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peptic ulcer guide

Internet is full of information on Peptic Ulcers. However, most of the articles are not written by doctors and can be misleading. We prepared a list of questions our patients with Peptic ulcers often ask the doctors.

This resource will help you understand everything you need to know about peptic ulcers. We were fortunate enough to have all the questions answered by the best gastroenterologist in Dubai, Dr. Dawood Ismail Kazia

What is a peptic ulcer?

A peptic ulcer is a sore on the lining of your stomach, small intestine, or esophagus. A peptic ulcer in the stomach is called a gastric ulcer, whereas a peptic ulcer in the small intestine (duodenum) is called the A duodenal ulcer. It is not a bacteria.

Causes of Peptic Ulcer

What causes Peptic Ulcer?

Which bacteria cause a peptic ulcer?

Bacteria called Helicobacter Pylori causes peptic ulcer in the stomach and small intestines, and causes peptic ulcer. It is the most common cause of peptic ulcers. It is an infection with the bacterium Helicobacter pylori (H. pylori).

What causes a peptic ulcer flare-up?

Pain killers/ Stress/ Spicy/Oily food can cause a peptic ulcer to flare up. Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin IB, Advil, etc) and naproxen sodium (Aleve) can further flare up the peptic ulcers.

Can stress cause a peptic ulcer?

Stress can be a cause of peptic ulcers.

Can fried food cause peptic ulcers?

Fried food cannot cause peptic ulcers.

Can Tobacco cause Peptic Ulcer?

Tobacco does not cause peptic ulcers. It can aggravate GERD.

Can Alcohol Cause Peptic Ulcer?

Alcohol does not cause peptic ulcers. It can aggravate GERD.

Symptoms of Peptic Ulcer

What are the common symptoms of peptic ulcers?

Symptoms of peptic ulcer

Common symptoms of Peptic Ulcer are Pain over the upper abdomen, heartburn, chest pain, bloating, black stool, burping, nausea, and weight loss. Some rare symptoms are blood in stool, loss of appetite, and lower abdomen pain. Although, joint pain, jaw pain, jaundice, fever, fatigue, or back pain are never the symptoms of peptic ulcer.

Symptoms of Peptic Ulcer

Heart BurnCommon
Chest PainCommon
Black StoolCommon
Weight lossCommon
Blood in StoolRare
Which of the following are symptoms of Peptic Ulcer? [Row 12]Rare
Loss of AppetiteRare
Lower Abdominal PainRare
Which of the following are symptoms of Peptic Ulcer? [Joint pain]Never
Jaw PainNever
Left Shoulder PainNever
Weight GainNever
Yellow EyesNever

Diagnosis of Peptic Ulcer

Which tests are done to diagnose peptic ulcers?

Upper GI endoscopy is done to test if the patient has a peptic ulcer. Other tests may include:

  • Physical Exam
  • X-ray
  • Lab tests
  • Upper gastrointestinal (GI) endoscopy and biopsy
  • Upper GI series
  • Computerized tomography (CT) scan

Dr. Dawood Kazia strongly recommends going for an Upper GI endoscopy to test for peptic ulcer. The test must be recommended by a specialist gastroenterologist. If you have not consulted with a gastroenterologist yet, kindly book an appointment with the best gastroenterologist in Dubai, Dr. Dawood Ismail Kazia. 

How does endoscopy help in diagnosing peptic ulcers?

Endoscopy helps in Direct visualization of an ulcer and simultaneous biopsy to assess etiology.

Can ultrasound of the stomach detect a peptic ulcer?

Ultrasound cannot detect peptic ulcers caused by bacteria called Helicobacter Pylori in the stomach and duodenum. Upper GI endoscopy is highly recommended by specialist gastroenterologists for testing peptic ulcers, including gastric ulcers and duodenal ulcers.

Treatments For Peptic Ulcers

What is the best treatment for peptic ulcers?

The best treatment for peptic ulcers is to treat the underlying cause along with medicines to reduce the acid levels. Anti-acid medications can be given if indicated and are safe. Peptic ulcers cannot go away on their own or with exercise or a change in diet. Quadruple therapy can also cure peptic ulcers.

What is the peptic ulcer recovery time?

2 to 6 months

You can recover from peptic ulcers within 2 to 6 months. You must take anti-acid medication to reduce the acid levels to recover from the peptic ulcer. Take Non-spicy,non-oily diet rich in green vegetables for faster recovery.

