السر، یا پیپٹک السر، ہاضمہ نظام کی اندرونی سطح پر ایک کھلا زخم ہے جو معدے یا چھوٹی آنت کے اوپری حصے میں بنتا ہے۔ یہ تب ہوتا ہے جب معدے کا تیزاب یا دیگر ہاضمہ رس اندرونی سطح کو نقصان پہنچاتے ہیں۔ السر کی وجہ سے پیٹ میں درد، بھوک میں کمی، متلی، اور کبھی کبھار خون کی قے یا سیاہ رنگ کا پاخانہ ہو سکتا ہے۔ بیشتر السر کا علاج دوائیوں سے کیا جا سکتا ہے، لیکن شدید معاملات میں سرجری کی ضرورت پڑ سکتی ہے۔
Gastroenterologist, Hematologist
MBBS, MCPS (Family Medicine), MD (Internal Medicine)
Gastroenterologist, Hepatologist
MBBS, Diploma in Gastroenterology (UK), Diploma in Diabetes (UK), Member European Society of Gastroenterology, FRSPH(UK), CHPE
Gastroenterologist
MBBS, MCPS (Medicine), FCPS(Gastroenterology), MRCP (Gastroenterology)
Gastroenterologist, General Physician, Internal Medicine Specialist, Hepatologist
MBBS, FCPS (Gastroenterology)
Gastroenterologist
MBBS, MD Gold Medalist, FCPS Gastroenterology
Ulcer meaning in Urdu is "زخم", which refers to a sore that develops in the lining of the stomach or the upper part of the small intestine. This condition happens when stomach acid damages the protective layer inside the digestive system. It can cause pain and discomfort. If not treated on time, it may lead to serious problems like bleeding, a hole in the stomach wall, or blockages.
Ulcer symptoms can be mild or serious. If you notice any of these signs, it’s better to see a doctor:
Burning pain in the middle or upper abdomen
Pain that may improve with eating but worsens when stomach is empty
Pain that awakens you from sleep
Feeling of fullness
Nausea
Vomiting
Intolerance to fatty foods
Heartburn
Unexplained weight loss
Poor appetite
Contact your doctor immediately if you notice:
Vomiting blood
Dark stools
Sharp abdominal pain that goes to your back
Persistent abdominal pain
Dizziness
Rapid heartbeat
Difficulty breathing
Ulcer causes include different factors such as:
Bacterial infection by Helicobacter pylori
Regular use of NSAIDs
Too much acid production in the stomach
Severe physiological stress
Drinking too much alcohol
Certain viral infections
Zollinger-Ellison syndrome
Autoimmune responses
An infection caused by virus (cytomegalovirus)
Environmental factors
Genetics
Radiation therapy focused on abdomen
Crohn’s disease
Some risk factors of ulcers you can control, others you can't, such as:
Regular use of NSAIDs
H. pylori infection
Smoking tobacco
Excessive alcohol consumption
Untreated stress
Family history of ulcers
Aging
Type O blood (for duodenal ulcers)
Use of steroids or anticoagulants
Severe injury
Radiation therapy to the abdomen
Spicy food consumption
Lack of sleep
Irregular eating habits
While not all ulcers can be prevented, these measures may help reduce risk:
Avoiding NSAIDs when possible
Taking NSAIDs with food if they must be used
Using alternative pain relievers when appropriate
Treating H. pylori infection
Quitting smoking
Moderating alcohol consumption
Managing stress
Eating balanced meals
Washing hands thoroughly
Regular check-ups if you have a history of ulcers
Avoiding excessive caffeine consumption
Maintaining good overall health
Apart from discussing ulcer meaning in Urdu, it's essential to understand the various types of ulcers. They are divided into different types according to their location in the digestive tract:
Peptic ulcers develop when the protective mucus layer breaks down. Stomach acid then damages the tissue underneath. These ulcers can be small or deep, and sometimes go through the entire organ wall.
Gastric ulcers are linked to H. pylori infections, frequent use of NSAIDs, or certain autoimmune disorders. These ulcers can cause pain, especially after eating, which might lead to weight loss if someone avoids food to prevent discomfort. They are also at high risk of turning into cancer.
In this ulcer type, the pain usually starts when the stomach is empty, often at night or between meals. Eating can lessen the pain. These ulcers are also linked to H. pylori infection. They are more common in smokers and people with certain blood types.
These ulcers happen when the stomach lining does not get enough blood. This makes it weak during serious illness. Unlike regular ulcers, they are not mostly caused by H. pylori or NSAIDs.
Esophageal ulcers are less common than stomach or duodenal ulcers. They form in the lining of the esophagus and are linked to acid reflux (GERD). These ulcers make swallowing painful.
When someone reaches the doctor with ulcer symptoms, doctors work through these steps:
Medical history
Physical examination
Blood tests
Stool tests
Breath tests
Upper endoscopy
Biopsy during endoscopy
Upper GI series
CT scan
Testing for anemia
Testing for Zollinger-Ellison syndrome
Gastric acid secretion tests
Screening for certain medications
Ulcer treatment depends on individual needs and causes:
Antibiotics to eliminate bacterial infection
Proton pump inhibitors to reduce stomach acid
H2 receptor blockers to decrease acid production
Antacids to neutralize existing stomach acid
Cytoprotective agents to protect stomach lining
Limiting NSAIDs
Stopping smoking
Reducing alcohol consumption
Eating smaller, more frequent meals
Avoiding trigger foods
Stress management techniques
Regular sleep schedule
Maintaining healthy weight
Surgical repair of perforated ulcers
Vagotomy to reduce acid production
Antrectomy to remove part of the stomach
Pyloroplasty to widen the outlet to small intestine
Endoscopic treatments for bleeding ulcers
Removal of obstructions caused by scarring
While not all ulcers can be prevented, these measures may help reduce risk:
Avoiding NSAIDs when possible
Taking NSAIDs with food if they must be used
Using alternative pain relievers when appropriate
Treating H. pylori infection
Quitting smoking
Moderating alcohol consumption
Managing stress
Eating balanced meals
Washing hands thoroughly
Regular check-ups if you have a history of ulcers
Avoiding excessive caffeine consumption
Maintaining good overall health
Ulcers can lead to serious complications if not properly treated:
Bleeding (hemorrhage) from damaged blood vessels
Perforation
Ulcer extending into adjacent organs
Blockage of the digestive tract due to swelling
Infection of the abdominal cavity from perforation
Anemia due to chronic blood loss
Malnutrition from poor food intake due to pain
Increased risk of stomach cancer with certain gastric ulcers
Sepsis from severe infection following perforation
Gastric outlet obstruction from scarring
Fistula formation between stomach and nearby organs
How serious the problems get depends on where the ulcer is, how big it is, and how fast you get treatment.
Marham enables you to communicate with experienced healthcare professionals to obtain professional guidance. Through Marham, you can find the best specialist for ulcer who provides expert treatment advice. You can book an online and in-person appointment with specialist doctors through Marham's website, Android app, iOS app, and by calling 03111222398.
The Marham platform strives to offer expert-reviewed information, including error elimination, to all its consumers. Patients should always consult experts for medical advice instead of relying on this information. The information available on this page is for general information purposes. Always seek medical advice from your doctor before any treatment and therapy.