Ulcers are erosions of the mucous membranes or internal sores that affect the lining of the stomach or duodenum. In milder cases, only the outermost layer of the mucosa is damaged. On the other hand, in severe cases, the lesions affect a large part of the gastric wall.
--Gastric ulcer results from an imbalance between stressors and mucosal defense factors; The gastric hyperacidity is then involved in the mechanism of ulcer formation. According to the most recent knowledge of the disease, the bacterium Helicobacter pylori plays a very important role in the development of gastric ulcers.
--The other risk factors are: smoking, alcoholism, coffee, aspirin, stress, certain drugs (anti-rheumatic drugs and specific analgesics)
- Disorders (symptoms) Burning or oppressive pain under the breastbone. In cases of gastric ulcer, this pain usually occurs after meals or regardless of whether meals are taken. In duodenal ulcer, the pain starts when the stomach is empty and goes away after meals Nausea Loss of appetite Feeling of fullness Food intolerance, weight loss. In some cases, asymptomatic course. Medical emergency: if bleeding: black stools or vomiting mixed with blood. Medical emergency: in case of perforation: severe abdominal pain.
History taking into account the patient's symptoms.
Taking tissue samples (biopsy) to rule out stomach cancer.
Evidence of Helicobacter pillory in exhaled air, blood or a tissue sample.
The treatment depends on the presence of Helicobacter pylori or not:
Treatment for colonization by Helicobacter pylori
If Helicobacter pylori is seen in the stomach and the patient has symptoms or a stomach / duodenal ulcer has already occurred, treatment is with a combination of antibiotics. In addition, a medicine to reduce stomach acid (antacids) is prescribed.
Treatment in the absence of Helicobacter pylori
In the event of severe pain, drugs that inhibit gastric acid production (antacids = proton pump inhibitors = H2 antagonists) and / or drugs that protect the mucosa (mucoprotectors) are prescribed.
In addition, some general measures may prove useful:
Balanced and regular diet
Avoid stress; learning relaxation techniques
Avoiding or reducing risk factors like nicotine, alcohol, and the drugs mentioned above
Limitation of coffee consumption; ban strong spices
In the case of perforation of the ulcer (gastric bleeding) or recurrent ulcers, surgery is necessary.
Gastric bleeding, gastric perforation
Ulcers that affect other organs
Pyloric stenosis (exit from the stomach)
Limit the consumption of nicotine, coffee, and alcohol
Be careful during regular consumption of analgesics (medicines against rheumatism or pain)
Traditional African treatments
--Macerate one tablespoon of Detarium microcarpum bark, (Dank) in 1/4 l of water or take with rice porridge or Lipton tea, 3 times a day before or after the meal
- Make a Decoction with 1 bunch of Sclerocarrya birrea trunk bark (Birr, Beer); or an infusion of the leaves of Sclerocarrya birrea (; in ½ liter of water. Then drink ¼ of the filtrate 3 times a day after the meal. Half dose for children
--Eat white clay on an empty stomach every morning (kaolin or Benin domèhoué)
--Green clay is also effective against ulcers and internal wounds.
NB: Africa-herbal tea powder N ° 3 (chitosan plus) is very effective against ulcers.