When asked, Dr. Dawood Kazia Ismail Agreed with the findings of recent research. “In a more recent multicentre study including more than 600 patients, significantly more ulcers healed after 4 weeks with omeprazole, both 20 mg, and 40 mg once daily, than with ranitidine, 150 mg b.d. Omeprazole was also superior to ranitidine with respect to relief of night-time pain and in gastric ulcer healing.

Risk Factors

Which organs does peptic ulcer affect?

Peptic Ulcer affects Stomach/Duodenum. It can also affect the esophagus as the excess acid can lead to reflux esophagitis. As a result, oral ulcers may develop as a part of acid reflux. Some of the other complications that may arise from peptic ulcers are peptic ulcer bleed, ulcer perforation, and Gastric cancer.


How can we prevent peptic ulcers?

Early diagnosis and treatment of the predisposing conditions can prevent peptic ulcers.

When to see a doctor?

if you have a peptic ulcer, you should see a doctor when you have:

  • pain over the upper abdomen
  • symptoms not improving with otc meds
  • blood in vomitus
  • black colored stools
  • unexplained weight loss
  • recurrent vomiting


What is the difference between peptic ulcer and gastric ulcer?

Gastric ulcer and duodenal Ulcer are subsets of Peptic ulcers.

What are the different types of gastric ulcers?

Depending on the location the types of peptic ulcer can vary.

What is the epigastric pain caused by a peptic ulcer?

Its dull aching pain usually changes with meals in peptic ulcer patients.

Is a peptic ulcer a bacteria?

A peptic ulcer is not a bacteria.

What is peptic ulcer hemorrhage?

Peptic ulcer hemorrhage is a peptic ulcer that bleeds

Can children have a peptic ulcer?

Yes, children can also have a peptic ulcer.


There is a lot of information available on the internet about peptic ulcers. However, the information written by non-medical professionals can be misleading. Therefore, Dr. Dawood Ismail Kazia, a specialist gastroenterologist in Dubai explains all symptoms, causes, risks, treatments, and prevention of peptic ulcers in detail.

A lot of dermatological conditions are treated with non-invasive therapy and medication. However, some require invasive treatment or surgical intervention.

Dermatologists conduct these procedures in outpatient settings like in a doctor’s office, as well as during hospitalization.

Here are the methods a dermatologist will use to treat various dermatological conditions:


Dermatologists carry out skin biopsies to diagnose or rule your given skin conditions.

There are three common types of biopsies; Shave biopsies which entail removal of small fragments of the skin’s top layer, punch biopsies which involve removal of tiny circular sections that include the skin’s deeper layers, and excision biopsies that entail removal of entire parts of abnormal-looking skin.

Chemical Peels

Chemical peel entails the application of a chemical solution to your skin. The chemical causes you to shade a layer of your skin, leaving a regenerated and smoother layer underneath.

Dermatologists use this method to treat some forms of acne and sun-damage. This procedure is also used to address cosmetic complaints like lines under the eyes and age spots.

Cosmetic Injection

Dermatologists use injections to reduce wrinkles, lost facial fullness, and scarrings. A dermatologist can inject fillers like fat and collagen, or botulinum toxin therapy, in an office visit.

Results of cosmetic injections typically last for a couple of months, and therefore the injections are repeated periodically. Repeat treatments have become ineffective because some patients build up antibodies to Botox.


Cryotherapy is standard and quick procedure dermatologists use to treat various benign skin conditions like warts. The method entails freezing skin lesions to destroy the infected skin cell, mostly using liquid nitrogen.


This procedure involves the use of a high-speed rotating brush. The dermatologist scraps of the outer layer of your skin, surgically scraping off scar tissue, tattoos, fine wrinkles, and precancerous skin patches.

Excision of Lesions

Skin lesions are removed for various reasons. They are excised for cosmetic reasons, to avert disease from spreading, to prevent recurring infections, for diagnosis, and to alleviate symptoms.

Depending on the severity of the lesion, general or local anesthetic may be used to insensate the area before the excision.

Hair Removal or Restoration

Loss of hair can be reversed with surgery to your scalp or hair transplantation. Besides, you can get rid of unwanted hair using electrolysis, or laser hair epilation. If you’re experiencing hair loss, it’s time to consult a Dermatologist .

Laser Surgery

Dermatologists often use a special beam of light to treat various types of skin issues. These include warts, tattoos, moles, tumors, wrinkles, birthmarks, scars, and unwanted hair.

