1. MedlinePlus: Peptic Ulcer What I Need to Know about peptic ulcers (National Digestive Diseases Information Clearinghouse). Children; peptic ulcers (Nemours Foundation); Ugh! http://www.nlm.nih.gov/medlineplus/pepticulcer.html

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Other health topics: A B C D ... List of All Topics Peptic Ulcer Contents of this page: From the NIH General/Overviews Diagnosis/Symptoms Prevention/Screening ... Teenagers Search MEDLINE for recent research articles on Peptic Ulcer You may also be interested in these MedlinePlus related pages: Stomach Disorders Digestive System From the National Institutes of Health H. pylori and Peptic Ulcer (National Digestive Diseases Information Clearinghouse) Also available in: Spanish What I Need to Know about Peptic Ulcers (National Digestive Diseases Information Clearinghouse) General/Overviews JAMA Patient Page: Peptic Ulcers (American Medical Association) Ulcers and H. pylori Infection (American Academy of Family Physicians) Clinical Trials ClinicalTrials.gov: Peptic Ulcer (National Institutes of Health) Diagnosis/Symptoms Helicobacter pylori Test (American Association for Clinical Chemistry) Upper Endoscopy (National Digestive Diseases Information Clearinghouse) Upper GI Series (National Digestive Diseases Information Clearinghouse) Prevention/Screening REDUCE: Risk Education to Decrease Ulcer Complications and Their Effects from NSAIDS (American Gastroenterological Association, American Pharmacists Association)

2. Peptic Ulcers - Health Information An overview of the condition listing origins, common features, complications, and treatments. http://www.uiuc.edu/departments/mckinley/health-info/dis-cond/misc/pepticul.html

Peptic Ulcers Ulcers are small, open craters or sores that develop in the lining of the stomach or the duodenum, the first section of the small intestine. The term peptic ulcer is generally used to describe both types of ulcers. Fortunately, there are a number of treatments that relieve the discomfort associated with ulcers and, other treatments to actually heal the ulcer, itself. Learning how your ulcer may have developed and understanding what irritates it and keeps it from healing will help you to work with your physician in establishing the most effective treatment plan. ORIGINS The current "revolution" in ulcer cause and treatment was first noted by Dr Barry Marshall, who discovered the presence of a small bacterium, under the microscope, attached to the lining of stomach wall samples taken from patients' ulcers, in 1982. These initial findings have been confirmed as a cause of ulcer disease The bacterium is called Helicobacter Pylori (or H Pylori, for short). Current medical opinion suggests that anyone with ulcer symptoms should, at some point, be checked for the presence of H Pylori. The importance of this finding is that, in many cases of H Pylori positive ulcers, antibiotics can actually heal the ulcer. This is a revolution in thinking. Some ulcers are caused by different factors such as certain medications, and illnesses. Peptic ulcers occur only in those areas of the digestive system that come in contact with digestive juices secreted by the stomach. These juices include stomach acid basically, hydrochloric acid - and an enzyme called pepsin, which breaks down proteins. While many people with duodenal ulcers have an overabundance of digestive juices spilling down from the stomach, most of those with gastric (stomach) ulcers have normal or even below-normal amounts of stomach acid. Medical researchers, therefore, believe that poor resistance of the protective mucous membrane that lines both the stomach and duodenum may contribute to the development of a peptic ulcer.

3. EMedicine – Peptic Ulcer Disease (PUD, Peptic Ulcers Symptoms) : Article By Geo Dr. George Fantry reports on symptoms and treatment of stomach and duodenal peptic ulcers often caused by Helicobacter pylori infections, NSAIDs, or stress. http://www.emedicine.com/med/topic1776.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery Gastroenterology Peptic Ulcer Disease Last Updated: January 8, 2003 Rate this Article Email to a Colleague Synonyms and related keywords: PUD, Helicobacter pylori infection, H pylori infection, nonsteroidal anti-inflammatory drugs, NSAIDs, mucosal break, dyspepsia, heartburn AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: George T Fantry, MD , Director of Clinical Gastroenterology, Associate Professor, Department of Internal Medicine, Division of Gastroenterology, University of Maryland School of Medicine George T Fantry, MD, is a member of the following medical societies: American College of Gastroenterology American Gastroenterological Association , and American Society for Gastrointestinal Endoscopy Editor(s): Terence David Lewis, MBBS, FRACP, FRCPC, FACP

