Ulcer treatment options

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mwok
New Member


Date Joined Nov 2010
Total Posts : 6
   Posted 11/26/2010 9:38 AM (GMT -6)   
In the old days (50s-80s) when doctors thought stress/spicy foods caused ulcers, what was the treatment back then? They obviously did not give them antibiotics. Dr. OZ TV show said that the "old cure" was ONLY Pepto Bismol and that it always worked (apparently the bi****h kills the bacteria and coats the ulcer which promotes healing etc). They also did not do endoscopys or breath tests. The ulcers healed just fine back then.

I never had heart burn or acid reflux or gerd or any stomach problems. about 2 weeks ago, I felt really weak and tired, very exhausted, very thirsty and had a very slight sore throat but no fever. At this time, I started eating lot's of raw garlic (not sure if it killed any germs). These symptoms eventually went away after a couple of days...it's almost as if an infection was occurring but later went away.

After a couple of more days, I started getting nausea for no reason (always AFTER eating). Then after a couple of more days, I started getting intense stomach burning at exactly the same spot. It would burn before going to sleep, when I first wake up (no food or drink), after eating etc. Eating a large meal temporarily stops it but it always comes back. It caused severe nausea, vomiting like, fainting feeling. Again, I know it was not heart burn. I took mylanta which helps prevent the burning and all of the other symptoms BUT the irritation feeling is still slightly there. It feels like I had a "open sore" in my stomach....like I could feel the irritation.

I went to the physician and he said it was probably heart burn and gave me antiacids which of course, fixed the "acid burn and all related symptoms" issue. Since I know it's not heart burn (even though he insisted), I got a referral to a gastrospecialist.

I went to the gastrospecialist and he wants to do an endoscopy. I told him I don't want any tubes sticking down my esophagus but he said the breath test/blood test for H. Plyori is not conclusive. I told him that my symptoms are 100% ulcer without a doubt but he said he won't continue without doing an endoscopy first.

After looking up the video on how endoscopy and biopsy are done, there is NO WAY in hell I'm going to let any doctor take a biopsy. In the video, they just go in and rip a part of the stomach without any concern (just stretch and pull it apart)....hell no. Also, I read some side effects where some careless gastrospecialists forced the tube down the esophagus or went down too quickly which stretched it/damaged it and caused all kinds of problems. Who knows what they unawarely disrupt when they are in there.

There is no way in hell I'm doing an uncessary endoscopy for something I know is an ulcer without a doubt. Especially given the fact that I'm a healthy 24 and eat reasonably very healthy (lot's of fiber, salmon, fruits etc).

I also highly doubt H. Plyori caused the issue since everybody has it and it "may" cause issues only in some people. To me, that is absolutely not conclusive or even an indication that H. Plyori is the real cause (the guy who drank it never developed an ulcer, only an irritation and he drank it concentrated). I'm guessing my issue was caused by eating highly potent raw garlic or something. I eat a lot of plant food that includes rough stems. Maybe one of the rough stems scratched the stomach and the acid did the rest? I eat a lot of salmon which sometimes has tiny sharp bones...maybe one of them scratched the stomach? During that time, I ate a container of organic raw spinach and I also ordered a Pizza. Maybe one of them had something. Highly doubt it was H. Plyori.


Anyways, all I know right now is antiacids fix the symptoms. Irritation is still slightly there (felt) and eating a very very large meal can trigger nausea in such a way that I feel like passing out. I'm guessing a large meal disturbs the area of the ulcer and causes bleeding or irritation of the nerve endings. Small/medium meals actually help.

So what are my treatment options? The ulcer is probably at the beginning stage where it has probably not even caused a cavity. Should I go for the breath test regardless of what the gastrospecialist say. Should I take Pepto bismol and antiacids combination to see if that fixes the issue (maybe 2 weeks?)? Should I go for the endoscopy and pray that the guy doing it is really competent?
I notice that as soon as I stop the antiacid, the irritation and burning comes back slowly.

Post Edited (mwok) : 11/26/2010 7:44:13 AM (GMT-7)


stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 11/26/2010 11:53 AM (GMT -6)   
mwok,
 
In the 1950s - 1960s ulcers were often treated with sulfa drugs or surgery.  It was much more common to see patients with bleeding ulcers that required surgery.
 
In the 1970s-1980s often the drugs of choice were Tagamet and Zantac.  Also Upper GI scopes were used to identify the problem as well as biopsies were done.
 
Currently peptic ulcers caused by H-pylori are treated with antibiotics.

Antibiotics are used to kill the H. Pylori Bacteria. Usually, two antibiotics are used at the same time. The most common antibiotics used are: Metronidazole, Tetracycline, Clarithromycin and Amoxicillin. The antibiotic is usually taken for 2 weeks.

The PPIs are widely used now for GERD.  These include Omeprazole, Lansoprazole  Pantoprazole, Nexium and Protonic.

Not sure why you are against having a scope as it is one of the easiest test available and is pretty much the gold standard. 

Take care and good luck,

Kitt

PS - I am not a Doctor, just info for FYI


~~Kitt~~
Moderator: Anxiety/Panic, Osteoarthritis, GERD/Heartburn and Heart/Cardiovascular Disease.
www.healingwell.com

"If you can't change the world, change your world"

mwok
New Member


Date Joined Nov 2010
Total Posts : 6
   Posted 11/26/2010 12:14 PM (GMT -6)   
I'm just terrified that the endoscopy would create permanent damage or some random issues. I don't have any heart burn, gerd, acid reflux or any stomach issues and I don't want the endoscopy to cause them either due to incompetency of the person performing it. I googled endoscopy results and noticed some patients had heart burn, acid reflux, or some other issue caused by endoscopy.

One of the gastrospecialists even posted that some gastrospecialists force the endoscopy tube too fast causing it to stretch the lining of the esophagus and cause tears etc.

Also, the endoscopy tube is not true 360....that means they will have to rotate it around...who knows what kind of disruptions/damage that might cause.

I just don't understand WHY an endoscopy is required NOW when it wasn't required in the past. My symptoms are 100% ulcer, why can't they just prescribe the darn antibiotics? I don't have stomach cancer (I'm only 24!) and probably no hiatus hernia, so why the hell do they need an endoscopy?

mwok
New Member


Date Joined Nov 2010
Total Posts : 6
   Posted 11/26/2010 12:17 PM (GMT -6)   
Also, another possible cause of the ulcer:
These past couple of months, I've been working overtime and had some important deadlines at work. I was in and out of meetings everyday and skipped lunch entirely (had a big breakfast however). So, I'd go about 8-10 hours with any food (only water) and by the time I'm ready to go home, my stomach is churning.

I'm guessing the stress from the deadlines and me skipping lunch and not eating anything for 10 hours is what really caused the ulcer.

mwok
New Member


Date Joined Nov 2010
Total Posts : 6
   Posted 11/26/2010 12:24 PM (GMT -6)   
Also, is there any alternative tests that can be done?

I'm thinking of doing a breath test and an barium x-ray. I read that the breath test requires me to stop taking PPIs at least 4 weeks prior to the test?

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 11/26/2010 2:55 PM (GMT -6)   
Mwok, I've had three scopes and I had no trouble. They even did a biopsy on one. If you're sedated you won't fight the scope and there's less chance of any damage.
The barium doesn't show all. They need to go in and look directly at it.
I see that it freaks you out to have this done. I was freaked, too, the first time. They gave me valium to relax me and I did good.
You strike me as a highly stressed person. This can cause all sorts of stomach issues. You need to go through the scope procedure. I knew nothing of any of the procedures due to the sedation.
I wish you luck.
Joy
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