The number of patients with stomach ulcers or high blood pressure is increasing. Using the example of a 60-year-old woman, we show how nutritional counseling and medication are combined in treatment.

In June, a 60-year-old woman from Thogonoi came to Rhine Valley Hospital for a checkup. She complained of severe headaches and joint pain. She also suffered from vomiting. The patient’s history and examination revealed a markedly elevated blood pressure. A chronic disease in her family was not known.

Further, the woman stated that her abdominal pain became more severe after eating, and then she was also particularly sensitive to pressure around the navel.

The results obtained in the laboratory confirmed the suspicion of ulcer disease (see below) due to Helicobacter pylori infection, a bacterial infection of the gastric mucosa.

For treatment, the attending physician educated the patient that her diet would have a positive influence on her recovery. If she consumes less salt, this has a positive effect on blood pressure. Similarly, it should largely avoid spicy foods.

Currently, the patient’s blood pressure is checked weekly. If her blood pressure rises again despite the diet, she will be prescribed an antihypertensive medication.

To explain, ulcer disease (PUD) is a rupture in the inner lining of the stomach or esophagus. A distinction is made between gastric and duodenal ulcers.

Signs and symptoms include stomach pain, vomiting, weight loss and loss of appetite. The disease can be caused by Helicobacter pylori, non-steroidal anti-inflammatory drugs, alcohol and smoking. Diagnosis is made by H pylori test, endoscopy and swallowing barium. If the condition is left untreated, ulcers can lead to stomach cancer, bleeding perforation, and blockage of the stomach.

As a treatment, abstaining from smoking, alcohol and strong painkillers is suitable. Drugs such as omeprazole (formation of gastric acid secretion is inhibited) are also used to treat the condition.