4. Diagnosis And Treatment Of Peptic Ulcer Disease Information and discussion concerning causes, symptoms and treatment of peptic ulcers. http://www.diagnosishealth.com/ulcer.htm

Home Other Health Articles Health Discussions Disease Information Center PEPTIC ULCER DISEASE About the Author Dr. Minocha ( http://www.diagnosishealth.com/minocha.htm ) is the Professor of Medicine and Director, Division of Digestive Diseases at the University of Mississippi Medical Center in Jackson, MS, and is the author of How to Stop Heartburn; Simple Ways to Heal Heartburn and Acid Reflux What is peptic ulcer disease (PUD)? The term PUD generally refers to spectrum of disorders that includes gastric ulcer (GU), pyloric channel ulcer, duodenal ulcer (DU) and postoperative ulcers at or near the site of surgical anastomosis. HISTORICAL PERSPECTIVE Looking back at history, peptic ulcer was a rare and generally unrecognized as a cause of symptoms/complications or death until the early 19th century. Despite sporadic case reports beginning in late 18th century, Peptic Ulcer Disease did not become widely appreciated until early 20th century. The first 6 decades saw the dominance of surgery in the treatment of peptic ulcer. With the introduction of acid suppressive drugs like histamine-2 blockers in 1970s, the treatment of PUD was revolutionized. By nineteen eighties, the advent of Helicobacter pylori (HP) brought about a dramatic twist and possibly the cure. CAUSES OF PEPTIC ULCER DISEASE So what causes PUD? Numerous factors blamed in the pathogenesis of PUD. Many of these factors may be acquired during life, although some of these these may already be predetermined. Historically, stomach acid has been the most common factor blamed. No Acid No ulcer- is an old axiom which may be questionable in the nineties. As a group, patients with duodenal ulcer have high acid secretion. Increased acid secretion causes changes in the wall of duodenum (gastric metaplasia) setting the stage for invasion by HP.

5. Peptic Ulcer Disease What Causes peptic ulcers? An ulcer is an open sore in the lining of the stomach or much like mouth or skin ulcers. peptic ulcers are eventually caused by http://www.gicare.com/pated/ecdgs09.htm

Home Jackson Gastro Patient Education Peptic Ulcer Disease Peptic ulcer disease (PUD) is a very common ailment, affecting one out of eight persons in the United States. The causes of PUD have gradually become clear. With this understanding have come new and better ways to treat ulcers and even cure them. Anatomy and Function of the Stomach The stomach produces a very strong acid. This acid helps digest and break down food before it enters the small intestine (duodenum). The lining of the stomach is covered by a thick protective mucous layer which prevents the acid from injuring the wall of the stomach. What Causes Peptic Ulcers? An ulcer is an open sore in the lining of the stomach or intestine, much like mouth or skin ulcers. Peptic ulcers are eventually caused by acid and pepsin, a digestive stomach enzyme. These ulcers can occur in the stomach, where they are called gastric ulcers. Or they can occur in the first portion of the intestine. These are called duodenal ulcers. "Peptic Ulcer" is the term used to describe either or both of these two types of ulcers. In the end, it is acid that causes the injury to the stomach or bowel lining. However, a revolutionary and startling recent discovery is that most peptic ulcers result from a stomach infection caused by the bacteria, Helicobacter pylori.

