Gastric ulcer is a round or oval wound that forms on the mucous membrane of the stomach due to hyperacidity. The gastric juices, secreted for digestion, are buffered, rendered harmless to the stomach, by the mucus produced by special cells. In fact, if the aggressive factors overwhelm the defensive ones, the excess of acid corrodes the lining of the stomach, generating the ulcer.
In developed countries, today only 2% of people have an active ulcer , while Orientals are more affected.
The disease affects more men, aged between 40-50 years , and less well-off classes. Above all, they are predisposed smokers, the people with poor diet , those who use irritants drugs, such as NSAIDs , and those with blood group 0 .
The main cause of erosion is Helicobacter pylori infection , which grows in the mucus layer, less exposed to acid. Also, sometimes the ulcer suddenly reveals itself with a bleeding or the associated pain can spread to the back. The bacterium, which releases toxins and induces an immune response, causes gastritis, even erosive, which can evolve into an ulcer.
If left untreated, the wound can experience serious complications affecting a quarter of patients. However, gastric ulcer can already be diagnosed by symptoms but, for certainty, endoscopy or barium contrast radiography is required .
Finally, relaxation techniques , including autogenic training and yoga , can support treatments for stress ulcer that increases acidity.
Gastric ulcer: what it is
Gastric ulcer is an oval or round lesion of the stomach mucosa that has been corroded by acid and digestive juices. The erosion of the inner lining of the stomach is comparable to the burning of a cigarette on the skin. The wound appears with a hollowed out aspect and a diameter of up to 2 cm and inserted on the inflamed mucosa.
At the bottom of the erosion, mild bleeding or vessels containing blood clots are often visible.
The ulceration can be more or less deep and therefore can remain in place or cross the entire wall of the organ.
In this case, the lesion causes perforation in the peritoneum and can penetrate organs close to the stomach, such as the pancreas and liver .
Normally, the organ produces acidic juices in order to digest food and eliminate any microbes. Since acids are very corrosive, special cells in the stomach release mucus that protects the mucous membrane.
The mucus, rich in bicarbonate, maintains the pH at a higher value, alkaline, than that of gastric acid.
Thus, under normal conditions, the inner lining of the stomach tolerates acids and proves an impenetrable barrier for them. The epithelial cells of the organ participate in the defense with a fast replacement that also allows the simultaneous repair of any injuries.
However, when, for various reasons, the production of acids increases and that of mucus decreases , the mucous barrier is altered.
So the wound results from an imbalance between aggressors, including bacteria and gastro-injurious substances, and defenders, such as a good blood flow. The walls of the stomach are thus damaged and excavated, with loss of substance, up to the formation of an ulcer.
The factors that trigger the injurious process are many, first of all:
- previous gastritis.
The injury can also occur following serious stressful illnesses or trauma and is facilitated by incorrect lifestyles.
The digestive hollow organ has the shape of a bean and is anatomically divided into 3 zones: cardias, body or bottom, antrum.
About 25 cm long, the stomach is located between the esophagus and small intestine and is protected by the peritoneum.
The cardias, a valve, separates the organ from the esophagus, while the pyloric sphincter, another valve, divides it from the intestine.
Everything that is ingested from the mouth, the bolus, passes from the esophagus to the stomach through the lower esophageal sphincter.
Food and drink, inside the organ, settle in its upper part, while cardias and body relax to let them in.
Afterwards, the antrum, called the lower stomach, twitches rhythmically.
This movement serves to mix the contents of the organ with the gastric juices and to crush it into small, more digestible pieces.
What the stomach wall looks like
The stomach wall is made up of 3 layers of cells, or frocks .
- The external coating, or serous tunic, is part of the peritoneum adhering to the stomach:
- the muscle tunic is made up of muscle fibers placed in three directions, oblique, circular and longitudinal:
- glands, smooth muscle fibers and epithelial cells make up the mucous membrane that produces protective mucus and the gastrin hormone.
In addition to these, the cells of the internal coating emit hydrochloric acid and the precursor of pepsin, an enzyme that splits proteins. The mucus covers the entire mucosa to protect it from the aggression of acid and enzymes. Furthermore, the hydrochloric acid produced makes the environment highly acidic because it is essential for pepsin to fragment proteins.
