Concerns About Stomach Ulcers and Weight Loss in Teens - Gastroenterology and Hepatology

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I'm very worried..?


Hello, doctor.
Recently, due to a gastric ulcer, I have lost weight from 55.56 kg to 52.6 kg.
Although I have been eating normally lately, I still haven't gained any weight.
During middle school, I frequently ate fried chicken and consumed very few vegetables.
In the early part of high school, I also ate oysters about once every week or two.
Now that I am exposed to the medical field in high school, I am worried that my frequent consumption of fried chicken during middle school may have caused gastrointestinal issues.
Recently, I underwent an endoscopy due to abdominal discomfort and was diagnosed with a gastric ulcer, but there was no Helicobacter pylori or any other concerning findings.
Currently, I have significantly reduced my intake of fried foods and try to avoid them as much as possible.
I tend to get anxious easily.
A few weeks ago, I was diagnosed with a gastric ulcer, and I’m concerned about being so young and having this condition.
I have been on ulcer medication for three weeks, but I still occasionally feel abdominal discomfort.
Recently, I have eaten some soups and a small amount of fried foods, and I have also consumed sweet drinks.
I have increased my intake of fruits and vegetables.
My bowel movements are daily, but sometimes my stools are loose.
Doctor, I am very worried.
There is no significant cancer history in my family, although my grandfather passed away from either liver or stomach cancer, and my grandfather's brother's daughter also died from breast cancer, but that is a distant relation.
Currently, I have no issues with blood in my stools or anything similar, just the recent abdominal pain from the gastric ulcer, occasional diarrhea, and weight loss.
I tend to overthink and get anxious easily.
Please help me, doctor.
I am currently 16 years old, and I am very worried.
I have a follow-up appointment with the gastroenterologist next Monday.
I apologize for bothering you.

Rita, 10~19 year old female. Ask Date: 2017/05/27

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Since the gastroscopy has already been performed, there is no need to worry excessively about stomach issues.
If symptoms persist, it may be necessary to adjust your diet, daily routine, and emotional management.
You can discuss this with your physician during your follow-up visit and consider adjusting your medication.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/05/27

More Info


It's understandable to be concerned about stomach ulcers and weight loss, especially at a young age. Stomach ulcers, or peptic ulcers, can be caused by various factors, including diet, stress, and infections like Helicobacter pylori. In your case, since your recent endoscopy showed ulcers but no H. pylori infection, it suggests that other factors may be at play.

Your history of consuming a diet high in fried foods and low in vegetables could have contributed to your gastrointestinal issues. Fried foods can be hard on the stomach and may exacerbate symptoms of gastritis or ulcers. It's good to hear that you've made dietary changes by reducing fried foods and increasing your intake of fruits and vegetables. This is a positive step toward improving your digestive health.

Weight loss, especially when you're not trying to lose weight, can be concerning. The drop from 55.56 kg to 52.6 kg indicates that your body may be under stress, possibly due to the ulcer and your anxiety about it. Stress and anxiety can significantly affect your appetite and digestion, leading to further weight loss. It's essential to address both your physical and mental health in this situation.

You mentioned experiencing abdominal discomfort and occasional loose stools. These symptoms could be related to your ulcer, dietary changes, or even anxiety. It's crucial to monitor these symptoms and discuss them with your gastroenterologist during your follow-up appointment. They may suggest further testing or adjustments to your treatment plan if necessary.

Regarding your family history of cancer, while it’s natural to worry, it's important to remember that having a family history does not guarantee that you will develop similar issues. Regular check-ups and being proactive about your health are the best ways to manage your concerns.

In the meantime, here are some strategies you can consider to help manage your symptoms and improve your overall well-being:
1. Dietary Adjustments: Continue to avoid spicy, fried, and acidic foods that can irritate your stomach. Focus on a balanced diet rich in whole grains, lean proteins, fruits, and vegetables. Eating smaller, more frequent meals may also help reduce discomfort.

2. Hydration: Ensure you're drinking enough water throughout the day. Staying hydrated is essential for overall health and can help with digestion.

3. Stress Management: Since you mentioned feeling anxious, consider incorporating stress-reducing activities into your routine. This could include mindfulness practices, yoga, or even talking to a counselor or therapist who can help you manage anxiety.

4. Follow-Up Care: Keep your follow-up appointment with your gastroenterologist. They can provide you with the best advice tailored to your specific situation and may recommend further testing if your symptoms persist.

5. Monitor Symptoms: Keep a journal of your symptoms, dietary habits, and any stressors. This information can be valuable for your doctor in understanding your condition better.

6. Medication Compliance: If you have been prescribed medication for your ulcers, ensure you take it as directed. Discuss any side effects or concerns with your doctor.

In conclusion, while it’s normal to feel worried about your health, especially with the symptoms you’re experiencing, taking proactive steps can help you manage your condition effectively. Continue to communicate openly with your healthcare providers, and don’t hesitate to seek support from family and friends during this time. Your health is a priority, and with the right care and attention, you can work towards feeling better.

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