Introduction

ulcer is a wound or fester which can developed in mouth,oesophagus,stomach or in small intestine mostly

Normaly An ulcer is a very painful wound that can occur anywhere in the body.

It can occur anywhere on the outer skin of the body and internally which is our entire digestive system.

They can occur in the mouth, oesophagus, stomach, small intestine or large intestine and also in the rectum and anus.

Ulcer has many type which is differentiated in this way.

Types of ulcer

Mouth

Often small and big blister type wounds occur in our mouth,

the main reason for which is Vitamin B complex deficiency.

Peptic ulcer

In peptic ulcer we describe three types of ulcers.

1st one is oesophagal ulcer

Oesophagal ulcer devlopes in our oesophagus.

ulcer can be at junction area of our oesophagus and stomach.its delopes by all indigestion related problems.

2nd one is gastrick ulcer

Gastrick ulcer devlope in our stomach.commenly it’s causes by acidity Due to which it is also called gastric ulcer.

3rd one is duodenal ulcer

Duodenal ulcer becomes in our dudenum

(dudenum is a starting part of our small intestine)

After that if we talk about our large intestine (colan )

The ulcer that occurs from colon to rectum and anus is called ulcerative colitis.

which we called IBD (inflammatory bowel desease ) also.

These all have different reason.

Reason of ulcer

Gas and acidity

The reasons causing intensity of acid are also considered to be the cause of ulcer.

Main reasons for increased acid.

If the patient continues to produce acid, an ulcer will definitely occur.

The truth is that we develop ulcers due to our mistakes .

surely We can say it is Life style disease like

• mental problems
• wrong eating habits.

• Alcohol consumption causes ulcers.
• If an ulcer has already formed, alcohol causes irritation and pain in it.
• It is important to remember that increase in acid leads to ulcers.
• Meat is also indirectly helpful in causing acid ulcers.

• Vegetarians who do not eat meat eat dishes containing hot peppers and spices and such dishes and foods also produce acid.

• Red chilli proves to be the worst for this.

• Many people eat tobacco and lime by mixing it and crushing it.

• In this way, people often chew this tobacco and keep quitting.

• They become victims of this disease.

• Consuming pigeon peas, sour orange, grapes or any sour fruit, sour mango powder, lemon, pickle, sour chutney, sour curd etc. also produces acid.

• If the ulcer persists for a long time, the patient may also bleed from the mouth. When there is damage to the blood vessel due to ulcer, it bursts.

Risk of ulcer

1- If you have ever had an ulcer before, you are more likely to get one again.

2-If you take medicines continuously for something. Even if it contains pain killers, your chances of getting ulcers increase.

3-H pylori infection also causes ulcers.If you have previously been infected with H. pylori, you may be infected again, which increases your chances of developing an ulcer.

4-Smoking history.If you have a history of smoking, you are more likely to develop peptic ulcer.

5- Other indigestion related diseases

If you have a history of allergies to the internal layers of your mouth, oesophagus, stomach, small intestine, and large intestine.Due to which other stomach related problems can occur like diarrhea, loose motion, constipation, pain etc. which also increases the possibility of ulcer

how to recognise(symptoms) the ulcer

• severe burning in stomach and chest
• pain in stomach and oesophagus area
• indigestion ,acidity, bloating,constipation,diarrhoea
• bloody vomiting
• black stool
• weight loss
• anemic etc
• loss of appetite

• There will be pain if you eat food. Due to this, the patient reduces or skips food and as a result he becomes very thin.

