A Ramadan Dilemma: Peptic ulcer

The holy month of Ramadan is looked forward by Muslims around the world, often with joy and anticipation. Medical conditions such as peptic ulcer, however, presents a dilemma for those suffering from it and may be a hindrance for them to carry out fasting throughout Ramadan.

Unlike typical gastritis, peptic ulcer happens when the inner layer of the abdominal wall or the opening towards the small intestine, the duodenum, is wounded. If left untreated, this condition may lead to bleeding and more serious complications.

Symptoms of peptic ulcer include abdominal pain, heartburn, flatulence and vomiting. In more severe cases, one may vomit blood or pass black stool. If this occurs, patients should seek immediate treatment at the emergency department to avoid further harm.

Under normal circumstances, there is a balance between digestive acid secretion and the mucosa lining protection system in the stomach. Any disruption to this balance for instance, the thinning of stomach protective layer or excessive acid secretion can lead to stomach wall injury.

Common factors causing the imbalance include Helicobacter Pylori infection, long term use of certain painkillers and excessive alcohol or caffeine consumption.

In cases of mild to moderate peptic ulcer, patients may still be able to fast through proper eating habits. However, in more serious cases, patients may need medications to get through the day. Doctors may also advise patients to break their fast if it might incur further harm to them.

Medication compliance according to doctor’s advice in controlling peptic ulcer symptoms is imperative. Proton pump inhibitor medication group such as omeprazole and pantoprazole are among the medication commonly used to treat peptic ulcer. They help to relieve the burning stomach pain by reducing stomach acid secretion.

Patients are advised to consult doctors for the most appropriate treatment for their symptoms based on the severity of their condition. Patients will also need to avoid food and medications which may exacerbate the condition such as spicy food, some painkillers and caffeine. Unhealthy eating habits during fast breaking can also worsen patients’ peptic ulcer condition.

Below are examples of good dietary habits that can be practiced during fasting months: