Managing Duodenal Ulcers During Lactation

Experiencing a duodenal ulcer while breastfeeding can be concerning, but with proper medical care, it is possible to manage the condition effectively. If a diagnosis is needed, a gastroscopy is highly recommended. This procedure allows doctors to examine the stomach lining and the duodenum — particularly the bulb and descending portions — to identify any abnormalities or ulcers.

Understanding Treatment Options

Once a duodenal ulcer is confirmed, treatment typically involves a combination of medications. Proton pump inhibitors (PPIs) such as omeprazole are commonly prescribed to reduce stomach acid production, allowing the ulcer to heal. In many cases, antibiotics like clarithromycin and amoxicillin are also used, especially if the ulcer is caused by Helicobacter pylori infection.

Supportive Medications

In addition to acid-reducing drugs, your doctor may recommend mucosal protective agents such as hydrotalcite or magnesium-aluminum suspensions. These medications help protect the lining of the stomach and duodenum, promoting faster healing and reducing discomfort.

Monitoring Progress

It is generally advised to continue medication for about four weeks before undergoing a follow-up gastroscopy. This allows your healthcare provider to assess whether the ulcer has fully healed. If the ulcer persists, further treatment may be necessary, potentially involving an adjusted medication regimen or extended therapy.

Considerations for Breastfeeding Mothers

For nursing mothers, it's crucial to consult with a healthcare professional to ensure that the prescribed medications are safe for both you and your baby. Many ulcer treatments are considered compatible with breastfeeding when used under medical supervision, but individual responses can vary. Your doctor can help you weigh the benefits of treatment against any potential risks.