What should be done for recurrent duodenal ulcers?
Disease description:
A friend of mine has recently been experiencing poor digestion, loss of appetite, and abdominal bloating for unknown reasons. After going to the hospital, he was diagnosed with duodenal ulcer. He would like to know what to do if a duodenal ulcer keeps recurring.
Doctor's answer (1)
Dr. Shen Yonghua
The recurrence of duodenal ulcers may be related to various factors, including untreated or inadequately treated Helicobacter pylori infection, long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), smoking, alcohol consumption, psychological stress, and poor dietary habits. When duodenal ulcers recur, the first step should be to reassess and adjust the treatment plan. If H. pylori infection is present, patients should complete a full course of antibiotic therapy and undergo follow-up testing after treatment to confirm eradication of the infection. For patients using NSAIDs long-term, it is important to discuss with their doctor possible alternative medications or treatment strategies. In addition, lifestyle modifications such as quitting smoking, limiting alcohol intake, reducing stress, and avoiding irritating foods are essential components of management. Patients should also adhere to their doctor's recommendations for regular follow-up examinations to monitor ulcer healing and promptly adjust the treatment plan as needed.
