A sore or hole in the lining of an organ is known as an ulcer.  A stomach ulcer is known as a gastric ulcer while a duodenal ulcer is an ulcer in the duodenum which is part of the small intestine. Duodenal ulcers occur more frequently in men and usually between the ages of 20-45, while stomach ulcers occur more often than not in people over the age of 50.

The stomach is protected from acid by a lining of mucus but if the lining is damaged then the acid can come into contact with the stomach or intestine wall, causing an ulcer.

Symptoms of an ulcer include abdominal pain, feeling sick after eating, loss of appetite, weight loss, or difficulty swallowing.  More serious symptoms include black or tar like stools, severe stomach pain, or vomiting blood.

Stomach Ulcers

Ulcers can be caused by bacteria known as Helicobacter Pylori and also use of non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin.  Other causes of ulcers are smoking and drinking alcohol and it is also thought to run in some families.  Stress can aggravate an ulcer as it causes the stomach to produce more acid.

Diagnosis of an ulcer is confirmed through a procedure known as an endoscopy.  This is done in a hospital and it involves a thin tube being passed down to the stomach through the mouth and gullet.  This can show the doctor whether an ulcer is present.

Treatment of an ulcer depends on whether the cause was a bacterium or by using NSAIDs. Proton pump inhibitors are prescribed for ulcers which have not been caused by the H pylori bacteria and they work by reducing the amount of acid in the stomach.  For ulcers caused by H pylori bacteria, treatment is usually a combination of proton pump inhibitors and two antibiotics.

Skin Ulcers

The testicles are found within the scrotum which is a loose sac of skin hanging down behind the penis.  The function of the testicles is to produce sperm and the male sex hormone testosterone.  Most of the time any lumps or swelling within the testicles are benign but it is natural for people to worry when they have found a lump.

Testicular torsion results in swelling of the testicles if the testicle has become twisted.  This interrupts blood flow and causes a large tender distension.  It often happens in developing boys who are experiencing puberty but has also been know to happen in men in their 20’s although it is quite rare.  Testicular torsion is a medical emergency due to the fact that it needs to be rectified by surgery within 6 hours or there is a risk that the testicle will be lost.

Symptoms of testicular torsion include nausea; vomiting; swelling of the scrotum; fever; abdominal pain; the need to urinate often; and, excruciating pain in one testicle.  The cause of testicular torsion results from a spermatic cord that is too long.  The spermatic cord is where the testicles hang from and in some boys this cord is too long leading to increased movement of the testicle which means the cord becoming twisted.  If it twists too much it will cut off the blood supply and the testicle will die.  Testicular torsion can sometimes just happen for no reason at all or it can be the result of strenuous exercise or other physical activity.

An ultrasound scan can be done to confirm suspicion of testicular torsion. Surgery needs to take place almost immediately to save the testicle.  The surgeon will have to cut the scrotum and untwist the cord.  He will then sew the cord to the scrotum to prevent this happening again.

Testicular Torsion

A headache involves having mild to severe pain in a specific, or many, areas of the head or back of the neck. Countless “types” of headache exist, all caused by a variety of reasons, and although they can be painful and rather annoying, they are, for the most part, not a sign of a serious disorder and in most non-chronic situations can be treated and relieved by medicines.

Although there is no single cause of a headache, several causes have so far been identified by the medical community and these can fall into two main categories – tension headaches and migraine headaches. Tension headaches are the result of contraction of the neck and head muscles and are the most common type of headache, accounting for nearly seventy percent of cases. Some causes of muscle contraction linked with tension headaches include stress, fatigue, eye strain, poor posture, hormonal changes, and alcohol or tobacco use.

Migraine headaches occur when blood vessels located in the neck and head constrict, which therefore leads to decreased blood flow in them. Symptoms of migraine include a throbbing pain usually on one particular side of the head, along with a feeling of nausea and sensitivity to sound or light. Migraines are usually chronic and affect more women than men

Headache

Although for the most part headaches are not a sign of anything sinister, as mentioned above, there are certain symptoms that need to be looked at by a doctor or physician immediately. These include a sudden onset of headache accompanied by vomiting or nausea; recurring headaches which are accompanied by memory issues, tiredness and difficulty in concentrating; neck stiffness accompanied by high fever; fits; vision irregularities, i.e. light flashes; trouble controlling, or loss of feeling in, the limbs; and difficulty in communicating while being tired and apathetic.