes of ulcers in the stomach or duodenum are:
1. a bacteria called H.pylori (causes about 90% of ulcers)
2. Drugs called NSAIDs (non steroidal anti inflammatory drugs) like aspirin, ibuprofen or diclofenac

Your doctor will probably have given you some tablets to treat the bacteria - usually formulations of two different antibiotics and a tablet to stop your stomach making acid, while it has chance to heal.

The most important things to remember if you have an ulcer are to take whatever prescribed medications you have - ulcers really don't get better by themselves and until it was discovered that a bug caused most of the cases people used to have to have surgery to cut them out, and also to avoid NSAID type drugs, certainly until your ulcer is completely healed. Everybody, ulcer or not, should try and take NSAIDs only with or after food because this limits the effect they can have on your stomach.

The other important thing is that if you start vomiting blood or something that looks like coffee grounds, or if your stools turn black and sticky, then your ulcer is bleeding and you should attend A&E urgently. If you have any sudden worsening of your stomach pain it is best to seek medical attention urgently also.

Frightening things like that aside, most people with ulcers are healed by the drugs prescribed, so it's really not as serious a thing to be diagnosed with nowadays as it was even 15 years ago!

I'm sure you'll start to feel better soon.  (+ info)

what does duodenal ulcer mean??

im doing my home work and i have no idea what that means.

  (+ info)

I don't have health insurance and I think I might have a duodenal ulcer. Do these heal themselves sometimes?

First off, most ulcers are caused by bacteria and so are treated with a combination of antibiotics and reducing digestive system acid levels, which is also frequently accomplished through drugs. If bacteria is not the cause, then common causes are use of certain drugs and acid reflux. You can get over-the-counter relief from pain through acid blocking or reducing medications, but they don’t treat the root problem.

You should seek medical attention. I’ve included links to the Bureau of Primary Care and a National Free Clinic Directory. I’ve also included a link to MostChoice.com, a Web site that allows for free, fast health comparison.

Hope you feel better.
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