Moh Surgery

This type of surgery is for skin cancer. Layers of skin are successfully removed and evaluated under a microscope for cancerous cells. More layers are gradually removed up the point where the surgeon can’t find any more cancer cells.

Moh surgeries are performed by specialized surgeons who’ve acquired additional medical training.

Psoralen Plus Ultraviolet A (PUVA)

Psoralen is a type of drug that increases the skin’s sensitivity to radiation. Dermatologists use PUVA in the treatment of severe skin diseases like vitiligo, dermatitis, and psoriasis.

Skin Flaps and Grafts

Dermatologists can use healthy skin from another part of your body to restore missing skin. The skin is grafted from a tissue that doesn’t have a blood supply of its own. Alternatively, a skin flap fashioned from skin tissues close to the area of skin loss is used.

Tumescent Liposuction

Dermatologists use tumescent liposuction to purge excess fat from your body. The process starts with an injection of large volumes of anaesthetic into the fatty tissues followed by fat being sucked from your body.

Tumescent liposuction isn’t a treatment for obesity, though, it’s a purely cosmetic procedure. Dermatologists also selectively break down fat cells using lasers and remove the tumescent fluid.

Vein Therapy

This form of therapy helps diminish superficial leg veins which are tiny dilated surface veins. They are also referred to as spider veins and are usually removed for cosmetic reasons.

Sclerotherapy is the preferred treatment option for spider veins. Dermatologists inject either a solution or foam into the vein; this spurs irritation which causes it to shut. The vein then disappears entirely or becomes less distinct.

To Conclude

If you’re suffering from common skin conditions like acne, if you want to reverse hair loss, or if you wish to have any other cosmetic procedure done, it’s time to find a dermatologist who’ll help you diagnose and manage your condition.

Dead cells of the skin, oil, dirt, and bacteria can block the tiny holes or pores to create a pimple. If you repeatedly experience the blockages, you may have acne. The blisters can cause permanent physical scarring if not contained. Therefore, consulting a skilled dermatologist is essential in severe cases.  it is the most common condition of the skin, according to the American Academy of Dermatology. The condition can be painful, especially when it is severe, along with causing emotional distress. Using one of the many effective treatments for acne can diminish the number of pimples you get and prevent facial scarring.

How Do You Know You Have Acne?

You must understand acne’s symptoms to know whether your skin condition qualifies as these pimples. For starters, we find it essential to point out the misconception that acne only affects the face. Contrary to popular opinion, the condition can be found anywhere on the body. Common occurrences include the back, neck, shoulders, face, and chest.

To know that you have acne, you will notice white or black pimples on your skin. The whiteheads and blackheads are called comedones.

Acne is the most common skin condition around the

  • The Black Heads: They show up on the skin surface to cause a black appearance due to oxygenated air.
  • The White Heads: They come beneath the skin surface to cause a white appearance.

Although blackheads and whiteheads are the most common lesions you will see in acne, other types exist. Inflammatory lesions can cause skin scarring. They include;

  • Pustules: Pimples characterized by a small red appearance with pus-filled tips.
  • Cysts: Large, painful lumps beneath the skin with pus
  • Papules: Infected or inflamed hair follicles appearing as small, raised bumps with a red color.
  • Nodules: They are solid lumps under the skin, which are often painful.

The Causes of Acne

Acne develops when oil, bacteria, or dead skin blocks the pores.  Every skin pore is a hair follicle opening. The follicle has an oil gland, which releases oil, also called sebum. The oil moves through the hair follicle and onto the skin to keep it soft and moist. One of the lubrication process issues is acne, especially when;

  • Follicles produce too much oil
  • Dead cells from your skin build up in the pores
  • Bacteria accumulates in the pores

Risk Factors For Developing Acne

They include;

  • Hormonal changes during pregnancy or puberty
  • Diets with high-refined sugars like chips and bread

Adolescence is the riskiest stage for developing acne. During this period, the body goes through hormonal changes. The changes can activate sebum production and increase the risks of acne. Puberty acne resulting from hormones often subsides when one reaches adulthood.

The Wrap Up

Scarring from acne can cause emotional distress. Preventing the condition can be difficult. However, you can avoid re-occurrence after treatment. Also, prompt treatment can go a long way to stop scarring. Your dermatologist will have treatment options that can take care of scarring.

Atopic dermatitis, a prevalent form of eczema, often takes after an allergy. However, the skin irritation predominant in kids than adults isn’t an allergic reaction. Even so, most infants with eczema also have some food allergies. Currently, the thinking is that this condition is a result of different factors like genetics, environment, skin barrier defects, and abnormal functions of the immune system. A skin expert such as a skilled dermatologist  must test and diagnose your skin condition.