In fact, the enzyme is the only one that manages to digest collagen , a protein that mainly constitutes meat. The high acidity also has a defensive action since it kills most bacteria against infections.
To stimulate acid secretion, gastric nerve impulses , gastrin (a hormone) and histamine intervene in the stomach .
Stomach and digestion
The stomach absorbs directly and immediately transfers only small doses of a few substances, such as aspirin and alcohol, into the blood .
Damage to the mucus lining, for any reason, can cause injury that sometimes worsens and degenerates into a gastric ulcer .
Localization of the gastric ulcer
Then the ulcer develops when the mucous membrane is chronically inflamed or irritated by substances. Usually, the lesion appears in the final part of the stomach , within 6 cm of the pylorus.
In 85% of cases, the wound is found along the small curvature of the stomach.
Instead, 15% of patients have an ulcer on the anterior or posterior walls of the great curvature. Very rarely the lesion can be localized at the level of the terminal esophagus .
Gastric ulcer: epidemiology
Gastric ulcer, although less common than that of the duodenum, has a significant social impact . However, in the past 30 years, the incidence of the disease in the world has decreased, thanks to the discovery of the causes and pharmacological treatments .
In fact, while 327,000 gastric ulcer deaths occurred in 1990, these decreased to 301,000 in 2013.
10% of the population of western nations is affected by gastritis, which can predispose to ulcer. However, only 2% of subjects in developed countries exhibit ulcers in an active form.
Instead, 6-15% of people have symptoms compatible with the disease, but which must be distinguished from functional disorders.
Most affected population by gastric ulcer
Gastric ulcer is more common in the East , especially in Japan where it is high also the presence of gastric cancer.
Furthermore, the male sex is more affected than the female one , with a ratio of 3 men against 1 woman .
The maximum onset of the disease occurs around 40-50 years of age , therefore still in the period of work. In addition, on average, the age of patients suffering from gastric ulcer is 10 years less than that of patients with the duodenal form.
Compared to Helicobacter pylori infection , the main cause of ulcer, the percentage of affected individuals rises in relation to age: 20% at 20 years, 30% at 30 years and so on.
The disease has been detected mainly in subjects of lower social classes , where unfavorable living standards prevail, such as deprivations. The reason for this prevalence is still being studied but it seems that it is connected in particular to incorrect eating habits .
Finally, other possible factors for contracting the disease would be genetic predisposition and belonging to the blood group 0 .
Gastric ulcer: causes
Particularly relevant is the fact that everyone produces gastric acid but at most 1 in 10 people develop an ulcer. However, the secretion of the stomach is subjective and its modality remains constant throughout life.
The “great secretors” , with an abundant juice production, are more likely to incur an ulcer than the “poor secretors”. However, other conditions are involved in the genesis of the disease since most of the great secretors do not manifest an ulcer.
On the contrary, many scarce secretors, producers of modest quantities of acid, get sick. In addition, the elderly are among the main carriers of ulcers, although gastric secretion decreases with age. The phenomenon is connected to a lower resistance of the gastric mucous barrier to the harmful action of acid secretions.
Wrong food and life behaviors
There are many factors that can alter the protective coating, increase gastric acidity and counteract the repair of the mucous membrane. Among them, numerous wrong eating and life behaviors influence the appearance and progression of the ulcer.
The cigarette smoke slows gastric emptying , reduces the bicarbonate production and increases the reflux from the duodenum to the stomach.
Hence, smokers are more prone to ulcer than non-smokers and their wounds heal more slowly .
Although alcohol abuse is one of the most incisive reasons of occurrence of erosion as it reduces the amount of mucus bicarbonate.
Similarly, the excess of coffee or nervine substances , including chocolate, stimulates gastric secretion and is irritating. However, the abundant intake of fatty foods also makes the stomach empty longer, exposing it to the effects of hyperacidity.
In the case of gastritis, inflammation of the mucous membrane , the ulcer occurs more easily and shows the same changes in the lining. In fact, gastritis, which always precedes erosion, is characterized by a lower emission of bicarbonate in the mucus.
