Duodenal Ulcers: Treatment and Dietary Considerations

Duodenal ulcer

Hello, doctor.
I would like to ask you about my condition.
About a month ago, I underwent an endoscopy, and the results showed gastric inflammation and a duodenal ulcer without H.
pylori.
The doctor mentioned that the ulcer is not severe.
At that time, my symptoms included frequent burping, bloating, and poor appetite.
The doctor prescribed Takepron, one tablet every morning.
Currently, the bloating and burping have improved, but the symptoms still persist, and my appetite is still not very good.
I would like to ask if taking one tablet of Takepron daily is sufficient, or do I need other medications for ulcer treatment? I have heard that this medication only neutralizes stomach acid and does not directly treat the ulcer.
Is that correct? Previously, I inquired at a pharmacy, and they sell a natural supplement called Vitamin U, which is said to promote mucosal healing and is completely natural.
Can I take this supplement as well? Thank you for your help.

Xiao Zhang, 30~39 year old female. Ask Date: 2005/02/28

Dr. Chen Zhiping reply Gastroenterology and Hepatology

Hello, Takepron does not neutralize stomach acid but rather inhibits gastric acid secretion.
Other similar medications, such as Nexium (esomeprazole) and Pantoloc (pantoprazole), have the same effect and can strongly suppress gastric acid secretion.
Gastric acid is a crucial factor in the development and healing of ulcers; therefore, inhibiting gastric acid can effectively promote ulcer healing.
Currently, the medications used to treat ulcers are these types of acid-suppressing drugs (known as PPIs) or H2 blockers, which can effectively reduce acid and promote ulcer healing without the need for additional medications.
Unless there is a coexisting Helicobacter pylori infection, antibiotic treatment for eradication is not necessary.
As for "vitamin U," it is not mentioned in standard textbooks or medical guidelines; however, there is related information available online, suggesting it is more akin to a dietary supplement.
We are unaware of its efficacy, but regarding the aforementioned treatments, ulcers typically heal within one to two months.
Whether to add "vitamin U" is up to your personal decision; at least, we would not recommend it.
Sincerely, Dr.
Chen Zhi-Ping, Internal Medicine.

Reply Date: 2005/02/28

More Info

Duodenal ulcers, commonly known as peptic ulcers, are sores that develop on the lining of the duodenum, which is the first part of the small intestine. Understanding their treatment and dietary considerations is crucial for effective management and recovery.

Treatment Overview
The treatment for duodenal ulcers typically involves a combination of medications aimed at reducing stomach acid, promoting healing, and preventing recurrence. The medication you mentioned, Takepron (which contains the active ingredient lansoprazole), is a proton pump inhibitor (PPI). PPIs work by blocking the proton pumps in the stomach lining, which significantly reduces the production of stomach acid. This reduction in acid helps to alleviate symptoms and allows the ulcer to heal.

While PPIs like Takepron are effective in managing symptoms and promoting healing, they do not directly treat the underlying causes of ulcers, such as Helicobacter pylori infection or the use of nonsteroidal anti-inflammatory drugs (NSAIDs). Since your doctor indicated that your ulcer is not severe and that you do not have H. pylori, continuing with Takepron as prescribed is generally appropriate. However, if symptoms persist or worsen, it is essential to follow up with your healthcare provider for further evaluation and potential adjustment of your treatment plan.

Dietary Considerations
Diet plays a significant role in managing duodenal ulcers. Here are some dietary recommendations:
1. Avoid Irritating Foods: Certain foods can exacerbate ulcer symptoms. It is advisable to avoid spicy foods, acidic foods (like citrus and tomatoes), caffeine, and alcohol, as they can irritate the stomach lining.

2. Eat Smaller, More Frequent Meals: Instead of three large meals, consider eating smaller meals throughout the day. This approach can help reduce gastric acid secretion and minimize discomfort.

3. Incorporate Healing Foods: Foods rich in fiber, such as fruits, vegetables, and whole grains, can promote digestive health. Probiotic-rich foods like yogurt may also help maintain a healthy gut flora.

4. Stay Hydrated: Drinking plenty of water can help dilute stomach acid and promote overall digestive health.

5. Monitor Dairy Intake: While some people find relief from dairy products, others may experience increased symptoms. It’s essential to observe how your body reacts and adjust accordingly.

Additional Supplements
Regarding the use of Vitamin U, which is often marketed as a natural remedy for ulcers, it is derived from cabbage juice and is believed to promote mucosal healing. While some anecdotal evidence supports its use, scientific research on its efficacy is limited. If you are considering adding Vitamin U or any other supplement to your regimen, it is best to discuss this with your healthcare provider first. They can provide guidance based on your specific health needs and ensure that there are no interactions with your current medications.

Conclusion
In summary, continuing with Takepron as prescribed is a good strategy for managing your duodenal ulcer. Pay attention to your diet, avoid irritants, and consider smaller, more frequent meals. If your symptoms persist or you have concerns about your treatment, do not hesitate to reach out to your healthcare provider for further advice. They may recommend additional medications or dietary adjustments tailored to your condition. Remember, effective management of duodenal ulcers often requires a comprehensive approach that includes both medication and lifestyle modifications.

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