Stomach Ulcers: Healing, Diet, and Recovery Time - Gastroenterology and Hepatology

Gastric ulcer issues?

Hello Doctor, I recently went to the hospital for an upper gastrointestinal endoscopy, and it was confirmed that my persistent upper abdominal pain was caused by a gastric ulcer.
However, the doctor mentioned that my ulcer has already formed a scar.
What does this mean? Does scarring indicate that it has healed? He also mentioned that I have some inflammation and reflux in my stomach, and the biopsy for Helicobacter pylori has not yet come back.
I would like to ask, can patients with gastric ulcers take whey protein? I have been working out and need to supplement my protein intake, but I am concerned that the artificial sweeteners in whey protein might negatively affect the healing of my ulcer.
Additionally, how long does it typically take to treat a gastric ulcer? I have been in pain for over a month now.

Niming, 20~29 year old female. Ask Date: 2021/05/02

Dr. Chen Shidian reply Gastroenterology and Hepatology

It should be healed, and only symptomatic treatment is needed, along with avoiding irritating foods.
Whey protein should not pose any issues.

Reply Date: 2021/05/02

More Info

Understanding stomach ulcers, particularly in the context of healing, diet, and recovery time, is crucial for effective management and recovery. A stomach ulcer, or peptic ulcer, is a sore that develops on the lining of the stomach or the first part of the small intestine (duodenum). The healing process of these ulcers can vary significantly based on several factors, including the underlying cause, treatment adherence, and individual health conditions.

When your doctor mentions that the ulcer has "scabbed over," it typically indicates that the ulcer is in the healing phase. This means that the ulcer has started to close and the tissue is beginning to regenerate. However, it does not necessarily mean that the ulcer is completely healed. Complete healing can take several weeks to months, depending on the severity of the ulcer and the effectiveness of the treatment regimen. It is essential to continue following your doctor's recommendations and to monitor for any recurring symptoms.

Regarding your concerns about diet, particularly the consumption of whey protein, it is generally safe for individuals with stomach ulcers to consume whey protein, provided it does not contain irritating additives or sweeteners that could exacerbate symptoms. Whey protein is a high-quality protein source that can support muscle recovery, especially for those engaged in fitness activities. However, it is wise to choose products that are low in sugar and free from artificial sweeteners, as these can sometimes lead to gastrointestinal discomfort. If you notice any adverse reactions after consuming whey protein, it would be prudent to discontinue its use and consult with your healthcare provider.

In terms of dietary recommendations for managing stomach ulcers, it is advisable to follow a bland diet that minimizes irritation to the stomach lining. This includes avoiding spicy foods, acidic foods, caffeine, and alcohol, which can aggravate symptoms. Instead, focus on consuming soft, easily digestible foods such as bananas, rice, applesauce, and toast (often referred to as the BRAT diet). Additionally, incorporating lean proteins, such as chicken and fish, along with plenty of vegetables, can aid in recovery.

As for the duration of treatment for stomach ulcers, it can vary widely. Most ulcers can heal within 4 to 8 weeks with appropriate treatment, which may include proton pump inhibitors (PPIs), H2-receptor antagonists, or antibiotics if Helicobacter pylori infection is present. If you have been experiencing pain for over a month, it is crucial to follow up with your healthcare provider to ensure that your treatment plan is effective and to rule out any complications.

In summary, while the healing of your ulcer is a positive sign, it is essential to continue monitoring your symptoms and adhere to dietary recommendations. The healing process can take time, and maintaining a balanced diet while avoiding irritants will support your recovery. If you have any concerns about your treatment or dietary choices, do not hesitate to reach out to your healthcare provider for personalized advice.

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