Expert Treatment for Ulcers by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam
He examines your symptom pattern-epigastric pain burning, timing relative to meals or at night-and evaluates the presence of risk factors e.g. NSAID use, use of alcohol, use of tobacco, stress and familial history.
H. pylori Testing
Diagnosis of Helicobacter pylori through the breath test, stool antigen, or blood antibody assists in identification of a cause of peptic ulcers.
Upper Endoscopy (EGD)
- The location and size of ulcers are directly looked at by using a flexible camera in order to view the location and size of the ulcers in the stomach and duodenum.
- Tissue biopsies check for H. pylori infection and exclude other causes like malignancy.
Laboratory Studies
- Complete blood count (CBC) to detect anemia from chronic bleeding.
- Stool occult blood test to screen for hidden gastrointestinal bleeding.
Imaging (If Indicated)
A CT scan or barium swallow can be requested to assess complications in a small number of cases, including suspected perforation or obstruction.
Frequently Asked Questions
Which foods should be avoided in case of ulcers?
Fried foods, citrus, alcohol, caffeine, and spicy foods may irritate the stomach and worsen ulcer pain.
Can stress cause ulcers?
Stress does not directly cause ulcers but can increase stomach acid and exacerbate ulcer symptoms.
How are ulcers diagnosed?
Ulcers are diagnosed through upper endoscopy, lab tests, and screening for H. pylori using breath, blood, or stool tests.
What are the types of ulcers?
Gastric ulcers typically cause pain after meals, while duodenal ulcers often cause pain between meals or at night.
What is the healing time for ulcers?
Most ulcers heal with proper medication and lifestyle modifications within 4-8 weeks.
Can ulcers recur?
Yes. Completing the full treatment course, avoiding NSAIDs, and treating H. pylori infection reduce the risk of recurrence.
When is emergency assistance required?
Seek immediate care if you vomit blood, have black or tarry stools, or experience sudden, severe abdominal pain.