Since eczema has no cure, the objective of treatment regimens is to reduce and prevent itching that causes infections. The first-line treatments for the disease are creams and lotions. The two products help to keep the skin moist and prevent the dry and itchy symptoms of atopic dermatitis. You should apply the products when the skin is damp, especially after taking a bath. In doing so, you will be helping your skin to retain its moisture.

How To Treat Eczema

Since eczema comes and goes, you will want to try different medications and other remedies to get rid of the rash when it appears.

7 Medical Treatment Procedures for Eczema

The following conventional treatments for eczema have been effective in reducing flare-ups;

  1. Systemic Corticosteroid ointment or cream: The steroid helps to reduce itchiness. You can use other steroids such as prednisone or Rayos through mouth administration to manage to swell.
  2. Cool compresses: Though not a medicine, applying it before rubbing on the corticosteroid cream can assist the medication in penetrating your skin.
  3. Topical calcineurim inhibitors: They include tacrolimus and pimecrolimus. The two inhibitors lessen the immune response causing red, itchy skin.
  4. Antihistamines: A dermatologist may recommend antihistamines
  5. Antibiotics: The doctor prescribes antibiotics when a bacterial skin infection follows the eczema outbreak.
  6. Antifungal and antiviral medicines: The medications often treat viral and fungal infections that come with eczema.

If an allergic reaction causes eczema to flare-up, you should avoid the trigger substances.

6 Tips For Reducing Eczema Outbreaks

Most types of this skin condition are not permanent. Atopic dermatitis, for example, is worst during childhood but improves as you age. Nevertheless, some eczema forms may linger on throughout your life, which is why you should take the following measures to ease your symptoms:

  1. Taking colloidal oatmeal,or applying cool compresses can relieve the itch.
  2. Moisturizing the skin daily using a rich, oily ointment or cream will create a protective barrier against trigger elements. Applying the cream immediately after your bath can help to seal in moisture.
  3. Avoid rubbing the skin after taking a shower. Instead, use a soft towel to blot the skin gently
  4. Using fragrance-free makeup, detergents, cleansers, and other skincare products
  5. Wearing gloves and a protective outfit when handling chemicals
  6. Wearing loose-fitting clothing made with soft fibres such as cotton

 The Wrap Up

Although eczema has no cure, you can do numerous things to support healthy skin and ease the symptoms. Taking a lukewarm bath or shower and applying moisturizer are the simplest things you can do at home to alleviate eczema symptoms. However, consulting a qualified dermatologist  should provide the most effective treatment.

Does your face look like you are blushing and you often get acne-like bumps? Chances are you might be suffering from a chronic skin condition known as rosacea. A competent dermatologist can recommend a prescription or other treatments to control the symptoms. You can take several steps to improve your looks and feel better.

Rosacea has no cure. Relapsing skin inflammation often affects the face. Women are more susceptible to the condition than men. While rosacea’s pathophysiology or cause is unknown, doctors have identified changes in the vascular and immune system, as well as a dysfunctional immune system as possible causes.

Rosacea Treatment: Management and Control

With no cure for rosacea, some treatments can relieve the signs and symptoms. Your doctor is likely to recommend the following medications;

  • Mirvaso or Brimonidine: The gel helps to tighten the skin’s blood vessels to reduce some of your redness.
  • Azelaic acid: The foam and gel is useful for clearing up skin redness, swelling, and bumps
  • Metronidazole and Doxycycline . They help to kill skin bacteria and reduce swelling and redness.
  • IsotretiWhile the drug can clear skin bumps, pregnant women should avoid it as it can cause grave congenital anomalies.

You may have to be patient when using one of these medicines since it can take a few weeks or months for your skin to improve.

 Other Treatment Procedures

Your physician is likely to recommend other procedures to treat your rosacea, depending on the diagnosis report.

  • Laser treatment: Lasers use intense light that eliminates dilated blood vessels from the skin.
  • Dermabrasion: The procedure involves getting rid of the skin’s top layer
  • Electrocautery: The treatment procedure uses an electric current to destroy damaged blood vessels.