Chronic gastritis, at the level of the pyloric antrum, is even more connected to the onset of the ulcer. In fact, the pathology is caused by reflux from the duodenum so that much of the bile secreted by this invades the gastric mucosa .
The bile acts as a weak acid and therefore neutralizes the synthesis of bicarbonate in the gastric cells.
Even the stress has been put in relation with the ulcer since it can increase the secretion of acid. Especially after traumatic events, mourning, accidents or serious diseases, such as skin burns, psychological discomfort can affect the digestive system .
In fact, gastritis can occur following high or continuous stress, which anticipates erosion of the stomach mucosa. Furthermore, a higher frequency of ulcer has been shown in subjects with fragile personalities, afflicted with complexes or addictions .
Exposure to situations of severe conflict may also play a role in the appearance of erosion.
Medicines and Helicobacter pylori
But the two most common causes of gastric ulcer are certain drugs and Helicobacter pylori, the bacterium most responsible for gastritis.
Many medicines, such as aspirin, corticosteroids and nonsteroidal anti-inflammatory products, or NSAIDs, are gastrolesive and irritate the mucous membrane of the stomach.
NSAIDs lower the concentration of bicarbonate in the mucus and inhibit the production of prostaglandins, protective substances of the mucous membrane.
Instead, corticosteroids cause alterations in the blood flow , with an detrimental effect on the mucosa. However, an ulcer does not occur in most patients treated with corticosteroids and NSAIDs.
Helicobacter pylori, usually found in the antrum, can be traced in about 50-60% of gastritis patients .
After infection, the microorganism grows below the mucosa , in the mucus layer, where it is less exposed to acid. From gastritis, with local inflammation, the infection can develop into erosive gastritis as the bacterium induces an immune reaction.
The defense reaction exposes the mucosa, which has become more vulnerable, to the harmful effect of the juices. So, the transition to the ulcer also occurs because the germ produces toxins that interfere with the anti-acid gastric system.
For these reasons, the mucosa does not tolerate juices well and its endothelial cells undergo the ulcerative wound.
However, numerous patients with Helicobacter pylori infection are asymptomatic and others experience gastritis disorders, such as poor digestion.
Who is affected by an ulcer due to the bacterium is distinguished by the typical symptoms of the disease, especially the pain in the upper part of the abdomen .
A rare cause of ulcer is cancer which has symptoms similar to erosion but is not sensitive to the treatment of benign lesions .
Gastric ulcer: symptoms
The ulcer tends to appear at alternate periods: it heals and then relapses , so the typical pain can occur for days or weeks and therefore fade or disappear.
Furthermore, the localization of erosion and the age of the patient greatly affect the symptomatology that does not follow a modality.
Children and the elderly may be asymptomatic or have mild and common ailments, such as minor pain in the abdomen.
In people without symptoms , the injury can sometimes manifest itself suddenly with a bleeding .
Burns and cramps
The ulcer causes a sense of burning and epigastric pain , that is, in the upper and central part of the abdomen.
The pain, which is stronger in the early hours of the night, can be stabbing, burning, dull and intense.
Similar to a cramp, heavy pressure or a sense of emptiness, ulcer pain can also spread to the back. The ingestion of food sometimes temporarily relieves the symptoms and others exacerbates them, especially in the ulcer along the small curvature.
The pain sometimes appears half an hour after the meal or at most within 2-5 hours , combined with a sense of fullness and belching. In addition, the ulcer often causes loss of appetite, resulting in weight loss and malnutrition.
Finally, erosion is accompanied by a feeling of general malaise and local weight, with poor digestion (dyspepsia).
Nausea, vomiting and black stools
In some cases, the disease causes tissue swelling , or edema, down to the small intestine. Edema makes the passage of food from the stomach to the duodenum difficult enough to block it.
As a result, after meals, the person with bowel obstruction experiences meteorism, nausea and vomiting.
In addition, the ulcer can bleed, causing :
- vomiting blood, or hematemesis,
- emission of black, pitch-colored stools, called melena.
If the bleeding is continuous, the symptoms of anemia can occur , with asthenia, weakness and dizziness.
