Do You Need Follow-Up for Mild Gastric Ulcers? Expert Insights

Is follow-up necessary for gastric ulcers?

Hello, Doctor.
In January 2017, I visited a teaching hospital due to discomfort in my stomach and esophagus, where I underwent an endoscopy.
The results showed: 1.
A mild gastric ulcer, and 2.
Two polyps, which were removed and found to be benign hyperplasia upon examination.
The doctor prescribed medication for two months and mentioned that the ulcer was mild and that medication would suffice, with no need for follow-up on either condition.
However, I found that most articles online state that gastric ulcers should be monitored to check for healing.
Why did my doctor say that follow-up is unnecessary? I still occasionally experience mild stomach discomfort, but it is tolerable.
Should I request a follow-up endoscopy on my own?

Sebrina, 40~49 year old female. Ask Date: 2017/09/05

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, Miss.
Based on what you've described, further examination may not be necessary.
However, if you have concerns, you can discuss it with your physician and consider undergoing an endoscopy.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2017/09/05

More Info

When it comes to managing mild gastric ulcers, follow-up care is essential, but the approach can vary based on individual circumstances and the specific recommendations of your healthcare provider. In your case, it seems that you were diagnosed with mild gastric ulcers and polyps in January 2017, and your physician advised that no follow-up was necessary. However, this can be a point of confusion, especially when considering the general medical advice regarding gastric ulcers.

Gastric ulcers, which are sores on the stomach lining, can be caused by various factors, including Helicobacter pylori infection, prolonged use of non-steroidal anti-inflammatory drugs (NSAIDs), excessive alcohol consumption, and stress. While mild ulcers may heal on their own with appropriate treatment, there are several reasons why follow-up might be recommended:
1. Healing Assessment: Regular follow-up can help assess whether the ulcer is healing properly. This is particularly important if symptoms persist or worsen, as it may indicate complications or the need for a change in treatment.

2. Symptom Monitoring: If you continue to experience discomfort, even if it is mild, it is worth discussing with your doctor. Symptoms like persistent pain, changes in appetite, or gastrointestinal bleeding (e.g., black stools or vomiting blood) warrant immediate medical attention.

3. Risk of Complications: Although your doctor deemed the ulcers mild, there is always a risk of complications such as perforation or bleeding, especially if the ulcers do not heal or if new ulcers develop. Regular monitoring can help catch these issues early.

4. Underlying Conditions: If there are underlying conditions contributing to your ulcers, such as chronic gastritis or H. pylori infection, these should be addressed to prevent recurrence. Follow-up care can help ensure that these conditions are managed effectively.

5. Lifestyle Factors: Your lifestyle choices, including diet, stress management, and medication use, can significantly impact ulcer healing. A follow-up visit can provide an opportunity to discuss these factors and make necessary adjustments.

Given your ongoing mild discomfort, it may be prudent to schedule a follow-up appointment with your healthcare provider. You can express your concerns about the persistent symptoms and ask whether a repeat endoscopy is warranted to evaluate the status of your ulcers. It is also important to discuss any lifestyle changes you can make to support your gastric health, such as dietary modifications, stress reduction techniques, and avoiding irritants like NSAIDs and alcohol.

In summary, while your physician may have determined that follow-up was not necessary based on the initial assessment, your ongoing symptoms and concerns are valid reasons to seek further evaluation. Open communication with your healthcare provider is key to ensuring that your gastric health is adequately monitored and managed.

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