Regarding peptic ulcers and colonic ulcers?
Hello Dr.
Chen.
I previously consulted with you and have since undergone some examinations.
I was surprised to find out that I have peptic ulcers, colonic ulcers, and duodenal ulcers, as well as gallstones.
I would like to ask you, Dr.
Chen, if these conditions can be completely cured.
I have been experiencing these symptoms for almost a year, and the medication hasn't helped.
Additionally, I have been feeling a persistent heaviness in my head and unexplained warmth, which affects my thoughts.
My throat is also extremely uncomfortable, feeling as if there is phlegm stuck that I can't cough out.
These issues have been troubling me for a long time.
I have one more question that seems unrelated to liver and gallbladder issues: when I smile, my facial muscles twitch.
Some doctors have suggested it might be autonomic nervous system dysfunction, but I'm not sure.
I hope Dr.
Chen can provide some good insights to relieve my concerns.
Thank you.
Xiao Cheng, 20~29 year old female. Ask Date: 2011/08/10
Dr. Chen Shidian reply Gastroenterology and Hepatology
Dear Mr.
Chao,
The ulcer can be treated.
Please adhere to the prescribed medication and make lifestyle adjustments.
As for the gallstones, surgical intervention may be considered if the condition persists (such as experiencing postprandial abdominal pain even after the ulcer has healed).
Additionally, for autonomic nervous system dysregulation, it is advisable to manage your mood and engage in more outdoor activities to reduce stress.
If you have any issues, you may consult a psychiatrist.
Best regards,
Dr.
Chen Shih-Tien
Changhua Hospital
Reply Date: 2011/08/10
More Info
Peptic ulcers and colonic ulcers are significant gastrointestinal conditions that can cause a variety of symptoms and complications. Understanding these conditions, their symptoms, and potential treatments is crucial for effective management and recovery.
Understanding Peptic and Colonic Ulcers
Peptic Ulcers: These are sores that develop on the lining of the stomach, small intestine, or esophagus. They are primarily caused by an infection with Helicobacter pylori bacteria, long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), excessive alcohol consumption, and smoking. Symptoms of peptic ulcers can include:
- Burning stomach pain
- Bloating
- Belching
- Nausea or vomiting
- Weight loss
- Loss of appetite
Colonic Ulcers: These are ulcers that occur in the colon (large intestine) and can be associated with conditions like ulcerative colitis or Crohn's disease. Symptoms may include:
- Abdominal pain
- Diarrhea (which may be bloody)
- Urgency to have a bowel movement
- Weight loss
- Fatigue
Treatment Options
1. Medications: The first line of treatment for both peptic and colonic ulcers often includes medications such as:
- Proton Pump Inhibitors (PPIs): These reduce stomach acid and promote healing.
- Antibiotics: If H. pylori is present, antibiotics are necessary to eradicate the infection.
- Antacids and H2-receptor antagonists: These can help reduce acid production and relieve symptoms.
- Anti-inflammatory medications: For colonic ulcers, medications like mesalamine may be prescribed.
2. Lifestyle Modifications:
- Avoiding NSAIDs and other irritants (like alcohol and tobacco).
- Eating a balanced diet rich in fruits, vegetables, and fiber.
- Managing stress through relaxation techniques, as stress can exacerbate symptoms.
3. Surgery: In severe cases where ulcers do not respond to medication or if complications arise (like bleeding or perforation), surgical intervention may be necessary.
Addressing Your Symptoms
You mentioned experiencing symptoms such as persistent discomfort in the throat, a feeling of something stuck, and a sensation of heat and dizziness. These could be related to your gastrointestinal issues or could indicate other conditions. It’s essential to discuss these symptoms with your healthcare provider, as they may require further evaluation.
- Throat Discomfort: This could be due to acid reflux, which is common in individuals with peptic ulcers. The acid can irritate the throat, causing a sensation of something being stuck.
- Dizziness and Heat: These symptoms may be related to anxiety or stress, especially if you are dealing with chronic pain or discomfort. It could also be a side effect of medications or a sign of dehydration, particularly if you have been experiencing gastrointestinal symptoms like diarrhea.
Neurological Symptoms
Regarding the facial twitching you experience when smiling, this could indeed be related to autonomic nervous system dysregulation. Stress and anxiety can manifest in various physical symptoms, including muscle spasms or twitches. It’s important to consult with a neurologist or a specialist in autonomic disorders if this symptom persists, as they can provide a more comprehensive evaluation.
Conclusion
In summary, while peptic and colonic ulcers can be challenging to manage, they are treatable conditions. A combination of medication, lifestyle changes, and possibly surgical intervention can lead to significant improvement. Your additional symptoms warrant further investigation to ensure a comprehensive approach to your health. Regular follow-ups with your healthcare provider are essential to monitor your condition and adjust treatment as necessary. If you have any concerns about your treatment plan or symptoms, do not hesitate to reach out to your healthcare team for guidance.
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