The pathology, especially if neglected , could exacerbate with a seasonal trend, in spring and autumn , or degenerate into emergencies .
When a worsening occurs, such as rupture of the ulcer , the patient accuses arterial hypotension, with dizziness and fainting .
Dangers of gastric ulcer
The majority of ulcers heal without any consequences , but in some cases, potentially lethal aggravations occur. Severe complications of the ulcer affect about a quarter of patients if they are not treated properly.
Of these, approximately 15% face bleeding and 20% have perforation of the lesion.
A first problem may be penetration , when the ulcer passes through the muscle layers of the stomach and continues into other organs. Arriving at the liver, pancreas or other sites, the lesion causes intense , penetrating and persistent pain . In addition, the penetration symptom can also be felt outside the affected area, for example in the chest .
If drug therapy fails to resolve the disorder, surgery is required .
The ulcer can also pierce the anterior wall of the stomach towards the cavity of the abdomen and form an opening in it. In this way, gastric acid juices can invade the peritoneum space and cause dangerous damage. Consequently, the patient sweats, is tachycardic and feels a sudden , violent and continuous pain that spreads throughout the abdomen.
In addition, the painful sensation, like a stab wound, can also be felt in the shoulders and worsen if you take deep breaths.
To calm the pain, the subject spontaneously changes position but obtains the opposite effect. Then the patient learns to remain motionless , mostly curled up on his side, so as not to exacerbate the pain with the movements. Palpation of the abdomen and pressure on the part, with a strong push and then a sudden release, increase the pain.
In fact, in those who suffer from ulcer perforation, doctors find the phenomenon of “rebound pain “.
These symptoms may be less pronounced in:
- Senior citizens
- seriously ill
- people taking corticosteroids.
The presence of fever indicates infection of the abdominal cavity which, if left untreated, can lead to peritonitis and shock.
The emergency requires antibiotics administered intravenously and, in the worst cases, surgical operation .
A common complication of gastric ulcer is bleeding , which occurs even in the absence of pain , due to capillary erosion. The patient vomits bright red blood or brown and reddish clots or partially digested blood, similar to coffee grounds. In addition, the subject can evacuate black or frankly bloody stools , feel weak and become anemic.
The patient undergoes endoscopy , with a flexible fiber optic probe, which detects and locates the bleeding ulcer. Using the endoscope, doctors can cauterize the lesion with heat or coagulate the wound by injecting a specific substance. However, if the source of the bleeding is not identified and this is not impressive, the patient is treated with ulcer medications . In addition, the person concerned must remain fasting, to put the stomach to rest , and receive fluids intravenously.
The stenosis of the passage between the stomach and duodenum follows the swelling of the inflamed tissues around the ulcer.
Occlusion can also occur following scarring of previous injuries. With this type of obstruction, the subject vomits several times , even large quantities of food, ingested hours earlier. In addition, he feels an unusual sense of filling, post-prandial , an annoying meteorism and lack of appetite.
Over time, vomiting leads to weight loss, dehydration and imbalance of some chemicals, or electrolytes, in the body.
Occlusion is resolved in the majority of people with ulcer drug treatment . However, in the most important obstructions, endoscopic or surgical treatment is indispensable .
Rarely, especially with Helicobacter pylori infection, the ulcer can predispose to the onset of stomach cancer . Malignant neoformation, born from an organ cell, mainly affects the elderly and is the third leading cause of death from cancer .
Gastric ulcer: diagnosis
Suspicion of an ulcer appears in the face of characteristic gastric pain . Sometimes, the patient is treated as if he had erosion , without being sure of it, to see if the symptoms disappear.
Additionally, laboratory tests can be helpful in confirming the diagnosis and distinguishing benign lesion from cancer . After all, stomach cancer, with symptoms similar to those of an ulcer, unlike this, does not resolve after a few weeks of treatment .
When an ulcer resists medications , especially in the case of multiple lesions or located in unusual places, a particular condition is hypothesized. In fact, erosion could be the consequence of an overproduction of acid by the stomach for many reasons.