6. Helicobacter Pylori In Peptic Ulcer Disease (CBM 93-6) Refractory peptic ulcers. J Assoc Acad Minor Physicians 1992;3(3)95102. Efficacy in healing peptic ulcers. Drugs 1992 Nov;44(5)709-19. http://www.nlm.nih.gov/pubs/cbm/pepulcer.html

Skip to Content Search NLM Web Site NLM Home Contact NLM Site Map FAQs Current Bibliographies in Medicine Current Bibliographies in Medicine Home Download Adobe Acrobat Reader Home Library Catalogs and Services ... Current Bibliographies in Medicine Current Bibliographies in Medicine 93-6 Helicobacter Pylori in Peptic Ulcer Disease Last updated: 31 December 1996 Privacy Accessibility U.S. National Library of Medicine, 8600 Rockville Pike, Bethesda, MD 20894 National Institutes of Health

7. Wine Spectator Online | Daily Wine News | Wine, Beer Wipe Out Ulcer-Causing Bact Research shows that moderate consumption of wine or beer helps rid the body of bacteria which is suspected of causing peptic ulcers. http://www.winespectator.com/Wine/Daily/News/0,1145,1945,00.html

OAS_AD('TopLeft'); OAS_AD('Top'); Site Map E-mail Print Click here for the ... current issue OAS_AD('BottomLeft'); Impact Databank 2004 Edition: Click to Order Home Daily Wine News > Current Headlines Wine, Beer Wipe Out Ulcer-Causing Bacteria, Study Shows Posted: Thursday, January 16, 2003 By Jacob Gaffney Moderate consumption of wine or beer may help rid the body of a type of bacteria long suspected of causing peptic ulcers, according to a team of researchers in the United Kingdom. The study, published in the American Journal of Gastroenterology, aimed to find out if smoking cigarettes or consuming alcohol and coffee is associated with Helicobacter pylori infection. Physicians believe that H. pylori , which can burrow holes in the stomach wall, is responsible for the majority of peptic ulcers. However, H. pylori does not cause ulcers in everyone it infects, so scientists believe certain substances may assist in "activating" it or combating it. Little else is known about the bacteria's existence inside the human body. "It is widely believed that the infection is acquired in childhood and that it is usually lifelong, unless specific therapy is used to eradicate it," said the lead author of the study, Liam Murray, an epidemiologist at Queen's University in Belfast. (For example, the bacteria can be eliminated by a course of antibiotics.) "However, it may be spontaneously eradicated in some instances," he said.

8. Medinfo: Peptic Ulcer becomes eroded by the stomach acid. These are known as stomach and duodenal ulcers, collectively known as peptic ulcers. Peptic ulcer. http://www.medinfo.co.uk/conditions/pepticulcer.html

index search health books site map Peptic ulcer Peptic ulcer refers to an area of the stomach or duodenal lining which becomes eroded by the stomach acid. These are known as stomach and duodenal ulcers, collectively known as peptic ulcers. Symptoms You may notice no symptoms although you have an ulcer, but frequently they are associated with indigestion or pain in the upper abdomen or even lower chest. This pain may be worse before or after eating and frequently wakes you in the early hours of the morning. The pain may go to the back or sometimes be perceived elsewhere. If an ulcer bleeds you may vomit blood or partially digested blood (which looks like coffee grounds) or pass black stools (melaena), which contain changed blood, when you go to the toilet. If any of these happen call the doctor immediately (even out of hours). Causes Many factors make you more likely to have an ulcer. It often seems to run in families. Smoking increases the risk. Heavy drinking. Certain drugs eg aspirin and other anti-inflammatory drugs We now know that a large percentage of people who have ulcers have a germ (Helicobacter pylori) in their stomach which they probably picked up many years previously, which makes the ulcer more likely to occur and more difficult to heal. Diagnosis Your doctor may treat you on the assumption of the diagnosis, but may well arrange either a barium meal X-Ray or a visual inspection using a fibre-optic tube passed down the throat (upper gastrointestinal endoscopy). The endoscopy is preferred by the experts as they can see the lining of the stomach and duodenum and take biopsies which allow them to rule out more serious conditions as well as looking for the presence of Helicobacter pylori.

