Peptic
Ulcer - Gastric and Duodenal ulcers
This
indicates ulceration of the gastro-intestinal tract due to the combined action
of hydrochloric acid and pepsin.This occurs most commonly in either the stomach
or the duodenum. But it may also occur in the oesophagus, following
gastro-oesophageal reflex. It may also occur in the jejunum after partial
gastrectomy.
Causes
1. This precise reason of the triumph of acid
and pepsin over the defensive mechanism of the mucosa is unknown.
2. There is however, a tendency to greater secretion in patients
with a peptic ulcer.
3. Patients of gastric ulcer tend to have
lower secretion and some degree of gastritis.
4. Gastric ulcers occur three times more than
duodenal ulcers.
5. A greater proportion of these patients are
blood group o and so fail to secrete ABH blood group substance in the saliva.
6. Stress is generally considered to be a
striking cause of peptic ulcer, especially for duodenal ulcer patients.
7. The mortality rate among smokers being
higher, tobacco may be another predisposing cause although there is no positive
evidence for it.
8. There is a greater danger in patients of
rheumatoid arthritis who use aspirin and other allopathic drugs.
9. There is probably a higher incidence of the
disease in patients with hepatic cirrhosis and chronic respiratory disease.
10. Hyper-para thyroidism is often associated
with an increased incidence of peptic ulcer.
Symptoms:
1. There is little difference between the
symptomatology of patients with gastric and duodenal ulcers.
2. The main symptom which is pain, localized
to the epigastrium, is periodic with remission lasting days and weeks, months
or years.
3. The pain comes on later in the morning,
becomes worse towards evening and rarely occurs after breakfast. It may wake
the patients at 2A.M.It may be eased or aggravated by food and often improved
within 10 minutes of taking alkalis(e.g. milk).
4. Occasionally the patient vomits which eases
the pain.
5. Another symptom is water brash which seems
to be caused by an increased salivary secretion.
6. Occasionally heartburn and water brash may
predominate.
7. On other occasions, the patients may have a
painless course and present with a complication.
8. When the ulcer penetrates through the
intestinal wall, perforation is said to occur. If this happens posteriorly it
often passes into the pancreas and give rise to a fistula between the stomach,
duodenum, colon, gallbladder or bile-duct. In such circumstances the
periodicity of the pain changes and alkalis and food fail to relieve. There may be a severe back pain
also.
Differential Diagnosis:
Duodenal
ulcer is differentiated from chronic gastric ulcer, stone in the gall bladder
or kidney, and chronic appendicitis by its characteristic pain. Diagnosis can
be confirmed best by X-ray examination.
Prognosis:
With careful dietetic
treatment and regulated mode of life the prognosis is quite favorable.
Treatment:
Dietetic:
·
During the
first week, milk diet, which may be flavored with cocoa or coffee, is advised.
·
During the
second and third week, soft boiled egg, white pulp of bread, rice and sago.
·
In fourth
and fifth week boiled fish or chicken, custard, pudding, fresh casein, soft
vegetables, boiled and made into a paste, sooji, soft rice and fruit jelly.
Food is to be given every other hour or the third hour. Semi-solid food in
adequate quantity is to continue for several months.
Curative:
1. Arsenicum.
With dry red tongue, thirst, or typhoid conditions e.g. diarrhea delirium, great prostration, vomiting soon after eating
or drinking and great burning in stomach.
2. Kali
Bichromium. Round ulcers of stomach at the cardiac end; pain relieved after
eating; vomiting of bright yellow matter; cutting pain soon after eating.
3. Ornithogalum
Umbellatum.It action is on duodenum and pylorus especially; also for
suspicion of stomach cancer. Contractive pain and abdominal distention.
Complete prostration, nausea.
4. Urainum
Nitrate.Boring pain in pyloric region; gastric and duodenal ulcers.
Burning
5. Argentum
Nitricum. Gastric ulcer with gnawing pain circumscribed to a small spot.
6. Symphytum.
For gastric and duodenal ulcers.
7. Atropine.
For cardialgic pain of gastric ulcer. It gives relief.
8. Phosphorus.
Useful in vomiting as soon as food or liquids become warm in the stomach.
Vomiting of food with mucous, bile and blood.
9. Carbo
Veg. Sour vomiting with bloody
masses, and burning in stomach.
10. Nitric
Acid. To arrest the tendency of formations.
Homeopathy Treatment
Whom to contact for Acute and Chronic Gastritis Treatment
Dr.Senthil
Kumar Treats many cases of acute and chronic Gastritis, In his medical
professional experience with successful results. Many patients get relief after
taking treatment from Dr.Senthil Kumar. Dr.Senthil Kumar visits Chennai
at Vivekanantha Homeopathy Clinic, Velachery, Chennai 42. To get appointment
please call 9786901830, +91 94430 54168 or mail to consult.ur.dr@gmail.com,
For
more details & Consultation Feel free to contact us.
Vivekanantha Clinic Consultation Champers
at
Chennai:- 9786901830
Panruti:- 9443054168
Pondicherry:- 9865212055 (Camp)
For appointment please Call us or Mail Us
For appointment: SMS your Name -Age – Mobile Number - Problem in Single word -
date and day - Place of appointment (Eg: Rajini – 30 - 99xxxxxxx0 – Peptic
Ulcer, Gastric Ulcer, Duodenal Ulcer, அல்சர், வயிற்று புண். குடல் புண், வயிறு வலி, வயிறில் புண், கேஸ் டிரபுள் – 21st Oct, Sunday - Chennai ), You will receive Appointment
details through SMS
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