Do It Yourself Rosacea Skin Care

You can do so much away from the doctors. To begin with, try to establish the factors that trigger skin redness and avoid them. Keeping an activity-tracking journal can help you identify the triggers. Some conventional catalysts for rosacea are;

  • hot temperatures
  • Stress
  • Spicy or hot foods and drinks
  • Intense exercise
  • The sun
  • Wind
  • Hot baths
  • Alcohol

Following these tips can help to reduce skin redness:

  • Wear sunscreen: Using a broad-spectrum sunscreen whenever you go outside is a wise idea, especially if it blocks both UVB and UVA rays.
  • Stick to gentle skin products: Alcohol, witch hazel, fragrance, and other ingredients can aggravate rosacea. Avoid creams and facial cleansers with these substances.
  • Moisturize the skin: Using a moisturizer can be helpful, particularly in cold weather where wind plus low temperatures often dry up the skin.
  • Stay indoors: Avoid heat .

The Wrap Up

Treating rosacea involves the management of its triggers.We recommend seeking early treatment from a competent dermatologist . since the condition can significantly; affect a victim’s quality of life.

The doctor can diagnose your condition by examining the skin if you have acne symptoms. You have nothing to worry about when diagnosed with acne because most of its remedy is successful. Visiting a skin specialist is vital for increasing the chances of a positive outcome. For example, a qualified dermatologist will identify the lesion types on your skin plus their severity to decide the best treatment.

The right medication can have acne clearing up in about six weeks. Nonetheless, flare-ups are frequent with acne. You may require long-term or additional treatment to eradicate the lesions completely. Most doctors prefer Isotretinoin treatment for long-term or permanent positive results. We are going to explain a few of the best treatment procedures for acne.

The 4 Best Treatment Procedures For Acne

Most people associate acne with teenage hormonal fluctuations. However, adults can also experience the condition. For instance, nearly 17 million Americans have acne, which makes it the most prevalent skin condition affecting both adults and kids.

You can use different remedies to eradicate acne and preclude blemishes, including;

  • Acne treatment procedures
  • Self-care therapies
  • Drugs dispensed over the counter
  • Prescription medicine

Self-care therapies, drugs sold over the counter, plus prescription medicine may not treat severe acne. Your doctor might suggest treatment procedures to treat and prevent acne scarring.

Acne Treatment Procedures

The following acne therapies function by decreasing oil production and eliminating damaged skin;

  1. Dermabrasion: The procedure removes the skin’s top layers using a rotating brush.
  2. Cortisone injections: Most physicians will recommend cortisone injections if your lesions consist of large cysts. Cortisone is a naturally occurring steroid in the body. The steroid can lessen inflammation and hasten to heal. The injection goes along with other acne medications.
  3. Chemical peel: The process involves the removal of top layers of the skin. Peeling off reveals underneath the skin that is less damaged.

Some home self-care activities can help to prevent pimples and clear up the condition.

Acne Self-Care Remedies

Depending on individual conditions, the most effective home remedies for acne include:

  • Daily skin cleansing using a mild soap to clear up excess dirt and oil
  • Regularly shampooing the hair and keeping it from your face
  • Avoiding pore-clogging makeup by using those that are water-based or non-comedogenic
  • Avoiding picking or squeezing pimples to preventing spreading excess oil and bacteria
  • Not putting on tight headbands and hats

Over The Counter Medication For Acne

If home remedies aren’t helpful with your condition, you can try available, over-the-counter medications for acne. Plenty of medicines have ingredients for reducing skin oil or killing bacteria. The remedies include;

Prescription Medicines For Acne

Acne symptoms may keep recurring despite using one of these medications. If it happens, you may want to seek medical advice from a skin expert like a dermatologist .. The physician may prescribe drugs that can help to lessen your symptoms and stop scarring. Prescription medicines include:

  • Topical or oral antibiotics: Doctors prescribe antibiotics to kill pimple-cause bacteria and decrease inflammation. Antibiotics are a short-term remedy to prevent your body from building resistance and getting prone to other infections.
  • Prescription topical creams: Some creams like retinoic acid are stronger than treatments you will find over the counter. These remedies work by reducing the production of skin oil.
  • Birth control pills are an effective treatment for women developing hormonal acne. The medicine regulates acne-causing hormones by decreasing oil production.
  • Accutane: The vitamin-A-based medicine, Isotretinoin, treats severe cases of nodular acne. Doctors use the treatment as a last resort because it can have serious side effects.

The Wrap Up

Acne is the most common yet treatable skin condition. Although preventing it is a challenge, swift medication can help to stop scarring. Along with other home prevention remedies for acne, seeking the services a skilled dermatologist can check acne scarring and pain.

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