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Symptoms

Some people with a peptic ulcer have no symptoms. However, many people have upper abdominal pain usually just below the breastbone (sternum). You may sometimes feel a pain in your back. The pain usually comes on an hour or two after eating and can be relieved by more food or antacid medicine. It may also wake you at night.

Other symptoms may include:

  • belching
  • heartburn
  • general discomfort in the abdomen
  • bloating or fullness after eating
  • feeling sick
  • vomiting

You should see your doctor if you have:

  • difficulty swallowing
  • lost weight without trying to
  • a reduced appetite
  • seen blood in your vomit or bowel movements

These symptoms may be caused by problems other than peptic ulcers. You should visit your GP for advice.

Complications

Most people who have a peptic ulcer don't have any complications. However, possible complications include the following.

Bleeding

Occasionally ulcers can cause the lining of the stomach or duodenum to bleed. If this happens, you will need hospital treatment.

A bleeding ulcer will give symptoms that include:

  • vomiting blood (usually bright red)
  • vomit containing dark brown bits of clotted blood (with an appearance like ground coffee)
  • blood in the faeces (usually dark red)
  • black, tarry faeces

If you have any of these symptoms, you should see a doctor immediately.

Anaemia

If the bleeding from the ulcer is slow, you might not get blood in your vomit or faeces. However, you may develop anaemia. This is a condition where there are not enough red blood cells to carry oxygen around the body.

Perforation

Rarely, the ulcer may erode very deeply into the wall of the stomach or duodenum, leaving a hole into the abdomen. This causes severe pain and needs emergency surgery. However, because treatment with medicine is usually successful, surgery is now rarely needed for peptic ulcers.

 

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Causes

The following are the most important causes of peptic ulcers.

  • The most common cause is infection of the stomach with bacteria called Helicobacter pylori or H. pylori. This infection is quite common; about half of the world's population is infected. These bacteria cause the stomach to make too much acid, which damages the lining of the stomach or duodenum and can cause the ulcer.
  • Some medicines, called non-steroidal anti-inflammatory drugs (NSAIDs), can cause peptic ulcers. Examples of these medicines include aspirin, ibuprofen, naproxen and diclofenac. However most people can take these safely. If you are in doubt which painkillers to take, ask your pharmacist.
  • Smoking and drinking excessive alcohol increase your chances of developing a peptic ulcer.

Diagnosis

If you have a suspected peptic ulcer, your doctor may recommend some of the following tests to diagnose and to decide how to treat you.

H. pylori test

As H. pylori is the commonest cause of a peptic ulcer, your doctor may test for and prescribe medicines to remove the bacteria if it's found to see if your symptoms improve.

Testing for H. pylori is done with either a breath, blood or faeces (stool) test. For the breath test, you are given a liquid to swallow that is broken down by the H. pylori bacteria to produce a gas. Your breath is then tested for this gas by a machine. If the gas is found, H. pylori are present.

For the other tests, a sample of blood or your faeces is sent off to a laboratory for analysis.

If you have been taking an anti-ulcer medicine called a proton pump inhibitor (see Treatment), the breath and faeces test won't be accurate until two weeks after stopping the medicine.

Endoscopy

If you have a suspected peptic ulcer, your doctor may arrange a gastro-intestinal endoscopy. Not everyone who has abdominal pain needs one, so your doctor may decide to investigate you in one of the other ways first. However, endoscopy is the only way to be certain whether you have a peptic ulcer.

During the procedure, a flexible, tube-like instrument called a gastroscope is passed through the mouth and into the stomach, usually under sedation in hospital. The procedure usually lasts a few minutes.

 
>>>Stomach Ulcer Test

Stomach Ulcer Health Care Test

Why is treatment so important?


Why is this test important to me?
It is estimated that half of the world's population today is infected by the stomach bacterium Helicobacter pylori. Long-term the infection causes damage to the mucous membrane of the stomach and ulcers in 10% of cases. Those infected with this bacterium have an increased risk of developing stomach cancer.

