How to Treat a Stomach Ulcer: Overcoming Fear of Endoscopy

Q: How to Treat a Stomach Ulcer: Overcoming Fear of Endoscopy

Hello： Two days before the colonoscopy, start taking laxatives and drink at least 2000 c.c. <br>of fluids daily, while trying to consume a low-residue diet. <br>On the day of the examination, fast from breakfast (if the procedure is in the morning). <br>Before the procedure, chan

How should a perforated stomach be treated?

I recently underwent an endoscopy at the hospital, which revealed a perforation in my stomach, and I have been experiencing bloody stools.
The hospital informed me that the National Health Insurance requires an endoscopy for coverage, so they insisted on confirming the diagnosis through this procedure.
However, the endoscopy is very painful, and I am afraid to undergo it again.
What treatment options are available for a stomach perforation to improve my condition? I have been hesitant to return to the large hospital for a follow-up appointment due to the need for another endoscopy, but my symptoms have worsened recently.
What should I do? I really do not want to undergo another endoscopy.

A-Guan, 50~59 year old female. Ask Date: 2003/07/26

Dr. Yang Peizhen reply Gastroenterology and Hepatology

Hello: Two days before the colonoscopy, start taking laxatives and drink at least 2000 c.c.
of fluids daily, while trying to consume a low-residue diet.
On the day of the examination, fast from breakfast (if the procedure is in the morning).
Before the procedure, change into a gown and receive an intramuscular injection of an antispasmodic medication.
When lying on the examination table, first lie on your left side and bring your knees up to your abdomen.
The colonoscope, coated with a pain-relieving lubricant, is then inserted through the anus, passing through the rectum, sigmoid colon, descending colon, transverse colon, ascending colon, and finally reaching the cecum.
The total length of the colonoscope is 1.6 meters, while the length of the colon varies slightly for each individual due to differences in intestinal curvature, averaging about one meter.
There are three bends in the colon that can be particularly uncomfortable during the procedure, and a nurse is present to assist throughout.
Colonoscopy refers to the examination using a colonoscope, which contains many optical fibers, hence it is also called fiber colonoscopy.
Wishing you good health, Dr.
Yang Pei-Chen, Department of Gastroenterology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/07/26

More Info

Treating a stomach ulcer, especially when there are complications such as bleeding, can be a daunting experience, particularly if you have a fear of endoscopy. However, it is crucial to understand that timely intervention is necessary to prevent further complications and to promote healing. Here’s a comprehensive approach to managing your condition.

Understanding Stomach Ulcers
Stomach ulcers, or peptic ulcers, are sores that develop on the lining of the stomach. They can be caused by various factors, including infection with Helicobacter pylori (H. pylori), long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), excessive alcohol consumption, and stress. Symptoms often include abdominal pain, bloating, and in severe cases, bleeding, which can manifest as black or bloody stools.

Importance of Endoscopy
Endoscopy is a critical diagnostic tool for evaluating stomach ulcers. It allows physicians to visualize the ulcer directly, assess its severity, and determine the best course of treatment. While it can be uncomfortable, advancements in sedation and pain management have made the procedure more tolerable for patients. If you are concerned about the discomfort, discuss this with your healthcare provider. They may offer options such as sedation or pain relief to make the experience more manageable.

Treatment Options
1. Medications: The primary treatment for stomach ulcers involves medications that reduce stomach acid and promote healing. These include:
- Proton Pump Inhibitors (PPIs): Such as omeprazole or pantoprazole, which significantly reduce stomach acid production.

- Antibiotics: If H. pylori is present, antibiotics like amoxicillin or clarithromycin may be prescribed to eradicate the infection.

- Antacids and H2-receptor antagonists: These can help neutralize stomach acid and provide symptomatic relief.

2. Dietary Modifications: While diet alone cannot heal ulcers, certain dietary changes can help alleviate symptoms. Avoid spicy foods, caffeine, alcohol, and acidic foods that may irritate the stomach lining. Instead, focus on a bland diet rich in fruits, vegetables, and whole grains.

3. Lifestyle Changes: Reducing stress through relaxation techniques, regular exercise, and adequate sleep can also aid in the healing process. Avoid smoking, as it can exacerbate ulcer symptoms and hinder healing.

4. Regular Follow-ups: It is essential to maintain regular follow-up appointments with your healthcare provider. If you are hesitant about endoscopy, discuss alternative monitoring methods, such as imaging studies or non-invasive tests, although these may not provide the same level of detail as endoscopy.

Addressing Your Fear of Endoscopy
Your fear of endoscopy is understandable, especially given your previous experiences. Here are some strategies to help you cope:
- Communicate with Your Doctor: Share your fears and concerns with your healthcare provider. They can provide reassurance and explain the procedure in detail, which may help alleviate anxiety.

- Consider Sedation Options: Ask about sedation options that can help you feel more comfortable during the procedure.

- Mindfulness and Relaxation Techniques: Practice deep breathing, meditation, or visualization techniques to help manage anxiety before and during the procedure.

Conclusion
While the fear of endoscopy is valid, it is essential to prioritize your health and seek the necessary treatment for your stomach ulcer. Delaying treatment can lead to more severe complications, including perforation or significant bleeding. By working closely with your healthcare provider, you can find a treatment plan that addresses your concerns and promotes healing. Remember, managing a stomach ulcer is a process, and with the right support and treatment, you can overcome this challenge.

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