9. Peptic Ulcers - Health Information peptic ulcers. peptic ulcers occur only in those areas of the digestive system that come in contact with digestive juices secreted by the stomach. http://www.mckinley.uiuc.edu/health-info/dis-cond/misc/pepticul.html

Peptic Ulcers Ulcers are small, open craters or sores that develop in the lining of the stomach or the duodenum, the first section of the small intestine. The term peptic ulcer is generally used to describe both types of ulcers. Fortunately, there are a number of treatments that relieve the discomfort associated with ulcers and, other treatments to actually heal the ulcer, itself. Learning how your ulcer may have developed and understanding what irritates it and keeps it from healing will help you to work with your physician in establishing the most effective treatment plan. ORIGINS The current "revolution" in ulcer cause and treatment was first noted by Dr Barry Marshall, who discovered the presence of a small bacterium, under the microscope, attached to the lining of stomach wall samples taken from patients' ulcers, in 1982. These initial findings have been confirmed as a cause of ulcer disease The bacterium is called Helicobacter Pylori (or H Pylori, for short). Current medical opinion suggests that anyone with ulcer symptoms should, at some point, be checked for the presence of H Pylori. The importance of this finding is that, in many cases of H Pylori positive ulcers, antibiotics can actually heal the ulcer. This is a revolution in thinking. Some ulcers are caused by different factors such as certain medications, and illnesses. Peptic ulcers occur only in those areas of the digestive system that come in contact with digestive juices secreted by the stomach. These juices include stomach acid basically, hydrochloric acid - and an enzyme called pepsin, which breaks down proteins. While many people with duodenal ulcers have an overabundance of digestive juices spilling down from the stomach, most of those with gastric (stomach) ulcers have normal or even below-normal amounts of stomach acid. Medical researchers, therefore, believe that poor resistance of the protective mucous membrane that lines both the stomach and duodenum may contribute to the development of a peptic ulcer.

10. PEPTIC ULCERS peptic ulcers. What Are peptic ulcers? The stomach, intestines, and digestive glands produce acid and various enzymes, including pepsin, that breaks down and digest the starch, fat, and protein in food. http://www.drmarkyjohnson.com/peptic.html

PEPTIC ULCERS What Are Peptic Ulcers The stomach, intestines, and digestive glands produce acid and various enzymes, including pepsin, that breaks down and digest the starch, fat, and protein in food. The stomach itself is composed mostly of protein and must be protected from the same acid and enzymes, or it too can be attacked and broken down. Ulcers develop when an imbalance occurs between the digestive juices used by the stomach to break down food and the various factors that protect the lining of the stomach and duodenum (the part of the small intestine that adjoins the stomach). A peptic ulcer is an open sore or raw area in the lining of the upper part of the small intestine (duodenal ulcer) or the stomach (gastric ulcer). In the U.S., duodenal ulcers are three times more common than gastric ulcers. Ulcers are on average between one-quarter to one-half inch in diameter. contents Other parts of the defense system are hormone-like substances known as prostaglandins, which help keep the blood vessels in the stomach dilated, ensuring good blood flow. While this is important for any organ, a lack of adequate blood flow to the stomach contributes to ulcers. Prostaglandins are also believed to stimulate bicarbonate and mucous production, which help protect the stomach. If any of these defense mechanisms are disturbed, and acid and pepsin are allowed to attack the stomach lining, an ulcer can result.

11. Peptic Ulcers peptic ulcers. There is no clear evidence to suggest that the stress of modern life or a steady diet of fast food causes peptic ulcers, but they are nonetheless common http://www.lebanonhealth.com/condi/510.htm

12. H. Pylori And Peptic Ulcer Discusses peptic ulcers and explains how H. pylori can cause them. Top How are H. pylori peptic ulcers treated? Drugs Used to Treat H. pylori peptic ulcers. http://digestive.niddk.nih.gov/ddiseases/pubs/hpylori/

