It is known that fasting the month of Ramadan carries some troubles for people with gastrointestinal diseases, and there are still many wrong information, ideas and behaviors among some, and stomach ulcers patients are among the most patients who need special attention and organize their diet, especially in Ramadan. We decided to shed light on this matter through our meeting with a group of qualified people in the group of Dr. Sulaiman Al-Habib Medical and they are d. Badia Al-Saleh, a consultant gastroenterologist and endoscopy, holder of a British fellowship, Dr. Khaled Al-Sowat, consultant gastroenterologist and holder of Canadian fellowship, Dr. Othman Al-Harbi is a consultant gastroenterologist, holder of the American Board and Canadian Fellowship, Dr. Rami Shaath, a specialist in gastroenterology, hepatology and endoscopy, holds the American Board, Dr. Fawzia Bouhajeh, Consultant of Internal Medicine and Gastroenterology, Dr. Mutassim Matani, Consultant of Gastroenterology, American Board Member, Dr. Walid Al-Hazim is a consultant of internal medicine, digestive system and endoscopy, and he holds a Canadian fellowship.

A clearer view of the stomach wall

In the beginning, do you know the meaning of the term ulcer and how to diagnose it?

The ulcer in general is an open wound anywhere in the body, especially the skin or the mucous membrane, and when the ulcer arises, a part of the surface tissue ruptures, leaving part of the skin slain and inflamed, and then this part slowly heals, and the ulcer is discovered using an endoscope as it enables the doctor to see a wall Stomach and duodenum and spotting ulcers,

3D camera

The endoscopes used by us are advanced as they feature a three-dimensional camera that gives a clear and accurate image to help the surgeon perform his work easily and easily, and the clinical examination is very important for an accurate diagnosis.

Various causes of infection

In general, what are the main causes of stomach ulcers?

The use of some anti-inflammatory drugs, analgesics, and rheumatism is the most common cause of stomach ulcers, as the risk of stomach ulcers increases from 10 to 20 times for a healthy person, and if the cause is not addressed through doctor follow-up, the rate of symptoms recurrence reaches between 60 to 90% per year,

Genetic factors

Some genetic factors play a role in the occurrence of stomach ulcers by making them more sensitive to external factors or more stomach acid secretion, and both smoking and severe psychological stress play an important role in increasing the secretion of acid and reducing the ability of the duodenum to deal with it, in addition to another severe factor. The importance and overlooked by many is staying up late at night, which leads to an increase in the symptoms of ulcers, especially in Ramadan.

Confirm the diagnosis by modern means and techniques

What are the symptoms of gastric and duodenal ulcers and are there differences between them?

Symptoms of stomach ulcers appear in the form of pain in the upper abdomen, and in most cases they appear on an empty stomach about two to four hours after eating or in the middle of the night, as in cases of duodenal ulcers, and often the patient feels comfortable when he rushes to take some food or acidity drugs The traditional, and in a few cases, the pain is immediately after eating, as in the stomach ulcer itself and not the duodenum, and after the spread of endoscopes of the digestive system and modern techniques and methods it was found that about 70% of those who suffer from upper abdominal pain have no signs of an active ulcer, and on the contrary, about 40% of those who suffer from an active ulcer do not have abdominal pain, as upper abdominal pain does not necessarily mean stomach pain because there are many organic and functional diseases that may lead to this.

Seeing a doctor is an urgent necessity

Those who complain about abdominal pain should see a specialist doctor to confirm the diagnosis, and an important point must be mentioned here, which is that traditional acidity medications, despite their rapid effect in healing ulcers, do not change anything from the disease history, and the patient soon feels ulcer symptoms after a while, so the trend Talking is treating the cause.

Fasting during ulcer activity is not recommended

For the fasting person, how does the ulcer pain get worse?

An empty stomach for a long time when fasting leads to an increase in the effect of gastric acid on the mucous membrane of the stomach, as the most important neutralizer for acid is the natural equivalent (food), and in the absence of food, the effect of acid is severe, which leads to erosion of this membrane and thus helps to the occurrence of ulcers or For this, the patient with stomach and duodenal ulcers during ulcer activity is not recommended for fasting.

Fasting decision and doctor supervision

Does this mean that the patient with an ulcer cannot fast?

In all cases, the opinion of the attending physician must be taken, and sometimes the patient is forced not to fast, but in general, duodenal ulcer patients (active ulcers) and those who suffer from severe pain in the abdomen and sometimes vomiting, have a license to break the fast because they are already unable to fast, so they are under the care Intensive medical care until their condition stabilizes and recovery is complete.

Binoculars unit at the highest level

You told us about binoculars and their importance. Can you tell us what is unique to Dr. Soliman Al-Habib Medical Group?

The group intends to provide an endoscopy unit at the highest level in all its centers and hospitals, as we pay special attention to it. All new in this field and the latest types of endoscopes are provided from major international companies and are d periodically through which to diagnose and treat many diseases, where an endoscopy of the digestive system is done. Upper (esophagus, stomach and duodenum) and lower (colon), in addition to diagnostic and therapeutic ERCP, in addition to the smart capsule.

Used for diagnosis and treatment

What is the importance of binoculars in treatment?

Endoscopy is of great importance not only in treatment, but also in diagnosis, as it is often used to treat and diagnose.

The highest degree of clarity in photography

What about your most important binoculars?

The first endoscope of its kind was provided, which is the endoscopy of the digestive system, which is (Lucera Spectrum), which works with (white AND black ccd) technology, as it detects cancerous tumors inside the digestive system as well as infections, polyps and tuberculosis diseases as it scans the image three times to provide the highest degree of clarity The resolution of the image.

Speed ​​and accuracy

What is the benefit of endoscopic diagnosis?

The benefit of diagnosis with this device is attributed to the patient in the speed and accuracy of the diagnosis by relying on the latest international techniques used in the field of endoscopy (NBI), which enables the doctor to see the capillaries in the inner cavity with high accuracy in addition to the (CEP) feature, which helps to clarify the degree of color in a form. The most accurate and biggest thing that leads to making sure of the presence of infected cells or not.

Adenoids excision

And while binoculars are frequently used therapeutically?

Its therapeutic use is very wide in the excision of polyps, taking samples and sending them for microscopic examination, as well as stopping the bleeding as well as removing foreign bodies, and it is worth mentioning that there are solid endoscopes of the lower digestive system in order to reveal only the last parts of the large intestine, and for the work of a complete endoscope, a flexible endoscope is used.

Early detection of cancer

They also have influential contributions to endoscopy in early detection of cancers of the digestive system and their treatment by endoscopy in its early stages, as well as treatment of obesity cases by balloon stomach through the endoscope without surgery.

It eliminates surgical intervention

As for colonoscopy without a scope, it is done by means of a 3D imaging CT scan, as the endoscope is enriched in the treatment of many diseases of the digestive system than surgical intervention and has increased the success rates, as well as imaging the digestive system, liver and pancreas by the newer open magnetic resonance device with non-allergenic dye.