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17 years
After doing differnet tests at hospital last weak the doctor said taht i have h pilory and a tear in the intestine causing acid to rise up in the esophagus ...i still wake up feeling i want to vomit
Oct 3, 2014

Dr. Zakia Dimassi Pediatrics
H.pylori, or helicobacter pylori, is a common gastric pathogen that causes gastritis, peptic ulcer disease. Infection may be asymptomatic or result in varying degrees of dyspepsia (abdominal pain, acid reflux, indigestion etc.)
A peptic ulcer is an erosion, or wearing away, in a segment of the gut mucosa, typically in the stomach (gastric ulcer) or the first few centimeters of the duodenum (duodenal ulcer; the duodenum is the 1st segment of the small intestines). Nearly all ulcers are caused by Helicobacter pylori infection or NSAID (non-steroidal anti-inflammatory drugs, like Advil, Brufen, Profinal etc.) use. Symptoms typically include burning epigastric (upper middle abdomen) pain that is often relieved by food.
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 muscular layer that lies underneath the mucosal layer. Ulcers can occur at any age, including infancy and childhood, but are most common among middle-aged adults.
Treatment:
• Eradication of H. pylori
• Acid-suppressive drugs
Treatment of gastric and duodenal ulcers requires eradication of H. pylori when present, as in your case, plus reduction of gastric acidity. For duodenal ulcers, it is particularly important to suppress nocturnal acid secretion. Methods of decreasing acidity include a number of drugs, all of which are effective but which vary in cost, duration of therapy, and convenience of dosing. In addition, mucosal protective drugs (eg,sucralfate) may be used.
In addition, smoking should be stopped, and alcohol consumption stopped or limited to small amounts of dilute alcohol. There is no evidence that changing the diet speeds ulcer healing or prevents recurrence. Thus, many physicians recommend eliminating only foods that cause distress, like carbonated beverages, caffeine (coffee, tea, chocolate, energy drinks), spices, and tomato sauce.
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