Email To A Friend Spanish Version Also see: What I need to know about Peptic Ulcers Home Digestive Diseases A-Z List of Topics and Titles H. pylori and Peptic Ulcer H. pylori and Peptic Ulcer On this page: What is a peptic ulcer? What is H. pylori How does ... Additional Readings What is a peptic ulcer? A peptic ulcer is a sore on the lining of the stomach or duodenum, which is the beginning of the small intestine. Peptic ulcers are common: One in 10 Americans develops an ulcer at some time in his or her life. One cause of peptic ulcer is bacterial infection, but some ulcers are caused by long-term use of nonsteroidal anti-inflammatory agents (NSAIDs), like aspirin and ibuprofen. In a few cases, cancerous tumors in the stomach or pancreas can cause ulcers. Peptic ulcers are not caused by stress or eating spicy food. Top What is H. pylori? Helicobacter pylori H. pylori ) is a type of bacteria. Researchers believe that H. pylori is responsible for the majority of peptic ulcers. H. pylori infection is common in the United States: About 20 percent of people under 40 years old and half of those over 60 years have it. Most infected people, however, do not develop ulcers. Why H. pylori

13. Peptic Ulcers Online health news and information for consumers some long-held beliefs, experts now say that peptic ulcers are not caused by stress or spicy foods pylori) is a primary cause of peptic ulcers. This bacteria is very http://www.stayinginshape.com/4trover/libv/i17.shtml

Heart Cancer Women Men ... Search Topics Peptic Ulcers A peptic ulcer is a sore on the lining of the stomach or duodenum (the beginning of the small intestine). This kind of ulcer is common. According to the National Institutes of Health, one in every ten Americans will have an ulcer at some point. Stomach pain can indicate a number of other problems (Read about " Dealing with Heartburn " " GERD ") But the type of pain associated with ulcers has certain distinct characteristics. According to the American Gastroenterological Association: it's like a dull, gnawing ache it comes and goes for several days or weeks it occurs 2 to 3 hours after a meal it occurs in the middle of the night (when the stomach is empty) it's relieved by food Other symptoms include weight loss, loss of appetite, bloating, burping, nausea, and vomiting. Causes of peptic ulcers Contrary to some long-held beliefs, experts now say that peptic ulcers are not caused by stress or spicy foods. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), the main cause of peptic ulcer is a bacterial infection. Researchers have discovered that a type of bacteria called Helicobacter pylori (H. pylori) is a primary cause of peptic ulcers. This bacteria is very common, but most people infected with it do not develop ulcers. We may come into contact with H. pylori through food or water. Basically, the bacteria weakens the stomach's lining, allowing acid to get through, causing irritation and ultimately letting a sore develop.

14. What I Need To Know About Peptic Ulcers What I need to know about peptic ulcers. On this page Top What are the symptoms of peptic ulcers? A burning pain in the gut is the most common symptom. http://digestive.niddk.nih.gov/ddiseases/pubs/pepticulcers_ez/

Email To A Friend PDF Version Also see: H. Pylori and Peptic Ulcers NSAIDs and Peptic Ulcers Home ... Digestive Diseases A-Z List of Topics and Titles : What I need to know about Peptic Ulcers What I need to know about Peptic Ulcers On this page: What is a peptic ulcer? What are the symptoms of peptic ulcers? What causes peptic ulcers? Do stress or spicy foods cause peptic ulcers? ... Acknowledgments What is a peptic ulcer? A peptic ulcer is a sore in the lining of your stomach or duodenum .* The duodenum is the first part of your small intestine. If peptic ulcers are found in the stomach, they're called gastric ulcers. If they're found in the duodenum, they're called duodenal ulcers. You can have more than one ulcer. *Linked terms are defined in the glossary. Many people have peptic ulcers. Peptic ulcers can be treated successfully. Seeing your doctor is the first step. Peptic ulcers occur in the wall of the stomach and duodenum. Top What are the symptoms of peptic ulcers? A burning pain in the gut is the most common symptom. A burning pain in the gut is the most common symptom. The pain

