Peptic ulcer disease: Difference between revisions

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!Key Sign / Symptom
!Key Sign / Symptom
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!Modalities
Triggers
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| rowspan="4" |'''H. Pylori Infection With Peptic Ulcers'''
| rowspan="4" |'''H. Pylori Infection With Peptic Ulcers'''
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=== Arg-n ===
=== [[Arg-n, Argentum Nitricum|Arg-n]] ===
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* '''Best remedy''' for stomach ulcers.
* '''Best remedy''' for stomach ulcers.
* Sharp Ulcerative/ Burning pain is felt in stomach
* Sharp Ulcerative/ Burning pain in stomach
* Pain radiates to other regions of the abdomen.
* Pain radiates to other regions of abdomen.
* '''Argentum Nitricum''' is most prominently suited for treating gastric ulcers in this condition. The main symptom is pain in the stomach radiating to other parts of abdomen. The pain is mainly of stitching, gnawing and burning in nature.  
* Sometimes gnawing in nature.
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* Belching, nausea, vomiting may appear along with  radiating pains.
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* Sometimes gnawing in nature.
* Symptoms such as belching, nausea, vomiting may also appear along with these radiating pains.
* In abdominal distension Arg-n is one of the most effective remedies for stomach ulcers.
* In abdominal distension Arg-n is one of the most effective remedies for stomach ulcers.
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|Kali-bi
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|'''Kali Bichrome and Graphites''' are two other wonderful homeopathic medicines for H. pylori with peptic ulcers. They are prescribed when gastric symptoms include burning pain in abdomen, belching and nausea. All these symptoms get better with eating.  
=== [[Kali-bi, kalium Bichromicum|Kali-bi]] ===
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* Gastric symptoms include burning pain in abdomen, belching and nausea.  
* All these symptoms get better with eating.
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|Graph
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=== [[Graph, Graphites|Graph]] ===
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|'''Uranium Nitricum'''
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=== [[Uran-n, Uranium Nitricum|Uran-n]] ===
|'''Uranium Nitricum''' is useful when burning pain, nausea, vomiting, bloating and burping are present.
|'''Uranium Nitricum''' is useful when burning pain, nausea, vomiting, bloating and burping are present.
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|'''Stomach Burning'''
|'''Stomach Burning'''
|Ars
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* Arsenic Album is a highly recommended medicine to manage '''burning in stomach'''. The burning sensation is very severe which gets worse at night. Taking warm drinks offers relief. Nausea and vomiting may appear after eating or drinking something. The sight or smell of food may trigger nausea and vomiting in such cases. Weakness and weight loss may also attend. The use of this medicine is also indicated for stitching or stinging pain in abdomen. This medicine is best for treating '''gastritis''' as well as '''peptic ulcers.'''
=== [[Ars, Arsenicum Album|Ars]] ===
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* Burning sensation is very severe
* Night agg
* Warm drinks amel
* Nausea / Vomiting may appear after eating or drinking something.  
* Sight or smell of food may trigger nausea and vomiting in such cases.  
* Weakness and weight loss may also attend. The use of this medicine is also indicated for  
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* Stitching/ Stinging pain in abdomen.
* '''Gastritis''' as well as '''peptic ulcers.'''
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|'''Stomach Burning And Vomiting'''
|'''Stomach Burning And Vomiting'''
|Nux-v
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|Nux Vomica is very helpful in managing '''burning sensation in stomach''' and vomiting. There is '''vomiting after consuming any solid or liquid food,''' even the smallest quantity of water is not tolerable and vomited soon. There is rumbling and gurgling in the abdomen and the abdomen feels distended with gas. '''Pain is felt in the abdomen'''  and passing stool brings momentary relief from pain.
=== [[Nux-v , Nux Vomica|Nux-v]] ===
*Stomach ulcer that stomach region is touch sensitive  
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* Tightness and pressure may be felt in the stomach after eating.
* V'''omiting after eating any solid or liquid food,'''  
* Even the smallest quantity of water is not tolerable and vomited soon.  
* Rumbling and gurgling in the abdomen  
* Abdomen feels distended with gas.  
* '''Pain is felt in the abdomen'''  and passing stool brings momentary relief from pain.
 
