Gastric Erosions vs. Ulcers: Can I Take Herbal Supplements?

Q: Gastric Erosions vs. Ulcers: Can I Take Herbal Supplements?

Hello： The term "broken skin" likely refers to a superficial mild ulcer, for which Naisan was prescribed. <br>After treatment, there have been no further clinical symptoms of discomfort, indicating that it has likely healed. <br>Therefore, the aforementioned components should not

Ulceration of the stomach and duodenum?

Hello Dr.
Tsai, I have gastroesophageal reflux disease.
In December 2014, I underwent an endoscopy at National Taiwan University Hospital, and the results showed that I had abrasions in my stomach and duodenum.
The doctor prescribed me with pantoprazole for two months, and I can stop the medication if I feel fine.
Since there are many patients, I forgot to ask, so I’m reaching out online to ask Dr.
Tsai: [Are abrasions and ulcers the same?] Recently, I wanted to take a type of natural herbal extract supplement.
The instructions specifically mention that it should not be taken by patients with peptic ulcers.
The ingredients include: oregano leaf extract, acai extract, grape seed extract (containing 95% OPC), barley extract (containing beta-glucan), fat-digesting enzyme, Bacillus coagulans, blue-green algae, brewer's yeast, pineapple enzyme, papaya enzyme, amylase, protease, celery, barley grass, chrysanthemum, lotus seed, honey, asparagus, fennel, apple fiber, orange flavor, microcrystalline cellulose, and senna leaves (containing less than 12 mg of sennosides).
Could you please take a look at these ingredients and let me know if I can take them? I am unsure if abrasions and ulcers mean the same thing.
I appreciate this website for providing convenient consultation.
Thank you, Dr.
Tsai, for your help with the ingredients.
Can I take them? I am uncertain if abrasions and ulcers are the same.

Kai Ma, 50~59 year old female. Ask Date: 2016/05/22

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: The term "broken skin" likely refers to a superficial mild ulcer, for which Naisan was prescribed.
After treatment, there have been no further clinical symptoms of discomfort, indicating that it has likely healed.
Therefore, the aforementioned components should not cause any harm, and there is no need for excessive concern.
However, if symptoms reappear, it is advisable to return for a medical consultation.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun

Reply Date: 2016/05/22

More Info

When discussing gastric erosions and ulcers, it is essential to understand the differences between the two conditions. Gastric erosions are superficial lesions that affect the mucosal layer of the stomach lining, while ulcers penetrate deeper into the stomach wall, affecting the submucosa and potentially leading to complications such as bleeding or perforation. Both conditions can be caused by similar factors, including the use of nonsteroidal anti-inflammatory drugs (NSAIDs), excessive alcohol consumption, and infection with Helicobacter pylori (H. pylori).

In your case, the report indicates that you have erosions in both the stomach and duodenum, which may be symptomatic of underlying issues such as gastritis or peptic ulcer disease. The medication you have been prescribed, which is likely a proton pump inhibitor (PPI) like "耐適恩" (Nexium or similar), is designed to reduce gastric acid production, thereby promoting healing of the mucosal lining and alleviating symptoms associated with acid reflux and erosions.

Regarding the herbal supplements you are considering, it is crucial to approach this with caution. The ingredients listed in the supplement you mentioned, such as oregano leaf extract, grape seed extract, and various enzymes, may have beneficial properties for digestion and overall health. However, some components, like senna leaves, can act as laxatives and may not be suitable for individuals with gastric erosions or ulcers, as they could potentially exacerbate gastrointestinal discomfort or lead to further irritation.

It is important to consult with your healthcare provider before starting any new supplements, especially if you have a history of gastric erosions or ulcers. Your doctor can provide personalized advice based on your medical history and current treatment plan. They may also recommend avoiding certain herbal products that could interact with your prescribed medications or worsen your condition.

In summary, while gastric erosions and ulcers are related, they are not the same. Erosions are superficial, while ulcers are deeper and more serious. Always consult your healthcare provider before introducing new supplements into your regimen, particularly when dealing with digestive health issues. Your doctor can help you determine the best course of action to manage your symptoms and promote healing.

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