Ulcers

What Are Ulcers?

  • These are open sores that develop in the lining of the stomach, duodenum, or esophagus.
  • The most common type is the peptic ulcer, which includes:

Causes of Ulcers

  1. Helicobacter pylori (H. pylori) infection

    • Weakens the protective stomach lining
    • Found in ~50 percent of people worldwide
  2. NSAIDs (e.g., ibuprofen, aspirin)

    • Irritate the stomach lining
    • Risk increases with regular/high-dose use
  3. Other Contributing Factors

    • Smoking
    • Alcohol consumption
    • Stress (worsens symptoms)
    • Zollinger-Ellison syndrome (rare condition with excessive acid production)
    • Genetic predisposition

Symptoms of Peptic Ulcers

  • Burning abdominal pain
  • Nausea and vomiting
  • Indigestion
  • Loss of appetite
  • Weight loss
  • Dark or tarry stools (GI bleeding)
  • Fatigue (due to blood loss)
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Regulation of Gastric Secretion

Gastric secretion is regulated in three phases:

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  1. Cephalic Phase

    • Triggered by sight, smell, or thought of food
    • Vagus nerve stimulates secretion of HCl, pepsinogen, and gastrin
  2. Gastric Phase

    • Begins when food enters the stomach
    • Stretching and presence of proteins stimulate gastrin release, increasing acid secretion
  3. Intestinal Phase

    • Initiated when food enters the small intestine
    • Hormones (secretin, CCK, GIP) reduce gastric acid secretion and slow gastric emptying

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