*Stomach region is touch sensitive
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* Eating even the smallest amount of food.
* Eating even the smallest amount of food.
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* Nausea, Vomiting, Eructation's, Flatulence, Heartburn are concomitants
* Nausea, Vomiting, Eructation's, Flatulence, Heartburn are concomitants
* Tightness and pressure may be felt in the stomach after eating.
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|'''Gastric round ulcer'''
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|Kali-bi
=== [[Kali-bi, kalium Bichromicum|Kali-bi]] ===
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* '''Gastric round ulcer''' cases with a feeling of heaviness in the stomach soon after eating.
* '''Gastric round ulcer''' cases with a feeling of heaviness in the stomach soon after eating.
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|Low appetite in stomach ulcers.
|Low appetite in stomach ulcers.
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|'''H. Pylori Infection With Bloated In Lower Abdomen'''
|'''H. Pylori Infection + Bloated In Lower Abdomen'''
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=== Lyc ===
=== Lyc ===
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* Stomach ulcers + Burning, Constrictive pains
* Stomach ulcers + Burning, Constrictive pains
* Marked Flatulence Abdominal Fullness/ Bloating
* Marked [[Flatulent remedies|Flatulence]] Abdominal Fullness/ Bloating esp '''in the lower part.'''  
* Homeopathic medicines Lycopodium is recommended for H. pylori infection with a '''bloated abdomen in the lower part.''' Lycopodium is helpful when abdomen gets bloated soon after eating. Little eating leads to a distended abdomen in such cases. This is often attended with dyspepsia, gas and burping.
* Bloated abdomen soon after eating.  
* Little eating leads to a distended abdomen
* Dyspepsia, gas and burping.
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* Bloating starts soon after eating.
* Bloating starts soon after eating.
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|'''Bloated Abdomen And Burping'''
|'''Bloated Abdomen And Burping'''
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=== Carb-v ===
=== [[Carb-v, Carbo vegetabilis|Carb-v]] ===
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* Stomach ulcers + burning pain
* Stomach ulcers + burning pain / soreness
* Stomach ulcers + Sour belching/ [[GERD, Gastroesophageal Reflux Disease|Heartburn]].
* Stomach ulcers + Sour belching/ [[GERD, Gastroesophageal Reflux Disease|Heartburn]].
* Pain may extend from stomach to back.
* Pain may extend from stomach to back.
* Carbo Veg is the most helpful where '''bloating''' of abdomen is a major concern. There is distension of abdomen with flatus. '''Sour burps''' are prominent in such cases. Burning sensation and soreness is felt in stomach.
* B'''loating''' of abdomen is a major concern.  
* Distension of abdomen with flatus.  
* '''Sour burps''' are prominent in such cases
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* Eating the smallest amount of food, even light food, agg the symptoms
* Eating the smallest amount of food, even light food, agg the symptoms
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* Epigastric area may also be sensitive and tender to touch.
* Epigastric area may also be sensitive and tender to touch.
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|'''Constant sore feeling in the stomach'''
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|[[Hydr, Hydrastis Canadensis|Hydr]]
=== [[Hydr, Hydrastis Canadensis|Hydr]] ===
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* Treating stomach ulcers +  Weight loss/ [[Emaciation]].
* Treating stomach ulcers +  Weight loss/ [[Emaciation]]
* Key symptom: Constant sore feeling in the stomach.
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* Weakness and a loathing of food in epigastrium
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* Cutting and sharp pain in the stomach may also be present
* Cutting / Sharp pain in stomach  
* Weakness and a loathing of food in epigastrium
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* Chronic gastritis
* Chronic gastritis
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|'''Vomiting immediately after eating'''
|Graph
|[[Graph, Graphites|Graph]]
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* Gastric ulcers with vomiting immediately after eating food
* Gastric ulcers with vomiting immediately after eating food
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* Constrictive and burning pain in the stomach is experienced after eating.
* Constrictive and burning pain in the stomach after eating.
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* Excessive belching, the taste of ingesta is also present
* Excessive belching, the taste of ingesta is also present
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|'''Burning Sensation Relieved By Cold Drinks'''
|'''Burning Sensation amel By Cold Drinks'''
|Phos
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=== [[Phos, Phosphorus|Phos]] ===
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* When a cold drink relieves pain of stomach ulcers.
* When a cold drink relieves pain of stomach ulcers.
* Homeopathic medicine Phosphorus is helpful when there is marked '''burning pain in the stomach which gets relieved by cold drinks'''. Nausea and vomiting,bitter or sour burping may attend. Soreness is felt in the pit of the stomach. Like Arsenic Album, Phosphorus is also an important medicine to treat '''gastritis''' and '''peptic ulcers'''.   
* Nausea/ Vomiting, bitter or sour burping  
* Soreness is felt in the pit of the stomach.
* '''Gastritis''' and '''peptic ulcers'''. ([[Ars, Arsenicum Album|Ars]])  
|Burning in the stomach after eating  
|Burning in the stomach after eating  
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* ُour, bitter belching may also be experienced in such cases.
* ُBitter belching may also be experienced in such cases.
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|'''H.Pylori Infection With Marked Abdomen Pain'''
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|Coloc
=== [[Coloc, Colocynthis|Coloc]] ===
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=== '''H.Pylori Infection With Marked Abdomen Pain''' ===
Colocynth is an effective medicine for H.pylori infection with '''abdomen pain'''. It is best indicated when the infection is characterized by agonizing, cutting pain in the abdomen. Pain of colicky, gripping nature is also treated well with Colocynth. Pressure and bending double ( bending forward and downward at the waist)relieves pain. It is well indicated to manage gastritis.
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* '''H.Pylori''' is characterized by agonizing, cutting pain in the abdomen.
* Pain of colicky, gripping nature i
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* Pressure and bending double ( bending forward and downward at the waist)relieves pain.
|It is well indicated to manage gastritis.
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|'''Burps Having Sour Taste'''
|'''Burps Having Sour Taste'''
|Nat-p
|Natrum Phos is one of the best homeopathic medicines for H. pylori with '''belching of sour, acrid nature'''. Water brash may appear along with belching. Intense acidity and flatulence is also marked.
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=== [[Nat-p, Natrium Phosphoricum|Nat-p]] ===
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* B'''elching of sour, acrid nature'''.
* Water brash may appear along with belching.
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* Intense acidity and flatulence is also marked.
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|'''H. Pylori Infection With Belching'''
|'''Belching'''
|Ant-c
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=== [[Ant-c, Antimonium Crudum|Ant-c]] ===
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=== '''Homeopathic Medicines For''' ===
* It is recommended when '''belching is constant'''.  
The most effective homeopathic medicines for H. pylori infection along with belching is Antimonium Crudum. It is recommended when '''belching is constant'''. Belching in such cases tastes mainly of eaten food. Dyspepsia and vomiting may also be present.
* Belching in such cases tastes mainly of eaten food.  
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* [[Dyspepsia]] and vomiting may also be present.
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|'''Infection With Intense Nausea And Vomiting'''
|'''H. pylori''' + '''Intense Nausea/Vomiting'''
|Ip
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|Ipecac is prescribed when '''nausea and vomiting''' are experienced. Nausea is present all the time. Vomiting of white glairy mucus or food appears, but the nausea is not relieved even after vomiting. Ipecac is one of the best homeopathic medicines for H. pylori infection with symptoms of this kind.
=== [[Ip, Ipecacuanha|Ip]] ===
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* Nausea is present all the time.  
* Vomiting of white glairy mucus or food appears
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* Nausea is not relieved even after vomiting
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Revision as of 23:10, 26 December 2023

