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Stomach ulcers

Description

Stomach ulcer is an open sore in the lining (mucosa) of the digestive tract, typically in the stomach or upper part of small intestine, caused by the digestive action of pepsin and stomach acid. This acidic action causes ulcers inside lining of your stomach known as gastric ulcers and the upper portion of your small intestine known as duodenal ulcers.

Causes

Following are the causes of stomach ulcers:

  • Bacterial infection caused by HELICOBACTER PYLORI is the most common cause of stomach ulcers.
  • Taking NSAIDS (nonsteroidal anti-inflammatory drugs)
  • Hypercalcemia (increase in calcium in the body)
  • Zollinger-Ellison syndrome
  • Low levels of melatonin
  • Family history
  • Alcohol consumption
Risk factors
  • Lifestyle that includes excessive smoking, acidic drinks and medications like NSAIDS increases the risk of developing stomach ulcers.
  • Older women are more prone to ulcers in the small intestine.
  • Exposure to Helicobacter pylori bacteria.
  • You are more likely to develop stomach ulcers if a family member has it.
  • Excess stress and spicy foods can worsen but don’t cause stomach ulcers.
Symptoms
  • Severe pain right below the ribs
  • Loss of appetite due to pain which leads to significant weight loss
  • Feeling of fullness – unable to drink as much fluid
  • Nausea
  • Vomiting
  • Pain or discomfort
  • Pain tends to be worse at night and occurs 1 to 2 hours after meals
  • Bloody or black stools
  • Restlessness
Diagnosis

In order to detect an ulcer, your doctor may first take a medical history and perform a physical exam. You then may need to undergo diagnostic tests, such as:

  • Laboratory tests for H.pylori
  • Endoscopy
  • Barium swallow (this series of X-rays of your upper digestive system creates images of your esophagus, stomach and small intestine. During the X-ray, you swallow a white liquid (containing barium) that coats your digestive tract and makes an ulcer more visible.)
Management

Treatment involves:

  • Lifestyle modifications: Choosing a healthy diet, avoiding milk, smoking and alcohol, having a regular sleep schedule, control stress.
  • Medications:
  1. Antibiotic medications to kill H.pylori bacteria e.g. Amoxicillin
  2. Proton pump inhibitors (Omeprazole) block acid production and promote healing
  3. H-2 blockers (Rantidine) reduce acid production in the stomach
  4. Antacids neutralize stomach acid
  5. Sucralfate protect the lining of your stomach and small intestine
When to consult a doctor?

If your ulcer doesn’t heal with the recommended treatment, a doctor should be consulted.

Available Medicine for Stomach ulcers

Dijex MP Syp

Rs.59.47

Abbott Laboratories

Colenticon (sugar Free)

Rs.142.38

Pacific Pharma

Mucaine

Rs.70.68

ICI Pakistan Limited

Mucaine

Rs.7.07

ICI Pakistan Limited

Simko 300mg

Rs.235

Xenon

Omega 20mg 20mg

Rs.143

Ferozsons

Omega 40mg 40mg

Rs.181.5

Ferozsons

Risek 20 mg

Rs.147.5

Getz Pharma

Risek 40 mg

Rs.210

Getz Pharma

Losec 20mg 20mg

Rs.732.01

Barrett

Helezol 20mg

Rs.87.3

Biogenics

Ruling 40mg

Rs.195.5

High-Q

Risek Insta Sugar Free 40mg/1680mg

Rs.29.24

Getz Pharma

Etipro 20mg 20mg

Rs.151.5

ICI Pakistan Limited

Abdol 20mg

Rs.144

Sapient

Acezole 20mg

Rs.144

TG Pharma

Acezole 40mg

Rs.250

TG Pharma

Acizol 20mg

Rs.140

Leo-Zam Zam

Acizol 40mg

Rs.135.2

Leo-Zam Zam

Alpazol 20mg

Rs.144

Medicaids

Amop 20mg

Rs.144

Alliance

Anmol 20mg

Rs.72

Roryan Pharma

Anmol 40mg

Rs.125

Roryan Pharma

Beprazole 20mg

Rs.103

Bio Labs

Beprazole 20mg

Rs.144

Bio Labs

Teph 40mg

Rs.182.75

Sami

Teph 20mg

Rs.127

Sami

Teph 40mg

Rs.375

Sami

Omepral 20mg

Rs.145

Amson

Omezol 10mg

Rs.44.5

Bosch

Omezol 40mg

Rs.154.5

Bosch

Omezol 40mg

Rs.340

Bosch

Omezol 20mg

Rs.137.5

Bosch

Encid 20mg

Rs.80

Wilson's

Cidpro

Rs.14.96

Indus Pharma

Ruling 20mg

Rs.105.27

High-Q

Sante 40mg

Rs.182.5

Macter

Faast 40mg

Rs.300

CCL

Sante 20mg

Rs.137.5

Macter

Cidpro Sachet 20 mg / 1680 mg

Rs.158.56

Indus Pharma

Risek IV 40 mg

Rs.390

Getz Pharma

Noctis 40 mg

Rs.319.91

Saffron

Noctis 20 mg

Rs.99.09

Saffron

Noctis 40 mg

Rs.344.06

Saffron

Zoltar 20mg

Rs.108

Pharm Evo

Sozole-40 40mg

Rs.165

Dawaai

Bold 20mg

Rs.82.5

Scotman

Bold 40mg

Rs.105

Scotman

Pixel 100mg

Rs.770

Matrix

Xerosec 20mg

Rs.72

Sanofi

Zoltar 40mg

Rs.140.62

Pharm Evo

Cidpro 20mg

Rs.105.26

Indus Pharma

Noctis 40 mg

Rs.172

Saffron

Omelinz 20 mg

Rs.157.5

Bosch

Omelinz 20 mg

Rs.84.17

Bosch

Lomisec 20 mg

Rs.91.31

Scilife

Protium 40mg

Rs.1068

Abbott Laboratories

Zopent 40mg

Rs.297.5

Hilton

Zopent 20mg

Rs.145.97

Hilton

Protonix 40mg

Rs.260

Wilshire

Zentro 40 mg

Rs.240

Bosch

Gastasid

Rs.250

Aspin Pharma

Zentro 40mg

Rs.310

Bosch

Zentro 20mg

Rs.190

Bosch

PROTONIX 40MG INJ

Rs.240

Wilshire

Glovar 40 mg

Rs.240

Hirani's Pharma

Novipraz 10mg

Rs.161

Alere

Rabixin 20 mg

Rs.172.5

Genetics Pharmaceuticals

Novipraz 20mg

Rs.287.5

novins

Bepra 10mg

Rs.130

CCL

Repar 20mg

Rs.222.17

Barrett

Rabecid 20mg

Rs.421

Highnoon

REPAR 10MG TAB 10mg

Rs.222.16

Barrett

Rabecid 10mg

Rs.196

Highnoon

Promto 10mg

Rs.139.9

Scilife

Rabro 10 mg

Rs.107.56

Genix

Rabro 20 mg

Rs.307.48

Genix

Promto 20mg

Rs.300

Scilife

Peptinil Syrup

Rs.89.94

Wilson's

H2-Rec 150 mg

Rs.41.2

Zafa