In general, the treatment plan for duodenal ulcer pain can involve a combination of medications and lifestyle chances (such as sticking with a healthy diet and eliminating any factors that can trigger the disease to reoccur). Medications that prescribed are closely dependent on the reason of the disease, but in many cases they are purposed to restore the balance of acids in the duodenal (the upper site of small intestine) or to kill bacteria called H-pylori (if the trigger factor is the infection due to this kind of bacteria).
Abdominal pain is one of common symptoms – even it is most likely symptom. However, not all patients experience this kind of symptom. The symptoms can come and go, depending on how well you stick with your treatment plan! See also other common symptoms on this section and here!
Typically, the pain (such as burning pain in the upper /middle stomach) flares up during the night or between your meals. Once it flares up, it may persist over a few weeks or shorter (such as only once a day or several times a day)!
Can the pain be cured completely? The answer is dependent on the trigger factor of the symptom. If the infection is successfully treated, the pain and the ulcer itself are less likely to reoccur. Fortunately, most cases of duodenal ulcer can be treated successfully.
If the diagnosis shows that your duodenal ulcer is triggered by the infection of H-pylori bacteria, the following are some major steps of the treatment plan (according to the National Institutes of Health):
- Your doctor can prescribe some antibiotics to help cure the infection and kill H-pylori. Some of common antibiotics that may be prescribed are metronidazole, tetracycline, or clarithromycin.
- You may also be asked to take medications with PPI or proton pump inhibitors to help reduce acid in the duodenal.
- Sometime doctor may also still need to add medication with bismuth to help kill the bacteria and cure the infection.
Proton pump inhibitors are also commonly prescribed for the case of when duodenal ulcer is not caused by H-pylori infection but caused by excessively consumption of pain relievers such as NSAIDS or aspirin. They may be prescribed for about 8 weeks for completely curing the open sore of duodenal.
Other common medications that may be a part of the treatment plan are:
- Prescribed medicines that are purposed to protect the lining /tissue of small intestine & stomach from further damage. For instance, you may be asked to take a medication called ‘sucralfate’.
- Sometime doctor also prescribe misoprostol to prevent the recurrence of ulcer in patients who are taking pain relievers regularly.
In many cases, ulcer that affects the first part of small intestine is often successfully treated – as noted before. But there are also a few cases when the disease doesn’t respond with the treatment which then may lead to bleeding or even perforation (a hole of duodenal).
If the disease has caused perforation, surgery is commonly used to treat the problem. And for severe bleeding, it often requires hospitalization for more intensive care and treatment.
For some patients, natural herbs or other home remedies can help improve and treat the pain caused by ulcers. The following are some common options of these home remedies.
As well we know, stress is mental phenomenon but did you know that it also can affect your physical health?
Stress alone may not significant trigger ulcer to reoccur for the second time. But with other risk factors, it sometime may have much more contribution than you think.
This can help your metabolism and digestive system to work better. It is also important to control your stress. And overall, it is good for your overall health!
You need to completely understand that cigarette smoking or abusing tobacco can affect the protective lining of your duodenal which then trigger the recurrence of your ulcer. Moreover, it’s clear that this bad habit is bad for your overall health.
Another thing you need to know is drinking alcohol too much can be potential to erode or irritate the mucous lining of your small intestine, which then may lead to inflammation or even bleeding in the wall of your duodenal. Therefore, drink alcohol moderately or avoid it if necessary for better improvement of your ulcer.
If you have a personal history of any ulcers and you are an individual who are taking pain reliever on a regular basis, it’s important for you to choose one that doesn’t affect your digestive system or trigger your ulcer to reoccur!
As mentioned before, another trigger factor of ulcer is taking the wrong type of pain reliever. For this reason, discuss with your doctor for the safe pain reliever that you should choose and use. Or your doctor may give other options if you need to take pain reliever regularly!
Choosing the right foods from your diet is also important to improve, treat, and prevent the duodenal ulcer pain.
Diet high in fried foods and spicy foods should be avoided, because it is long thought to contribute in triggering ulcer. Furthermore, your doctor may also ask you to take an elimination diet in order to find the trigger foods as much as possible.
An elimination diet can go with some different ways. For instance, you may be asked to avoid some common food allergens. This can take about 2 or 3 weeks – then you need to reintroduce them one by one until you find some that actually have contribution in triggering the symptom.
No – even many experts have confirmed that milk can worsen the ulcer. This is reasonable since milk can make your intestine produce more digestive juices and acid, and this is bad for the prognosis of your ulcer.
Nevertheless, the answer may vary from person to person. Milk also can help coat the lining of gut and therefore it can provide a brief relief of the abdominal pain. But in general, milk should be restricted in diet of people with ulcers.