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2008-10-10 3:45 PM

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Subject: Dealing with an Ulcer
Hey all,

The last few months (the whole seasson) I have been dealing with a stomach ulcer, it took them a few to just figure it out. They put me on nexium a month ago and I havent noticed anything. Unfortunatly I have no insurance now, waiting. If anyone has any great advice on what helped them or eating habits?

The info I found on one guys site, pretty much said I cant eat much that is healthy... SO I dont want to go on one mans options (what bothered him).

THanks!!


2008-10-10 4:12 PM
in reply to: #1733989

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Subject: RE: Dealing with an Ulcer
There really isn't an ulcer diet.  You take your Nexium, and it should heal up.  A month is pretty quick, so I'm not surprised you don't notice much yet.  
2008-10-11 12:24 AM
in reply to: #1733989

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Subject: RE: Dealing with an Ulcer

I'm not a Dr and don't even play one on TV, but I thought they generally used antibiotics to treat ulcers now since it's been proven they are largely bacterial?

From http://digestive.niddk.nih.gov/ddiseases/pubs/hpylori/

"... usually involves a combination of antibiotics, acid suppressors, and stomach protectors....The use of only one medication to treat H. pylori is not recommended. At this time, the most proven effective treatment is a 2-week course of treatment called triple therapy. It involves taking two antibiotics to kill the bacteria and either an acid suppressor or stomach-lining shield. Two-week triple therapy reduces ulcer symptoms, kills the bacteria, and prevents ulcer recurrence in more than 90 percent of patients."

 



Edited by deskjockeyjim 2008-10-11 12:25 AM
2008-10-11 7:51 AM
in reply to: #1734766

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Subject: RE: Dealing with an Ulcer
deskjockeyjim - 2008-10-11 12:24 AM

I'm not a Dr and don't even play one on TV, but I thought they generally used antibiotics to treat ulcers now since it's been proven they are largely bacterial?

From http://digestive.niddk.nih.gov/ddiseases/pubs/hpylori/

"... usually involves a combination of antibiotics, acid suppressors, and stomach protectors....The use of only one medication to treat H. pylori is not recommended. At this time, the most proven effective treatment is a 2-week course of treatment called triple therapy. It involves taking two antibiotics to kill the bacteria and either an acid suppressor or stomach-lining shield. Two-week triple therapy reduces ulcer symptoms, kills the bacteria, and prevents ulcer recurrence in more than 90 percent of patients."

 

I wouldn't say they're largely bacterial.  Many are caused by H. pylori, but you only get treatment for that if you have a positive test for it.  Nexium or one of the equivalent PPI's is standard for all ulcers.  In fact, you'll heal an H. pylori induced ulcer without any antibiotics at all.  All you're doing is trying to eradicate the organism so that it doesn't cause problems in the future.

2008-10-11 11:17 AM
in reply to: #1734844

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Subject: RE: Dealing with an Ulcer
DerekL - 2008-10-11 7:51 AM
deskjockeyjim - 2008-10-11 12:24 AM

I'm not a Dr and don't even play one on TV, but I thought they generally used antibiotics to treat ulcers now since it's been proven they are largely bacterial?

From http://digestive.niddk.nih.gov/ddiseases/pubs/hpylori/

"... usually involves a combination of antibiotics, acid suppressors, and stomach protectors....The use of only one medication to treat H. pylori is not recommended. At this time, the most proven effective treatment is a 2-week course of treatment called triple therapy. It involves taking two antibiotics to kill the bacteria and either an acid suppressor or stomach-lining shield. Two-week triple therapy reduces ulcer symptoms, kills the bacteria, and prevents ulcer recurrence in more than 90 percent of patients."

 

I wouldn't say they're largely bacterial. Many are caused by H. pylori, but you only get treatment for that if you have a positive test for it. Nexium or one of the equivalent PPI's is standard for all ulcers. In fact, you'll heal an H. pylori induced ulcer without any antibiotics at all. All you're doing is trying to eradicate the organism so that it doesn't cause problems in the future.

 I'm not trying to argue, I'm really just curious (that's what you get for letting people who deal with numbers all day on the boardsSmile)

 

It would seem to me that by treating the ulcer with just PPIs, you're treating the symptom more than the cause.  If I have bacteria X that causes Y, and I can take meds to get rid of Y but don't necessarily kill the bacteria (I'm thinking like say sinus infection Advil + decongestants make them largely ignorable unless it's a terrible one), I can see that you would reduce population of the bacteria by aiding the immune response, but the bacteria is still likely present to some extent and re-occurrence would be a possibility (at least by my logicSmile)

 

2008-10-11 1:30 PM
in reply to: #1734987

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Subject: RE: Dealing with an Ulcer
deskjockeyjim - 2008-10-11 11:17 AM
DerekL - 2008-10-11 7:51 AM
deskjockeyjim - 2008-10-11 12:24 AM

I'm not a Dr and don't even play one on TV, but I thought they generally used antibiotics to treat ulcers now since it's been proven they are largely bacterial?

From http://digestive.niddk.nih.gov/ddiseases/pubs/hpylori/

"... usually involves a combination of antibiotics, acid suppressors, and stomach protectors....The use of only one medication to treat H. pylori is not recommended. At this time, the most proven effective treatment is a 2-week course of treatment called triple therapy. It involves taking two antibiotics to kill the bacteria and either an acid suppressor or stomach-lining shield. Two-week triple therapy reduces ulcer symptoms, kills the bacteria, and prevents ulcer recurrence in more than 90 percent of patients."

 

I wouldn't say they're largely bacterial. Many are caused by H. pylori, but you only get treatment for that if you have a positive test for it. Nexium or one of the equivalent PPI's is standard for all ulcers. In fact, you'll heal an H. pylori induced ulcer without any antibiotics at all. All you're doing is trying to eradicate the organism so that it doesn't cause problems in the future.

 I'm not trying to argue, I'm really just curious (that's what you get for letting people who deal with numbers all day on the boardsSmile)

 

It would seem to me that by treating the ulcer with just PPIs, you're treating the symptom more than the cause.  If I have bacteria X that causes Y, and I can take meds to get rid of Y but don't necessarily kill the bacteria (I'm thinking like say sinus infection Advil + decongestants make them largely ignorable unless it's a terrible one), I can see that you would reduce population of the bacteria by aiding the immune response, but the bacteria is still likely present to some extent and re-occurrence would be a possibility (at least by my logicSmile)

 

The point is that they're not all caused by H. pylori.  Unless it was diagnosed, it's not an indicated treatment.



2008-10-11 2:19 PM
in reply to: #1735191

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Subject: RE: Dealing with an Ulcer

The point is that they're not all caused by H. pylori. Unless it was diagnosed, it's not an indicated treatment.

Fair enough, I can live with thatSmile

2008-10-12 9:04 PM
in reply to: #1733989

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Subject: RE: Dealing with an Ulcer
thanks, you are correct, antibi. are used when H Pylori is present. My blood work and other test cam back neg.

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