So to diagnose the ulcer and determine its origin , endoscopy or barium contrast radiography is required.
However, the most reliable investigation is gastroscopy , particularly for ulcers on the back of the stomach and in organ operated patients. In fact, patrolling with a flexible fiber optic probe does not always find some lesions, so biopsy is practiced.
Under the microscope, the fragment of tissue taken during endoscopy allows us to identify the nature of the erosion .
Biopsy and radiological examination
With biopsy, not only is the histological examination performed, but Helicobacter pylori can be searched . The “baritated study of the upper digestive tract”, or radiography with contrast, is carried out with a meal marked by the barium. The fluorescent substance inserted in the meal is intercepted by X-rays.
The gastric emptying time and other parameters can be measured based on the speed of the contrast medium passage . Instead, radiological examination helps define the severity and size of the ulcer.
Finally, blood and stool tests and the urea breath test are prescribed on suspicion of a Helicobacter pylori infection.
Gastric ulcer: cure
Since Helicobacter pylori infection is the most important factor for the ulcer, antibiotics are used to eradicate the bacterium .
Gastric acidity: medicines
The tamponade or the reduction of gastric acidity is obtained with drugs that directly inhibit the production of acids . In fact, in 4-8 weeks, the treatment facilitates healing , regardless of the cause, in most patients.
To decrease gastric acid secretion , the most common acid inhibitor drugs are histamine H2 receptor blockers, such as:
They should be taken 1 or 2 times a day and are mainly active on night secretion and after meals.
The prescription of these compounds is made in particular for the stress ulcer or infection with Helicobacter pylori .
Generally, H2 blockers do not cause serious consequences, but cimetidine can cause confusion in the elderly . In fact, this drug can interfere with the elimination of certain medicines, such as theophylline for asthma.
However, the highest drop in acid production is achieved by the proton pump inhibitors IPP :
- lansoprazole and others like it act quickly, even on the symptoms of gastro-oesophageal reflux.
The IPP promote healing in a higher percentage of patients and in less time, than H2 blockers.
The category drugs also work for conditions linked to excessive acid secretion, such as Zollinger-Ellison syndrome .
Antacids in the pharmacy
The antacids relieve symptoms and their effectiveness varies depending on the amount ingested and the acid secretion of the subject. Available in tablets or in liquid form, these over-the-counter products are rapid symptomatic drugs but do not cure the ulcer .
Among them, the strongest are bicarbonate and calcium carbonate , to be taken as needed and occasionally for short relief. However, the continuous use of antacids, which pass through the circulatory stream, can make the blood too alkaline and give:
In addition, these compounds contain a lot of salt so they should not be used by people with a low sodium regimen, such as hypertensives .
So antacids should not be taken long, continuously and in large quantities.
Aluminum and magnesium hydroxide: side effects
A widespread antacid is aluminum hydroxide which, however, can join the phosphate in the digestive tract, reducing its blood levels. The risk, more incisive in alcoholics and nephropathics , is to incur loss of appetite, asthenia and constipation.
Instead, the most effectivemagnesium hydroxide only gives side effects if taken beyond the 4 recommended doses of 1-2 tablespoons per day . In fact, with the surplus of the product, bowel movements, peristalsis, accelerate, causing diarrhea.
Small quantities of magnesium are absorbed in the circulation so that people with kidney damage need to take only minimal doses.
Alternative to antacids
As an alternative to antacids is sucralfate , which forms a protective layer on the bottom of the ulcer, facilitating healing. The product, which should be taken 2-4 times a day , is not absorbed into the circulation and does not give side effects , except for any constipation. Misoprostol can decrease the likelihood of NSAID ulcers and is indicated for the elderly and patients on steroid therapy.
In addition, sucralfate reduces acid secretion and makes the stomach lining more resistant to gastric juices.
However misoprostol causes diarrhea and digestive disorders in 30% of subjects and can induce spontaneous abortion in pregnant women .
Proton pump inhibitors
Those who take aspirin, NSAIDs or corticosteroid i may prefer proton pump inhibitors which cause less discomfort than others.
Gastric ulcer: surgery
For ulcers, there are now few indications for surgery , given the ability of drugs to heal and endoscopy to stop bleeding .