Clinic

  • PUD is a break in the inner lining of the stomach, the first part of the small intestine, or sometimes the lower esophagus
    • Gastric/ Stomach ulcer: Pain may worsen with eating.
    • Duodenal ulcer: Ulcer of the first part of the intestines : Waking at night with upper abdominal pain + Upper abdominal pain that improves with eating.
    • Gastrin is a peptide hormone that stimulates secretion of gastric acid y Parietal cells of the stomach and aids in gastric motility.

Signs/ Symptoms

  • Abdominal pain, classically epigastric, strongly correlated with mealtimes.
  • In case of duodenal ulcers, the pain appears about three hours after taking a meal and wakes the person from sleep;
  • Bloating and abdominal fullness;
  • Waterbrash
  • Nausea and copious vomiting;
  • Loss of appetite and weight loss, in gastric ulcer
  • Weight gain, in duodenal ulcer, as the pain is relieved by eating
  • Hematemesis
  • Melena
  • Rarely, an ulcer can lead to a gastric or duodenal perforation, which leads to acute peritonitis and extreme, stabbing pain, and requires immediate surgery.
  • Complications may include bleeding, perforation, and blockage of the stomach. Bleeding occurs in as many as 15% of cases

Causes

Dynamic Static Viral
Common
  • Helicobacter pylori
  • NSAIDs
 DHF
Uncommon
  • Behçet's disease,
  • Crohn's disease
  • Liver cirrhosis
  • Vasculitis
  • Tobacco smoking
  • Stress as a result of other serious health conditions
  • Zollinger–Ellison syndrome
  • Gastrin-secreting tumors
  • Gastric ischaemia
  • Metabolic disturbances
  • Upper abdominal radiotherapy
  • CMV
  • EBV
  • HSV-1
  • HSV- 2

Remedies

Key Sign / Symptom
H. Pylori Infection With Peptic Ulcers

Arg-n
  • Best remedy for stomach ulcers.
  • Sharp Ulcerative/ Burning pain in stomach
  • Pain radiates to other regions of abdomen.
  • Sometimes gnawing in nature.
  • Belching, nausea, vomiting may appear along with radiating pains.
  • In abdominal distension Arg-n is one of the most effective remedies for stomach ulcers.