How do I perform the test?
Prick your finger quickly and easily with the micro-lancet. Place the drop of blood on the test strip. Add the buffer solution after 30 seconds (see picture 'How to perform the test'). A positive or negative result appears in the window.

What does the result tell me?
Two test lines tell you that you probably have a Helicobacter pylori infection. Please consult your doctor as soon as possible for a closer examination and treatment.

Why is treatment so important?
The stomach bacterium Helicobacter pylori is the main cause of stomach tumours and ulcers. However there is no cause for undue worry if your result is positive and your doctor confirms the condition, because specific antibiotic treatment can be prescribed for about a week.

What are my chances of developing stomach ulcers?
It is not certain how the Helicobacter pylori infection is transmitted. Often it is transmitted orally from mother to child. Transmission happens less frequently with age; poor hygiene promotes the spread of the infection.
An infection can go unnoticed for years. Nor does the successful treatment of one episode guarantee a life free from stomach complaints. This test can indicate a significant risk factor for the development of stomach ulcers or stomach cancer, and enable you and your doctor to target the disease with effective therapy.

General information:

The stomach lining and duodenum are both protected against stomach acid by a protective coating. If this protective function is disturbed in any way, the mucous membrane of the stomach can be damaged, leading to ulcers. This typically happens due to H. pylori infection, which also
increases the risk of developing stomach cancer.

In most cases, H. pylori infection can be treated very successfully using a combination of antibiotics and antacids. Once the bacteria have been eliminated, the gastritis is generally cured.

PLEASE NOTE:
If you have already been infected with H. pylori in the past and the infection was eliminated using antibiotics, this test may yield a positive reading even more than one year following treatment, although the infection is no longer present.

Test components:
Sealed foil pack with test cassette and desiccant, buffer bottle with 0.5 ml buffer solution, plaster, lancet, instructions.

Materials required, but not provided:
• A clean tissue and a watch with a second hand

 

Stomach Ulcer Health Care Test - SENT IN DISCREET FIRST CLASS PACKAGING - £14.99 post free to all UK destinations. (product code 1SUT)

The test is positive if, within the 10-minute reaction time, two purple lines appear in the result field of the test cassette at both "C" and "T", even if the line shown at "T" is very faint. This indicates an infection with H. pylori. Please consult your doctor for a more detailed examination.

The test is negative if only one purple line appears in the result field of the test cassette at "C". This means that no H. pylori infection could be detected.

The test is invalid if, after 10 minutes, no purple line appears at all. Reasons for an invalid test result include a damaged foil pack, improper storage, or a mistake when performing the test. Please
keep all test components and contact the manufacturer of the test.

After 20 minutes, the test results can no longer be interpreted reliably. Please therefore discard the test cassette once you have assessed your test result.

I have an H. pylori infection. What should I do?

Please visit your doctor, who will arrange for the appropriate examinations to be undertaken in order to confirm the diagnosis. Using treatment with antibiotics, your doctor will in most cases be able to completely destroy the bacteria and thus avoid any further associated intestinal symptoms.
It might be helpful to take these instructions with you to show your doctor, so you can give him or her a better idea of the type of test carried out.

I have stomach pains, but I seem not to be infected by H. pylori. What should I do?
Consult your doctor for a detailed examination.

IMPORTANT NOTE:

Always consult your doctor before making any important medical decisions.

Product information:
• Not being infected with H. pylori does not necessarily mean that you cannot get a stomach ulcer for another reason.
• Although the test is very accurate, false results may arise in very rare cases.
• This is an immunological test for the detection of antibodies against H. pylori in blood.
• Test components of animal origin (such as antibodies) are potentially infectious material, but present no risk to health provided that all test components are used in accordance with instructions. The buffer solution contains harmless concentrations of sodium azide.

This complete home test identifies exposure to Helicobacter pylori
Patients with positive results should see their doctor for advice on eradication treatments

Stomach Ulcer Health Care Test - SENT IN DISCREET FIRST CLASS PACKAGING - £14.99 post free to all UK destinations. (product code 1SUT)



Stomach Ulcer Health Care Test
 
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