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 Photo of an ulcer |
Helicobacter pylori and ulcers
Ulcers
were once thought to be caused by stress or a bad diet. We now know that
the majority of ulcers are caused by a bacteria called Helicobacter pylori.
The remainder of ulcers is caused by aspirin and arthritis medications
called NSAIDs.
A
rare hormonal condition (Zollinger Ellison's syndrome) causes excessive
acid production and ulcers. Helicobacter can survive in a strong acid
environment of the stomach and causes inflammation. The bacteria may be
passed between family members or be found in contaminated water or food.
In some individuals, this inflammation can lead to ulcers, which are seen
as a breakdown
Of the
lining of the stomach or duodenum (upper small intestine). Ulcers can
cause burning, indigestion, pain, or bleeding. Helicobacter can be diagnosed
with a blood test, breath test or an upper endoscopy with biopsy. The
treatment comprises taking a proton pump inhibitor in combination with
two antibiotics. We recommend a combination of two or three possible antibiotics
(Biaxin, Metronidazole or Amoxicillin). For people who are allergic to
either of the antibiotics, Biaxin can be substituted.