15. THE MERCK MANUAL, Sec. 3, Ch. 23, Gastritis And Peptic Ulcer Disease Ulcers may range in size from several millimeters to several centimeters. Ulcers are delineated regarding the pathogenesis of peptic ulcers focus on acid hypersecretion, this http://www.merck.com/pubs/mmanual/section3/chapter23/23c.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 3. Gastrointestinal Disorders Chapter 23. Gastritis And Peptic Ulcer Disease Topics [General] Gastritis Peptic Ulcer Disease Peptic Ulcer Disease An excoriated segment of the GI mucosa, typically in the stomach (gastric ulcer) or first few centimeters of the duodenum (duodenal ulcer), which penetrates through the muscularis mucosae. Ulcers may range in size from several millimeters to several centimeters. Ulcers are delineated from erosions by the depth of penetration; erosions are more superficial and do not involve the muscularis mucosae. Because understanding of the central role of H. pylori in the pathogenesis of acid-peptic disease is growing, diagnosis and treatment of peptic ulcer have changed dramatically. Etiology and Pathogenesis Although the traditional theories regarding the pathogenesis of peptic ulcers focus on acid hypersecretion, this finding is not universal, and it is now known that hypersecretion is not the primary mechanism by which most ulceration occurs. It appears that certain factors, namely H. pylori

16. EMedicine - Gastritis And Peptic Ulcer Disease : Article By Philip Shayne, MD Proton pump inhibitors relieve pain and heal peptic ulcers more rapidly than H2 antagonists. The Medical Letter Drugs for treatment of peptic ulcers. http://www.emedicine.com/EMERG/topic820.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Gastrointestinal Gastritis and Peptic Ulcer Disease Last Updated: July 17, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: PUD, esophagitis, gastroesophageal reflux, GERD, abdominal pain, stomach, duodenum AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Philip Shayne, MD , Program Director, Assistant Professor, Department of Emergency Medicine, Emory University School of Medicine Philip Shayne, MD, is a member of the following medical societies: American College of Emergency Physicians American Medical Association , and Society for Academic Emergency Medicine Editor(s): Jeffrey Glenn Bowman, MD, MS , Consulting Staff, Department of Emergency Medicine, Mercy Springfield Hospital; Francisco Talavera, PharmD, PhD , Senior Pharmacy Editor, Pharmacy, eMedicine;

17. Peptic Ulcers - Vardaan Hospital Information on peptic ulcers at Vardaan Hospital. Vaccination Chart. peptic ulcers. High Fibre Diet peptic ulcers. Nearly 25 % of people in our community suffer from dyspepsia, which means symptoms of bad digestion like http://www.vardaan.net/ulcer.htm

Vardaan Hospital Navigation Bar Home Health Information Exercise and Weight Loss Vaccination Chart Peptic Ulcers High Fibre Diet Back Pain Endoscopy Ilizarov Techinque ... Links Peptic Ulcers Nearly 25 % of people in our community suffer from dyspepsia, which means symptoms of bad digestion like abdominal pain or burning, fullness and gas. These symptoms are commonly referred to as those of "acidity " and most people resort to self medication. It is important to remember that any new dyspepsia of more than one month duration should be investigated. Further, at age above 45 years and the presence of "alarm" symptoms like loss of appetite, weight loss and difficulty in swallowing investigations are mandatory. Peptic ulcer is responsible for about 10 % of these symptoms. It is important for patients suffering from dyspepsia to be evaluated by their physician as apart from ulcers, cancer of stomach may also present in the same way. Peptic ulcer implies the development of a breach in the lining of stomach or upper small intestine called duodenum and to the naked eye it looks like a wound. This illness effects nearly 10% of people in our country. It is commonly found in young people at the prime of their age and has been said to be associated with " hurry, worry and curry". The factors responsible for causing ulcers include cigarette smoking, use of painkiller drugs, physical and mental stress and a diet rich in chilies, coffee, colas and rice. However recent research has shown that the most important factor is the presence of a spiral shaped bacteria in the stomach called Helicobacter pylori. This bacterium enters the stomach by the oral route and is usually acquired at a young age. The organism may be present in about 40 % of healthy people but transformation into disease like peptic ulcer and stomach cancer occurs only in few.

