Telangana chief minister KCR treated for stomach ulcer; what causes this? - The Indian Express

Telangana Chief Minister K Chandrashekar Rao (KCR) was taken to the Asian Institute of Gastroenterology (AIG) in Hyderabad after he complained of severe stomach ache on Sunday morning.

After a team of doctors examined the CM, chairman and chief gastroenterology of AIG Dr D Nageshwar Reddy said in a statement: "A small ulcer in the stomach was found which is being managed medically. His all other parameters are normal".

He was discharged on Sunday night. A statement from the chief minister's (CMO) office noted, "CM KCR has returned home safe and fine. All his medical tests are fine."

What is ulcer?

Ulcers can form in various parts of the body, including the stomach, oesophagus, and mouth.

Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is stomach pain, said Dr Shrey Srivastav, MD (Internal Medicine), Sharda Hospital.

Ulcers impact your health drastically (Source: Getty Images/Thinkstock)

Causes

The most common causes are bacterium H. pylori and long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen sodium etc. Stress and spicy foods, smoking and alcohol also play a role, mentioned Dr Srivastav.

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Symptoms

*Burning stomach pain
*Feeling of fullness, bloating or belching
*Intolerance to fatty foods
*Heartburn
*Nausea

Complications and Diagnosis

A patient may experience internal bleeding and perforation in the stomach wall.

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If you are experiencing any of the symptoms associated with ulcers, it is important to seek medical attention right away, stressed Dr Parag Dashatwar, senior gastroenterologist and hepatologist, Kamineni Hospitals, Hyderabad. "Your doctor will perform a physical exam and may order additional tests, such as an upper gastrointestinal (GI) endoscopy, to determine the cause of your symptoms," said Dr Dashatwar.

According to Dr Dashatwar, during an upper GI endoscopy, a thin, flexible tube with a camera is inserted into your mouth and down your throat to examine your digestive tract. "Your doctor may also take a tissue sample, or biopsy, to test for the presence of H. pylori or other underlying conditions," he elucidated.

Prevention

Talk to your doctor about alternatives to NSAID medications (like acetaminophen) to relieve pain, Dr Srivastav stressed. "Discuss protective measures with your doctor, if you can't stop taking an NSAID," he added while mentioning that one should opt for the "lowest effective dose of NSAID and take it with a meal".

He added that one should quit smoking, and drink alcohol in moderation, if at all. Concurred Dr Dashatwar and recommended certain lifestyle changes, such as avoiding spicy or acidic foods, eating smaller meals more frequently throughout the day, and avoiding caffeine and alcohol.

Treatment

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-Proton pump inhibitors (PPI): These drugs reduce acid, which allows the ulcer to heal.
-Histamine receptor blockers (H2 blockers) are antibiotics which kill bacteria. Doctors use them to treat H. pylori, said Dr Srivastav.

"In rare cases, surgery may be necessary to treat ulcers that are severe or have caused complications such as bleeding or perforation," mentioned Dr Dashatwar.

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