conditions stomach-ulcer

RECND592

Stomach Ulcer

Condition:Peptic Ulcer
Other:Gastric ulcer, H. pylori
ICD-10 Codes:K25-K29

Summary

Top 3 natural remedies for stomach ulcers:

1. chamomile tea (Matricaria recutita)
2. licorice (Glycyrrhiza glabra)
3. meadowsweet (Filipendula ulmaria)
4. zinc carnosine
5. marshmallow (Althaea officinalis)

Naturopathic Treatments

Lifestyle
• stress management
• avoid alcohol
• avoid NSAIDs

Specific Foods
• green tea (Camellia sinensis) - antiadherance against H. pylori
• broccoli sprouts - antiadherance against H. pylori
• rocket (Eruca sativa)
• olive oil
• okra
• kimchi
cayenne
• tomato juice - lycopene may be benficial
• strawberries
• pomegranite (Punica granatum)
• celery (Apium graveolens)
flax seeds (Linum usitatissimum)

Botanicals (internal)
cranberry juice (Vaccinium macrocarpon) - antiadherance against H. pylori
chamomile tea (Matricaria recutita)
goldenseal (Hydrastis canadensis)
agrimony (Agrimonia eupatoria)
meadowsweet (Filipendula ulmaria)
licorice (Glycyrrhiza glabra)
ginger (Zingiber officinale)
turmeric (Curcuma longa)
marshmallow (Althaea officinalis)
marigold (Calendula officinalis)
aloe vera gel
myrrh (Commiphora molmol; C. myrrha)
bitter melon (Momordica charantia)
milk thistle (Silybum marianum)
fenugreek (Trigonella foenum-graceum)
amargo (Quassia amara)
• black seed (Nigella Sativa)
holy basil (Ocimum sanctum)
• oregano oil
• horefound (Marrubium vulgare)
yarrow (Achillea millefolium)
• psyllium husk (Plantago ovata)
neem (Azadirachta indica)
• peau d'arco (Tabebuia avellanedae)
Indian Frankincense (Boswellia serrata)

Supplements
• probiotics
• deglycyrrhizinated licorice (DGL)
• bismuth
zinc carnosine
vitamin D

Conventional Treatments

antacids
• acid blockers (cimetidine, rantidine, famotidine)
• proton pump inhibitors (PPIs, e.g. omeprazole, esomeprazole)
• antibiotic + PPI (to treat H. pylori)

Signs & Symptoms

• abdominal pain
• bloating
• nausea
• vomiting
• feeling of fullness
• burning in upper abdomen
• eldery tend to not present with symptoms, i.e. absence of pain or nausea/vomiting

DDx

• abdominal aneurysm
• esophagitis
• gastric cancer
• gastroenteritis
• gastroesophageal reflux disease (GERD)
pancreatitis
peptic ulcer disease
• dyspepsia
hepatitis

Pathogenesis

• inflammation of the stomach lining
• acutely caused by alcoholism or chronic NSAID (aspirin, ibuprofen) use; other causes include: post-surgery, burns, severe injury, infections (e.g. chronic H. pylori infection)
• chronically caused by pernicious anemia, autoimmune disorders, stress, bile reflux;

Diagnostics

• pt history of symptoms
• refer to gastroenterologist

Diagnostic Tests:
• gastroscopy
• CBC
• stool test
• U/A
• H. pylori test
pregnancy

References

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