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TracyDawn
11-04-2005, 01:50 PM
And I don't mean the mouth and nose ones (tho I do get those too), I mean stomach ulcers. I had my upper endoscopy yesterday. Seems my vomitting, stomach pain, and all that is being caused by a hiatal hernia and a stomachful of tiny ulcers. The dr did a biopsy but I won't get those results until the 23rd, to see if he can figure out what is causing them. It just keeps coming, I finally go the lupus dx after suffering for 7 very long years, and now the dx's just don't stop. :( Do any of you now or ever had stomach ulcers like this? The description my dh gave me was my stomach is the moon and the ulcers are the craters, there were so many of them in there. No wonder it hurts eh? For now I'm just on a strong heartburn pill, no pain meds for it. I go on vacation on the 12th (actually getting on an airplane bound for CO-I've never flown LOL) and I am so scared it's going to hit again. I had my girls weekend last weekend and when I got back and went to work on Monday, I had to leave two hours later. My whole body has been in pain all week and I want to be able to enjoy my vacation. This SUCKS!!! Anyway, if you have any suggestions (yes I know you aren't drs ;) ) other than diet, which I have changed, I would appreciate it. {{HUG}}

Saysusie
11-05-2005, 11:59 AM
Hi Tracy Dawn;
A stomach or gastric ulcer is a break in the tissue lining the stomach. The term 'peptic ulcer' refers to those that occur in either the stomach or the first part of the small intestine that leads out of the stomach, called the duodenum. It was once commonly thought that stress, smoking and diet were the principal causes of stomach ulcers. However, the Helicobacter pylori (H. pylori) bacterium is now known to be responsible for most duodenal ulcers and 60 per cent of stomach ulcers. The H. pylori bacterium also prompts many symptoms of dyspepsia, or indigestion. Treatment for stomach ulcers includes the use of antibiotics to kill the infection, and acid-suppressing drugs.
The stomach is an organ of the digestive system, located in the abdomen just below the ribs and on the left. Swallowed food is squeezed down the oesophagus and pushed through a sphincter (small muscle ring) into the stomach, where it is mixed with powerful gastric juices containing enzymes and hydrochloric acid. The stomach is a muscular bag, so it can churn the food and break it down mechanically as well as chemically. Once the food is the consistency of smooth paste, it is squeezed through a second sphincter into the first part of the small intestine (duodenum). The lining of the stomach - the mucosa or gastric epithelium - is layered with multiple folds. Ulcers occur in this lining.
A stomach ulcer can be caused by a variety of factors, including:
Helicobacter pylori - these bacteria is thought to be responsible for around 60 per cent of stomach ulcers and at least 90 per cent of duodenal ulcers.

Certain medications - including aspirin, taken regularly to help prevent heart attack or stroke, and drugs for arthritis. Anti-inflammatory medications (NSAIDS) cause around two fifths of stomach ulcers and most of us Lupus patients take high doses of NSAIDs!!

Cancer - stomach cancer can present as an ulcer, particularly in older people.

You said you've already changed your diet, many have said that diets are now known to have very little impact on the prevention or treatment of stomach ulcers and that treatment is the best course.
Treatment options can include:
Medications - including antibiotics, to destroy the H. pylori colony, and drugs to help speed the healing process. Different drugs need to be used in combination; some of the side effects can include diarrhoea and rashes. Resistance to some of these antibiotics is becoming more common.

Subsequent breath tests - used to make sure the H. pylori infection has been treated successfully.

Changes to existing medications - the doses of arthritis medications, aspirin or other anti-inflammatory drugs or NSAIDs can be altered slightly to reduce their contributing effects on the stomach ulcer.

Reducing acid - tablets are available to reduce the acid content in the gastric juices.

Lifestyle modifications - such as quitting cigarettes, since smoking reduces the natural defences in the stomach and impairs the healing process.

I hope that this has been helpful - let me know if you need any further information

Peace and Blessings
Saysusie