Do I Need to Return for Follow-Up on My Peptic Ulcer?

Should I return for a follow-up appointment for the ulcer?

Hello, doctor: In February, I experienced irregular bowel movements, with a maximum of once a week.
Therefore, I went to a clinic for an endoscopy.
The examination revealed ulcers, but I did not have abdominal pain.
The diagnosis was peptic ulcer disease.
After experiencing some bleeding, I took medication for two months, but I still did not have daily bowel movements, so I stopped taking the medication.
After that, I only took over-the-counter medications for indigestion.
Sometimes I have bowel movements every one to two days.

1.
Do I need to return for a follow-up appointment?
2.
Is my peptic ulcer caused by drinking very hot water, or is it related to not eating breakfast? (I am currently eating breakfast regularly.
Previously, from elementary school until I was 30, I rarely ate or sometimes skipped it.) Or could it be due to eating too much grilled food? Thank you!

A Bing Bing, 30~39 year old female. Ask Date: 2017/12/10

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, the issue with bowel movements is related to colonic motility and is mostly unrelated to gastric ulcers.
Increasing fluid intake, consuming more fruits and vegetables, and exercising can help.
If necessary, you may return for a follow-up and consider using laxatives.
Changhua Hospital is concerned about your health.
Sincerely, Chen Shidian.

Reply Date: 2017/12/10

More Info

It sounds like you've been dealing with a challenging situation regarding your peptic ulcer and digestive health. Let's address your questions one by one.

1. Do I need to return for follow-up on my peptic ulcer?
Yes, it is highly advisable to return for a follow-up appointment regarding your peptic ulcer. Even if you are not currently experiencing abdominal pain, peptic ulcers can lead to serious complications if left untreated. These complications can include bleeding, perforation, or gastric obstruction. Since you mentioned that you had a bleeding ulcer and have stopped taking your prescribed medication, it is crucial to have a healthcare professional evaluate your condition. They may recommend further testing, such as an endoscopy, to assess the healing of the ulcer and to ensure that there are no new issues. Additionally, they can provide guidance on the appropriate medications to take and any lifestyle changes that may be necessary.

2. Is my ulcer caused by drinking hot water, skipping breakfast, or eating too much barbecue?
Peptic ulcers are primarily caused by an infection with Helicobacter pylori bacteria or the long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs). While lifestyle factors can contribute to ulcer symptoms or exacerbate existing ulcers, they are not direct causes. Drinking very hot liquids can irritate the stomach lining but is unlikely to be the sole cause of an ulcer. Skipping meals, particularly breakfast, can lead to increased stomach acid production, which may aggravate ulcer symptoms. A diet high in spicy or fatty foods, such as barbecue, can also irritate the stomach lining and worsen symptoms, but again, these are not direct causes of ulcers. It is essential to focus on a balanced diet and avoid known irritants.

Additional Considerations:
- Dietary Changes: Since you mentioned that you have started eating breakfast regularly, this is a positive step. A diet that is gentle on the stomach, including foods that are low in acidity and not overly spicy or fatty, can help manage symptoms. Foods like bananas, oatmeal, and yogurt can be soothing.

- Medications: Over-the-counter antacids or medications that reduce stomach acid, such as proton pump inhibitors (PPIs) or H2 blockers, can help manage symptoms. However, it is best to consult with a healthcare provider before continuing or starting any new medications.

- Monitoring Symptoms: Keep track of your symptoms, including any changes in bowel habits, abdominal pain, or signs of bleeding (such as black or bloody stools). If you notice any concerning symptoms, seek medical attention promptly.

In summary, it is crucial to follow up with your healthcare provider regarding your peptic ulcer. They can provide tailored advice and treatment options to help you manage your condition effectively. Additionally, maintaining a healthy diet and being mindful of your eating habits can contribute to better digestive health.

Similar Q&A

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

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...

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.

Do I Need a Follow-Up Endoscopy for Duodenal Ulcer Healing?

Hello, doctor. On November 23, 2017, I experienced significant hematemesis (dark brown, nearly black) and melena, along with dizziness and rapid breathing, which led me to the emergency room. The physician suspected acute gastric bleeding, and after undergoing an endoscopy, I was...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is recommended to continue monitoring. If you have not fully recovered, you should continue taking the medication. Changhua Hospital cares about your health. Dr. Tsai An-shun.

Post-Treatment Care for Mild Stomach and Duodenal Ulcers: Is It Necessary?

Hello Doctor, in July of this year, I went to a gastroenterology clinic for a self-paid gastroscopy. The doctor mentioned that I have mild gastric ulcers and mild duodenal ulcers, and a polyp was removed for biopsy. After a week, I returned to review the report, and the polyp was...

Dr. Chen Shidian reply Gastroenterology and Hepatology
After sterilization, a confirmation of successful sterilization is performed (often using the blow test). It may be considered to discontinue medication or to keep maintenance medication to be taken only when symptoms arise.

Should You Schedule a Follow-Up Appointment for Stomach Issues?

Hello Doctor, last week I went to the hospital for an upper gastrointestinal endoscopy and a barium X-ray. This week, after reviewing the report, the doctor said I have stage II gastroesophageal reflux disease, gastritis, a gastric ulcer, and Helicobacter pylori infection. I need...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The lymph nodes in the groin are not significantly related to Helicobacter pylori. If there is a wound on the foot, you can consult an infectious disease specialist. If there is no wound, it is recommended to see a hematologist to determine the cause of the lymphadenopathy...