However, surgery in the operating room is necessary for complications that do not respond to medications , such as recurrence of obstruction or bleeding. But surgery can cause problems, such as weight loss and difficult digestion , and wo n’t eradicate the ulcer permanently .
Diets for gastric ulcer
Light diets could help reduce acid production , but there is no evidence to accelerate healing or prevent recurrence.
At one time, feeding was considered a means of curing an ulcer. Today this is no longer the case, says most of the gastroenterologist and nutritionists .
In fact, according to the professor, the turning point occurred with the discovery of Helicobacter pylori and specific drugs for the disease.
However, the nutritionists recommends adequate eating behaviors during the acute phase of the ulcer and in relapses .
Indeed, patients should reduce the volume of food and eat 5 meals a day, with 2 snacks, plus breakfast, lunch and dinner.
Thus dividing the food intake, the stomach is less engaged in elaborate digestive processes . In addition, for ulcers it is imperative to give up too fatty foods that slow down gastric emptying .
Foods to Avoid
Cheeses, sausages, condiments, including oil, remaining in the stomach for a long time, can give slow digestion and nausea.
The gastroenterologist says “no” also to irritating products , such as alcohol, carbonated and fried drinks, which inflame the wound and stimulate pain.
Instead, gastroenterologist recommends, always in the acuteness of the ulcer, alkaline foods that counteract acidity, such as pumpkin.
Naturopathy and diet to fight gastric ulcer
In this regard, other schools of thought, such as naturopathy, suggest to the patients the abundant consumption of alkaline substances .
Rice, pasta, potatoes, carrots, cottage cheese, yogurt and figs should be part of the antacid diet.
Lean fish, white meat and easily digestible vegetables, such as carrots and zucchini, can be consumed without contraindications. In addition, among the various cooking processes, steam or pan-based ones, with a little oil, must be used, with less effort on the stomach.
The fruit, of the sweetest type , should be preferred cooked because it is more digestible. Instead, among the drinks, vegetable juices, highly diluted fruit juices and herbal teas are recommended .
In the opinion of naturopaths, papaya juice could intervene, like the pepsin enzyme, in the digestion of proteins and some starches.
Thus the drink could limit the ulcer linked to aspirin abuse.
Food yes and no
Instead, milk is ambivalent because on the one hand it increases gastric secretion and on the other the pH of the stomach. While bitter vegetables, such as arugula, favor the production of gastric juices, sweet ones would have a buffering power.
Banana could strengthen the lining of the stomach, avocado will decongest the gastric mucosa and oat flakes soothe it.
Antacid handbook of alternative medicine
An additional patient support can be given dall’oligoterapia which provides:
- phosphorus against painful crises
- lithium in the presence of anxiety and depression,
- copper, which reduces gastric lesions from anti-inflammatory drugs.
In addition, the antacid handbook of alternative medicine reports:
|Anti-Acid handbook of alternative medicine|
| ALOE VERA JUICE|
Considered anti-inflammatory because of its dense and viscous polysaccharides,they could coat and protect the walls of the stomach.Its effectiveness in general would be soothing and emollient and analgesic.
Dosage: 25 milliliters, twice a day between meals.
|FRESH CABBAGE JUICE|
It would be healing.
Dosage: a glass a few minutes before three meals,for one month.
Considered cicatrizing and protective for the gastric wall, troindicate in some cases. In arterial hypertension, in pregnancy and during corticoid therapies, can provide edema and raise pressure.
Dosage: one teaspoon, one hour after meals, of the preparation with 50 grams of licorice powder and 180 grams of water.
| MOTHER DYE OF MELISSA AND CHAMOMILE|
It could intervene in gastric somatization and ulcers
Dosage: 30 drops before the two main meals.
Its mucilaginous polysaccharides should absorb the gastric juice and reduce its acidity. For their iodine, they should not be given to subjects with thyroid disease.
Dosage: fresh or in the form of packets.
| GREEN CLAY SUPERVENTILATED|
It would have a healing, absorbent and remineralizing function.