• The pain of an ulcer patient remains mild but increases after eating food.
• If the ulcer is in the oesophagus, the patient feels burning sensation and pain while eating, due to which he repeatedly demands water in between meals.
• If the ulcer is in the esophagus and stomach, the pain starts just half an hour after eating food.
• If the ulcer is in the duodenal, there will be pain after two-three hours of eating because the food reaches there only after two-three hours. Therefore we can say that pain occurs in the afternoon and midnight

prevention and precautions

• It is necessary to avoid all those reasons which cause ulcers.
• Instead of consuming meat, alcohol, tobacco etc.
• the patient should consume only vegetarian food, milk, ghee, pulses, vegetables and fruits and rice etc.
• Food items should be prepared by boiling instead of frying them.
• Even among vegetarian items, hot chillies, spices, sour and spicy dishes should be consumed only occasionally in small quantities.
• Consuming fresh curd, buttermilk, cheese and ghee etc. keeps the amount of acid normal.
• Among fruits, it is beneficial to consume papaya, banana, sapota, ripe pomegranate etc. and peanuts along with old and unspiced jaggery.
• One should avoid Fried foods, raw vegetables, salads, pickles, chutneys, smoking, alcohol, strong coffee, tea, vinegar, soda water, walnuts, almonds and hot nuts, sesame seeds, sour curd, tobacco, seeds
• consumption of peeled vegetables, pulses with peel, extremely hot and cold beverages etc.
• Apart from this, do not consume medicines with strong properties like Corticotrophin, Adrenal Steroids, Aspirin and Phenyl Butazone etc. or
• do so only as per the doctor’s advice.
• The patient should not drink more than 1 cup (100 ml) of water at a time.

Treatment of ulcer

Treatment of ulcer is of two types as mentioned below

Medicine

• Use of medicines which prevent the formation of acid. There are medicines which neutralize (normalize ) the acid. These medicines contain alkali.
• Medicines that calm the mind – Tranquil-izer, low dose, small quantity is given.
• Remember that mental illness and stress have a bad effect on the digestive system and acid starts getting produced in large quantities.
• Improvement in eating habits and habits is essential.
• It is also necessary for the patient to keep his stomach clean.
• Constipation should not be allowed. For this, it is beneficial to use Milk of Magnesia, Liquid Paraffin or Syrup Cremaphone in required quantity.
• If the patient has even the slightest pain, he should immediately consume 1 teaspoon of Aluminum Hydroxide (Aludrox) drink.
• Save the patient from worry, anger, discord etc.
• The patient should not allow infection to enter the stomach from teeth, throat etc.
• After treatment, in the third, sixth, ninth and twelfth months respectively, the patient should be examined by barium meal or the esophagus, stomach and duodenum should be examined by gastroscopy.
• After that 1-1 The above tests should be done at intervals of a year.

Life style modification

• Eat food 2-3 times a day (in small quantities), which should be soft and chewed repeatedly.
• This should be done so that more saliva can be found in it This makes the patient feel comfortable.
• If the body weight of a patient suffering from ulcer keeps decreasing or he is starving and the age of the patient is more than 45 years, then there should be a suspicion that the patient is developing ‘ulcer cancer’.
• Doctors should also adopt the principle that a patient above the age group of 40-45 years, who is suffering from dementia for the last 2-3 weeks and despite proper treatment, his condition is not showing any improvement or he is suffering from it again and again.
• If there are attacks of dysentery, then if there is suspicion of stomach cancer, the patient should definitely be advised to get checked in a well-equipped hospital or cancer hospital.
• Preventive treatment of a patient suffering from ulcer is also very important.

investigation

Normality – Abdominal X-ray appears normal

After doing Barium Miles-X-ray, medicine is simultaneously applied to the ulcer area. The scene appears Changes are also visible in the duodenal cap.

If fibrosis is already present then it is also detected.

Ulcers can be examined thoroughly through endoscopy. Eating it shows that connecting the stomach and intestine shows where the ulcer is.

The ulcer is small or the ulcer is large, the ulcer is fresh or filled.

Is there any bleeding from the ulcer and in how much quantity

A biopsy can also be done to determine whether the ulcer is malignant or not.

There is evidence of occult (obvious) or invisible blood in the stool test.

Daily quantity should not exceed 1-2 liters by examining the beach straw from the stomach. The quantity of free acid is high in it.

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