Peptic Ulcer

Author:

Dr. Veena Deo

A peptic ulcer is an ulcer in the wall of the stomach or duodenum, resulting from the digestive action of gastric juice on the mucous membrane when the latter is rendered susceptible to its action by psychosomatic or local factors.

Peptic ulcers are ulcers present in the lower oesophagus, stomach, duodenum, or rarely in the jejunum or ileum. They may be acute or chronic, with acute ulcers showing no evidence of fibrosis. Peptic ulcers commonly occur in middle-aged men and women who have acidity issues. These ulcers form when a small area of the stomach or duodenal lining loses its natural resistance to acids and other digestive juices.

In Western communities, the prevalence of peptic ulcers is decreasing due to the widespread use of H. pylori eradication therapy. However, the prevalence remains high in developing countries. Gastric and duodenal ulcers may coexist in some patients, and more than one peptic ulcer may be found in others.

Gastric and Duodenal ulcers coexist in 10 % of patients and more than one Peptic Ulcer is found in 10 -15 % of patients.

Peptic Ulcer is associated with the infection of H.pylori. This infection rises steadily with age in developed nations. In the UK 50% of people at the age of 50 years get infected. H. pylori is a Gram-negative and spiral, and has multiple flagella at one end which make it motile, allowing it to burrow and live deep beneath the mucus layer closely adherent to the epithelial surface.

NSAIDs are associated with Peptic Ulcer due to impairment of mucosal defences.

pylori and NSAIDs are the independent risk factors for ulcer disease.

Peptic Ulcer In Old Age

1)Gastroduodenal Ulcer: Have a greater incidence .

2) Causes: H. pylori, NSAID, Impaired defence mechanism

3) Atypical Presentation: In old age people the complications like bleeding without a dyspeptic history.

Perforation is a complication of Peptic Ulcer Disease.

Symptoms: These differ from individual to individual- burning pain in the stomach, nausea, and vomiting could happen to some. Many people feel better during meals. Pain lasts for a few minutes or for hours. There are dark-coloured stools and loss of appetite. Pain is reduced by taking antacids. Burning pain may occur in the upper abdomen or below the ribs even after eating food. Pain may occur in the chest also.

Herbs to Treat Peptic Ulcer:

Banana (Musa paradisiaca, unripe): Stimulates cell proliferation and mucous production, providing a protective barrier in the stomach.
Asparagus racemosus (Shatavari): Demonstrated efficacy in treating duodenal ulcers.
Eruca sativa (Rocket or Arugula): Research suggests it as a natural and safe alternative ulcer treatment.
Glycyrrhiza glabra (Licorice): Some studies show beneficial effects, while more research is needed.
Emblica officinalis (Awla): Effective in treating peptic ulcers.
Vitamin A and E: Help heal the mucous membrane and stomach lining.

Natural Home Remedies:

Cabbage juice
Daily intake of ghee in meals
Decoction of barley and papal with honey
Low salt diet
Brown rice water in bleeding ulcers
Onion, parsley, and plums
Foods rich in Vitamin K
Garlic
Omega-3 oil
Broccoli, sprouts, garlic, and cranberry
Aloe vera juice
Marshmallow root and slippery el

Avoid:

Stress
Foods that cause acidity

Though ingredient quantities are mentioned in some natural home remedies, consult an Ayurvedic physician before consumption.