Kali-bi
  • Gastric symptoms include burning pain in abdomen, belching and nausea.
  • All these symptoms get better with eating.

Graph

Uran-n

 Uranium Nitricum is useful when burning pain, nausea, vomiting, bloating and burping are present.
Stomach Burning

Ars
  • Burning sensation is very severe
  • Night agg
  • Warm drinks amel
  • Nausea / Vomiting may appear after eating or drinking something.
  • Sight or smell of food may trigger nausea and vomiting in such cases.
  • Weakness and weight loss may also attend. The use of this medicine is also indicated for
  • Stitching/ Stinging pain in abdomen.
  • Gastritis as well as peptic ulcers.
Stomach Burning And Vomiting

Nux-v
  • Vomiting after eating any solid or liquid food,
  • Even the smallest quantity of water is not tolerable and vomited soon.
  • Rumbling and gurgling in the abdomen
  • Abdomen feels distended with gas.
  • Pain is felt in the abdomen  and passing stool brings momentary relief from pain.
  • Stomach region is touch sensitive
  • Eating even the smallest amount of food.
  • Spicy food,
  • Tobacco, Coffee
  • Alcoholic drinks
  • Nausea, Vomiting, Eructation's, Flatulence, Heartburn are concomitants
  • Tightness and pressure may be felt in the stomach after eating.
Gastric round ulcer

Kali-bi
  • Gastric round ulcer cases with a feeling of heaviness in the stomach soon after eating.
  • Stomach load.
 Low appetite in stomach ulcers.
H. Pylori Infection + Bloated In Lower Abdomen

Lyc
  • Stomach ulcers + Burning, Constrictive pains
  • Marked Flatulence Abdominal Fullness/ Bloating esp in the lower part.
  • Bloated abdomen soon after eating.
  • Little eating leads to a distended abdomen
  • Dyspepsia, gas and burping.
  • Bloating starts soon after eating.
  • Pain amel from taking warm water.
  • Agg: Farinaceous food like Cabbage and Beans
Bloated Abdomen And Burping

Carb-v
  • Stomach ulcers + burning pain / soreness
  • Stomach ulcers + Sour belching/ Heartburn.
  • Pain may extend from stomach to back.
  • Bloating of abdomen is a major concern.
  • Distension of abdomen with flatus.
  • Sour burps are prominent in such cases
  • Eating the smallest amount of food, even light food, agg the symptoms
  • Epigastric area may also be sensitive and tender to touch.
Constant sore feeling in the stomach

Hydr
  • Weakness and a loathing of food in epigastrium
  • Cutting / Sharp pain in stomach
  • Chronic gastritis
Vomiting immediately after eating Graph
  • Gastric ulcers with vomiting immediately after eating food
  • Constrictive and burning pain in the stomach after eating.
  • Excessive belching, the taste of ingesta is also present
Burning Sensation amel By Cold Drinks

Phos
  • When a cold drink relieves pain of stomach ulcers.
  • Nausea/ Vomiting, bitter or sour burping
  • Soreness is felt in the pit of the stomach.
  • Gastritis and peptic ulcers. (Ars)
 Burning in the stomach after eating
  • ُBitter belching may also be experienced in such cases.
H.Pylori Infection With Marked Abdomen Pain

Coloc
  • H.Pylori is characterized by agonizing, cutting pain in the abdomen.
  • Pain of colicky, gripping nature i
  • Pressure and bending double ( bending forward and downward at the waist)relieves pain.
 It is well indicated to manage gastritis.
Burps Having Sour Taste

Nat-p
  • Belching of sour, acrid nature.
  • Water brash may appear along with belching.
  • Intense acidity and flatulence is also marked.
Belching

Ant-c
  • It is recommended when belching is constant.
  • Belching in such cases tastes mainly of eaten food.
H. pylori + Intense Nausea/Vomiting

Ip
  • Nausea is present all the time.
  • Vomiting of white glairy mucus or food appears
  • Nausea is not relieved even after vomiting

Banerji protocols

First line
  • Ars C3 one dose every 3 hour or 15 min before food
  • Lyc C200 one dose every 2 days
Second line
  • Nat-p C30 two doses daily
Third line
  • Symph 0 two doses daily

Tissue Salt Remedies

  • NP: His stomach is sour and acidic. Sour vomiting, Eructation and sour reflux, sour diarrhea

Related entities

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