What is causing burning sensation in stomach?

Date : 15-Apr-2018

Ulceration which occurs within the duodenum is one of the common surgical complaints with a wide spectrum of types and severity of presentation. Many ulcers are usually caused by a bacterial infection or particular types of painkilling drugs.

What causes duodenal ulcers?

• Helicobacter Pylori Infection: A bacterium found in the stomach has been shown to have a role in the development of duodenal ulcers and is often responsible for them failing to heal when treated with acid suppression drugs.
• Too much secretion of the stomach acid: This is found in some cases of duodenal ulceration.
• Non-Steroidal Anti-inflammatory drugs (NSAID): Widely recognized to cause ulceration in very few patients.
• Smoking: It may cause and help the development of duodenal ulcers. Although, Alcohol and Caffeine do not have any effect.

What are the symptoms of duodenal ulcers?

• Abdominal pain which is usually in the upper abdomen
• Anemia
• Indigestion
• Vomiting
• Vomiting blood
• Black colored stools
• Collapse and shock

Diagnosis and treatment of duodenal ulcers:

Ulcers may be diagnosed in a variety of ways but the most accurate and useful is an OGD.

The vast majority of duodenal ulcers will heal with a maximum of six-week course of acid suppression therapy using a proton pump inhibiting drug. The eradication of Helicobacter Pylori can be done with a week long course of two antibiotics in combination. Clearly, the treatment should also address other stimulants of ulcer formation, smoking, and NSAID use. However duodenal ulcers that present as an emergency to the hospital with either bleeding or perforation do require aggressive treatment. Perforation is always treated with the urgent operation and patch repair of the hole created by the ulcer.

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