How is a duodenal ulcer treated?
Disease description:
I had an upper abdominal pain and underwent a gastroscopy, which revealed a duodenal ulcer. How should a duodenal ulcer be treated?
The treatment of duodenal ulcers should involve a comprehensive approach:
1. Medication is essential. Commonly used drugs include proton pump inhibitors such as omeprazole, and gastric mucosal protectants such as hydrotalcite. These medications effectively inhibit gastric acid secretion, protect the gastric mucosa, and promote ulcer healing.
2. Eradicating Helicobacter pylori is also important. If testing positive, quadruple therapy should be used for eradication to reduce the risk of ulcer recurrence.
3. Endoscopic treatment is suitable for ulcers complicated by bleeding, including endoscopic hemostasis, injection therapy, and microwave treatment.
4. Surgical treatment is primarily indicated for patients with severe complications such as obstruction or perforation.
In addition, adjusting dietary habits, avoiding irritating foods and beverages, and reducing psychological stress can also aid in ulcer healing.