Dosage: for external use, daily poultices on the epigas cavity trica, two hours after meals. For internal use, 1/2 teaspoon of powder of clay in 1/2 glass of water, half an hour before meals.
Anti stress treatments
Instead some people find relief from ulcer by fighting stress, which helps increase gastric juices and erosion. For example, anyone who has a hectic job or experiences difficult times is more exposed to pathology, in this case analogous to a psychosomatic illness.
In fact, for many, the target organ on which to convey tensions is the stomach on which acidity and spasms, similar to a vice, fall.
Relaxation techniques, such as autogenic training, meditation and visualization, allow to relax the muscles, even those of the digestive system.
By relaxing the abdominal muscles , digestion improves and, with the help of the released endorphins, the stomach regains well-being .
Furthermore, with yoga or a soft sport , negative thinking can be eliminated and the corresponding energy can be released from the body, freeing the mind. Furthermore, the flow of positive thoughts, thanks to anti-stress practices, distracts from obsessive ideas that affect the stomach .
With relaxation, the somatization of what is not accepted , worn out and not digested and which can result in erosion is countered . Even those who are very anxious, due to existential concerns or problems, can learn to manage their stressful factors.
In the limit, the negative and harmful feelings , at the origin of stress and anxiety, can be dominated through psychotherapy .
Gastric ulcer: yes and no foods
Good lifestyle habits can help ulcer sufferers.
An exaggerated amount of food should be avoided in any way and at any time. In fact, overeating increases the pressure in the stomach and causes:
- gastroesophageal reflux, with heartburn,
- sense of bulk
In addition, the stomach does not stand too hot or frozen foods and large binges, once a day.
On the contrary, the organ easily digests small frequent meals and chewed foods well , without haste and in a relaxing environment.
The activity of the digestive organ is stimulated too much by very spicy or fried foods. According to some nutritionists, for the same reason, leavened and very sugary products should be abolished .
Sour foods such as orange juice, spirits, coffee and tea are also irritating to the mucous membrane. In the same way, drinks with gas or cola, meat broth and spices, which must be eliminated, behave.
However, apples have the ability, just ingested, to induce relaxation of the lower esophageal sphincter and therefore reflux. Instead fatty ingredients, including sauces, cold cuts and red meat, delay gastric emptying and are therefore to be excluded.
Patients should refrain from consuming certain jams that are excitement-secretive due to the colorants contained.
In the list of foods ulcer enemies , even within difficult to digest vegetables, such as:
Those who have an ulcer should quit smoking, as smoking is harmful to the gastric mucosa.
Cigarettes & Co aggravate the ulcerative state, delay or prevent healing and promote relapses.
Hyperacidity is often connected to excessive tension or stress that must be resolved with physical exercises or relaxation practices .
Gastric ulcer: prevention
Especially people at high risk for ulcers should pay attention to the medicines they take . In fact, stomach irritants , such as aspirin, should be replaced as far as possible with others that are not very harmful.
For example, some specialists prescribe another type, COX 2-inhibitor, instead of traditional NSAIDs , which is less harmful to the stomach.
Anyone, sooner or later, suffers from bad digestion or acidity, possible premise of gastritis which is the antechamber of the ulcer.
In addition, often the burning is connected to foods that attack the gastric mucosa or incorrect habits.
So, in order not to incur an ulcer, the suggestion to avoid or at least limit negative behaviors for the stomach is valid.
Smoking, stress and excessive tension increase stomach secretions and contractions. An initial gastric discomfort can be resolved by consuming alkaline foods and eliminating acidifying ones .
So the preventive diet should be made up of foods that can extinguish any burning and acidity, such as bananas.
Instead , irritating ingredients should not arrive at the table , including:
- nervine drinks.
However, in principle, adopting the typical Mediterranean diet can be a deterrent for the appearance of erosion.
Another rule is to keep the immune system in good condition, against infections by viruses and bacteria, which can cause gastritis. In fact, the body’s defenses must be ready to eradicate especially Helicobacter pylori, the main cause of the ulcer .
Contagion with the bacterium usually occurs directly between people but the pathogen can settle in the stomach through contaminated water.
Written in collabration with gastroenterologists and nutritionists