How Do You Know if You Need Antibiotics With a Ulcer

Bleeding Peptic Ulcer: Treatment

A peptic ulcer is a sore in the lining of your stomach or duodenum (the first part of the modest intestine). Your ulcer is bleeding or at high risk of bleeding. This ways that you lot need treatment correct away. Handling can include medicines. It may likewise include a process such every bit endoscopy, angiography, or surgery. Your provider volition piece of work with you to decide which treatments are all-time for yous.

Treatment with medicines

Medicines will be prescribed as part of your treatment. Combinations of medicines are needed. These can include:

• Antibiotics. These medicines kill the H. pylori (Helicobacter pylori) bacteria if it is present. An H. pylori infection is the most common cause of a peptic ulcer. Y'all volition have to take several antibiotics at the same time.

• Proton pump inhibitors. These block your breadbasket from making whatsoever acid.

• H2 blockers. These reduce the amount of acid your tum makes.

• Bismuth subsalicylate. This helps protect the lining of your stomach and duodenum from acid.

When taking medicines, be enlightened of the following:

• Each medicine has risks and side effects. Your healthcare provider will tell you more about these, based on the medicines that are prescribed for yous.

• Treatment with antibiotics lasts most seven to fourteen days. You may need to take other types of medicines for a longer fourth dimension. Be sure to have all of the medicines exactly equally instructed. Don't stop taking the medicines even if you are feeling better.

• During treatment, don't accept nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin and ibuprofen. Overuse of these medicines is another possible cause of ulcers. Using them can make your symptoms worse. If you take aspirin or claret thinners (anticoagulants) because of a centre condition, blood jell, or stroke, talk with your healthcare provider showtime before yous stop taking them. Your provider tin can best determine which medicines to continue and which to exist stopped.

• Your provider may also advise you to not have cigarettes, booze, or caffeine. These may brand your symptoms worse. They may also affect how well your ulcer heals.

Handling with endoscopy, interventional angiography, or surgery

Along with medicines, your treatment may include endoscopy, interventional angiography, or surgery. Endoscopy is commonly the showtime handling used. Here's what to expect with each treatment:

Before the handling

• Yous may exist told to not eat or drink annihilation for at least 6 hours earlier the treatment.

• Tell your provider almost any medicines y'all are taking. This includes:

  • All prescription medicines

  • Over-the-counter medicines such equally aspirin, ibuprofen, and other NSAIDs

  • Illegal drugs

  • Herbs, vitamins, and other supplements

• Follow any other instructions from your provider. You volition accept to stop taking some or all of these medicines before handling.

During the handling

A needle is placed in a vein in your manus or arm. It's fastened to an IV (intravenous) line. The Four line gives you fluids. Information technology also gives you medicine to prevent hurting. This may include medicine to make you drowsy (sedative) or sleep (anesthesia) during treatment. The provider volition then treat your ulcer with one of the following:

• Endoscopy. This procedure uses a thin, flexible tube called an endoscope (scope). The scope has a tiny camera on the end. This lets the provider find the ulcer. First, your throat may be numbed with a spray or gargle. And then, the scope is put into your mouth and guided down into your stomach or duodenum. Air is used to aggrandize the digestive tract. In one case the ulcer is found, tiny tools are passed through the scope to finish any bleeding. These may include clips or devices that use rut or electricity. In some cases, medicine (epinephrine) is injected directly into the ulcer to help reduce bleeding. When the bleeding is stopped, the air is removed. The scope and any tools used are then as well removed.

• Interventional angiography. A long catheter is thread into the arteries near the ulcer. A clot is put into the ulcer to stop the haemorrhage.

• Surgery. This can be done in ii different ways:

  • Open up surgery. A cutting (incision) is fabricated in your abdomen (abdomen) to reach the ulcer. This lets the surgeon see and treat the ulcer directly.

  • Laparoscopy. A few small cuts are made in your belly. A scope with a tiny camera is so inserted through one of the cuts. Pictures of the inside of your belly are sent to a screen. This lets the provider observe the ulcer. Tiny tools are then passed through the other cuts to treat the ulcer. Nearby nerves, claret vessels, and parts of the stomach may also exist treated. Once the surgery is done, the cuts are closed. Whatever tools used are removed.

Afterward the treatment

You'll be taken to a recovery room or ICU (intensive care unit of measurement). Nurses will watch your condition closely. You'll be moved to a infirmary room when you're stable. You lot volition be given medicines to assist manage pain and to ease symptoms. Tests may be done to see if your ulcer is bleeding again. You'll stay in the hospital until your provider confirms there are no problems.

Before leaving the hospital, make sure y'all accept all the prescriptions and home intendance instructions you'll need. Also make sure you lot have a contact number for your provider or the hospital. This is in case you have problems or questions after handling.

New types of handling are too being studied. Ask your provider about whatsoever new treatment options.

Risks and possible complications of treatment

For endoscopy:

• Bleeding

• A hole (perforation) in your upper digestive tract (this includes your esophagus, tum, and duodenum)

• Risks of sedative or anesthesia used

• The ulcer coming back

For angiography:

• Hole (perforation) in a blood vessel

• Risks of sedative or anesthesia used

• The ulcer coming back

For surgery:

• Bleeding

• Infection

• Damage to nearby organs and blood vessels

• Long-term digestive problems such as irregular bowel movements

• Risks of anesthesia

• The ulcer coming dorsum

• Death

Follow-upwards

Keep all follow-upward appointments with your provider. These are needed to cheque your health and recovery progress.

When to call your healthcare provider

Call your healthcare provider right away if yous have any of the post-obit:

• Trouble breathing or chest hurting (telephone call 911)

• Fever of 100.4° F ( 38°C) or higher, or as advised by your healthcare provider

• Increased redness, hurting, swelling, bleeding, or drainage from any incisions

• Trouble swallowing or sore throat that doesn't go away within two days

• Abdomen pain that won't go away

• Blackness, tarry, or bloody stools

• Upset stomach (nausea) and vomiting

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© 2000-2020 The StayWell Company, LLC. All rights reserved. This information is non intended as a substitute for professional medical intendance. E'er follow your healthcare professional's instructions.

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Source: https://www.fairview.org/patient-education/40396

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