DUODENAL ULCERS: CAUSES AND TREATMENT
Duodenal Ulcers:
A duodenal ulcer is a sore that forms on the inner lining of the duodenum, which is the first part of the small intestine. It is a common type of peptic ulcer and often presents with symptoms such as:
- Burning upper abdominal pain
- Nausea or bloating
- Pain that improves after eating
- Night-time stomach pain
Causes of Duodenal Ulcers
- Helicobacter pylori (H. pylori) infection
- Prolonged use of NSAIDs (painkillers)
- Excess stomach acid production
- Smoking and alcohol use
- Stress (as an aggravating factor)
Complications To Watch Out For:
- Bleeding in the digestive tract
- Perforation (a hole in the wall of the duodenum)
- Obstruction (narrowing of the duodenum)
- Increased risk of gastrointestinal bleeding presenting as melena or hematemesis
Treatment Options:
- Endoscopy: for diagnosis and possible cauterization of bleeding ulcers
- Medications: PPIs, antibiotics for H. pylori, antacids
- Angiography and Embolization: for active bleeding
- Surgery: in cases of complications like perforation, obstruction, or uncontrolled bleeding
When to Seek Medical Help
- Sudden, severe abdominal pain
- Vomiting blood
- Black, tarry stools
- Persistent nausea or bloating
- History of ulcers with worsening symptoms
If you're experiencing symptoms of a duodenal ulcer or signs of gastrointestinal bleeding, consult Dr. Sachin Wani, a Surgical Gastroenterologist in Thane at Healwell Speciality Clinic.