18. Peptic Ulcers helicobacter pylori is the main culprit. Read this article to learn more about peptic ulcers. What Are peptic ulcers? A peptic ulcer is a sore http://kidshealth.org/parent/medical/digestive/peptic_ulcers.html

KidsHealth Parents Medical Problems Digestive System Many people think that spicy foods cause ulcers, but the truth is that a type of bacterium called helicobacter pylori (or h. pylori) is the main culprit. And many people also believe that adults in high-stress jobs are the only ones affected by ulcers, but people of any age can develop ulcers - even children. About 20 million Americans have at least one ulcer during their lifetime, according to government sources. Although stress and certain foods may aggravate an ulcer, most ulcers are caused by h. pylori infection or the use of common nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen products (like Advil and Motrin). What Are Peptic Ulcers? A peptic ulcer is a sore or hole in the lining of the stomach or duodenum (the beginning of the small intestine). An ulcer in the stomach is called a gastric ulcer; an ulcer in the duodenum is called a duodenal ulcer. Both result when a bacterium, such as h. pylori, or drug weakens the protective mucus coating of the stomach and duodenum, allowing acid to get through to the sensitive lining beneath. Both the acid and the bacteria can irritate the lining and cause an ulcer to form. H. pylori usually is contracted in childhood, perhaps through food, water, or close contact with an infected individual. This infectious disease is more common in adults older than age 60 and is also more common in developing countries. Most people with h. pylori don't display any symptoms until they are older. In fact, they may go through life unaware that they have the bacterium. Although h. pylori usually doesn't cause problems in childhood, if left untreated it can cause gastritis, peptic ulcer disease, and even stomach cancer later in life.

19. Peptic Ulcers the main culprit. Read this article to learn more about peptic ulcers. What Causes peptic ulcers in Children? Although most experts http://kidshealth.org/parent/medical/digestive/peptic_ulcers_p2.html

KidsHealth Parents Medical Problems Digestive System What Causes Peptic Ulcers in Children? Although most experts agree that h. pylori is a primary cause of peptic ulcers in adults, not everyone concurs that the bacterium is a major culprit in childhood ulcers. Some doctors make the distinction between duodenal ulcers, which are commonly associated with h. pylori infection, and gastric ulcers, which may stem from other causes. Robert Baldassano, MD, a pediatric gastroenterologist with Children's Hospital in Philadelphia, attributes 50% of pediatric cases to h. pylori and the rest to unknown causes. Indeed, peptic ulcers are uncommon in otherwise healthy kids. "Peptic ulcer disease [related to h. pylori] is rare in children. Most pediatric hospitals don't see any," Dr. Czinn says. Even large pediatric endoscopy centers report an incidence of only 5 to 7 children with peptic ulcer disease per year. In Dr. Czinn's experience, more children get drug-related gastric ulcers than other types of peptic ulcers. Even moderate use of NSAIDs can cause gastrointestinal problems and bleeding in some children. Acetaminophen (such as Tylenol) does not cause stomach ulcers and is a good alternative to NSAIDs for children.

20. Peptic Ulcer Peptic Ulcer peptic ulcers occur only in those regions of the gastrointestinal tract that are bathed by digestive juices secreted by the stomach. http://www.hoptechno.com/book35.htm

Peptic Ulcer (posted by Hopkins Technology) U.S. Department of Health and Human Services Public Health Service National Institutes of Health Page sponsored by Click here for nutrition table for 7,248 foods. [Editor's Note: This is an OLD one, see ulcers1998.htm for latest stuff. What is a Peptic Ulcer? A peptic ulcer is an ulcer of the lining of either the stomach or the first part of the small intestine below the stomach called the duodenum. Peptic ulcers occur only in those regions of the gastrointestinal tract that are bathed by digestive juices secreted by the stomach. These juices contain hydrochloric acid and a digestive enzyme called pepsin - hence the name "peptic" ulcer. Peptic ulcers that appear in the stomach are called gastric ulcers, and those that occur in the duodenum are called duodenal ulcers. In the United States, duodenal ulcers are more common than gastric ulcers. The reverse is true in Japan. Who Gets Ulcers? Approximately 1 out of every 10 Americans will have a peptic ulcer sometime during his or her life. Each year, over 46,000 operations for peptic ulcer disease are performed, and over 7,000 people in the United States die from complications associated with ulcers. Although ulcers can occur at any age, they are rare among children and only slightly more common in teenagers. Duodenal ulcers usually first appear in people during their twenties or thirties, while gastric ulcers are more likely to develop among people who are in their forties or older.

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