Stomach ulcer

I have a 'very' painful stomach ulcer. I have never sat and rocked in pain before until Sunday night.

I'm off work this week with it as i have really bad diahhrea and my stomach is still very painful. I had a blood test yesterday to see whether i have H Pylori living in my stomach, but i know some causes are caused by NSAIDS's. I take seretide & singulair for my asthma.

Does anybody know whether any of these would cause my ulcer?

Thanks

2 Replies

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  • Hi Julie,

    I'm so sorry to hear that you're in so much pain at the moment. If it's causing you that much pain, I would suggest you go back to your GP and see if there is anything more that can be done - it doesn't sound normal for an ulcer to be causing you that much pain. It's also not particularly typical to get bad diarrhoea with an ulcer. How did they reach the diagnosis of an ulcer? Have you had an endoscopy, where they look down into your stomach with a fibreoptic telescope? - that is really the only way of making a definitive diagnosis of a stomach ulcer. Have they considered alternative diagnoses like pancreatitis or gall stones?

    Neither Seretide or montelukast (Singulair) are listed as causing ulcers in the BNF, although both can rarely cause dyspepsia (indigestion). The most usual culprits are, as you say, NSAIDs such as ibuprofen, diclofenac and mefanamic acid, and aspirin. Oral steroids are also thought by some to contribute to stomach ulcers, particularly if taken in combination with NSAIDs. And of course, the presence of the bacteria Helicobacter pylori can cause ulcer formation.

    Have you been started on treatment for your ulcer? The usual treatment would be a Proton Pump Inhibitor (PPI) such as omeprazole, lansoprazole or esomeprazole. These should usually work fairly quickly to treat the pain - usually within a few days. If you are taking a PPI and it has not been effective, that would be a good reason to consider alternative diagnoses. If you are found to have H. pylori you will also be put on a week's course of two different antibiotics, which should clear it up and get rid of the ulcer.

    Please do go back to your doctor and discuss the level of pain you are experiencing and the diagnosis of an ulcer. In the mean time, if the pain gets very severe, or if you experience vomiting of blood or dark 'coffee grounds' -looking material, or if you pass blood or black stools, or you are worried in any other way, please do seek medical help urgently.

    Hope this helps and you feel better very soon

    Take care

    Em H

  • Hi Emily

    Thanks for your reply.

    About 2 years ago i was treated for a duodenum ulcer. At the time i was eating rubbish, also being a very 'stressy' person i don't think that helped either.

    I lost 2 stone soon after but because i was very poorly last year with two lots of flu i had to go on steroids. I started piling on the weight because i was eating way too much.

    My job is under threat as the industry is declining. We were advised if we don't reach target every month up to April we will lose our jobs. I am trying to escape out of this situation & i do have a job interview on monday.

    Now my diet is awful. I eat crap all day up until now.

    The doctor has given me Omeprazole which has helped ease the pain. I still get twinges but i can cope with them. My diarrhea has calmed down. Only get 2 bouts a day now. But i did eat a mars bar 'stupidly' yesterday which upset my stomach. I am 5ft 3 1/2inch and between a size 12 & 14, but i'm one of those people who can't be overweight. Which is a good thing. When i was a size 8 - 10 i felt fantastic.

    So really i only have myself to blame. I need to chill out more & relax. I have a very busy life. I have joined weight watchers too.

    I'm going back to the doctors on Friday to get my results. Oh i did have a scan 2 years ago to check for gall stones, which was clear. My doctor said i wouldn't of developed them in that amount of time.

    Do you think its not natural to have diarrhea with a stomach ulcer? I did taste acid and was sick a couple of times

    Thanks again

    Julie

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