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Question

Apart from hyper acid secretion, peptic ulcers are also developed due to bacterial infection. The causative agent is __________.

This question was previously asked in
CDS I 2020 Elementary Mathematics Previous Year Paper (02-Feb-2020)
The correct answer is

Helicobacter pylori

Understanding Peptic Ulcers and Their Causes

Peptic ulcers are painful sores that develop in the lining of the stomach, lower esophagus, or small intestine. While excessive stomach acid secretion is a well-known factor contributing to peptic ulcers, bacterial infection is now recognized as a major cause.

Bacterial Role in Peptic Ulcer Development

For a long time, it was thought that stress, diet, and lifestyle were the primary causes of peptic ulcers. However, groundbreaking research revealed that a specific type of bacterium is responsible for the majority of peptic ulcer cases, especially duodenal ulcers and gastric ulcers. This bacterium damages the protective mucous layer lining the stomach and duodenum, making the underlying tissue vulnerable to acid and digestive enzymes. This damage leads to inflammation and the formation of peptic ulcers.

Identifying the Causative Bacterial Agent

The question asks for the specific bacterial agent that causes peptic ulcers through infection. Let's look at the options provided:

  • Helicobacter pylori: This is a spiral-shaped bacterium that colonizes the stomach lining. It is well-established as a primary cause of chronic gastritis, peptic ulcers, and is also linked to an increased risk of stomach cancer.
  • E. coli (Escherichia coli): While some strains of E. coli can cause severe intestinal infections (food poisoning) or urinary tract infections, they are not known to cause peptic ulcers.
  • Streptococcus pneumoniae: This bacterium is a common cause of pneumonia, meningitis, and ear infections. It is not associated with peptic ulcers.
  • Salmonella typhimurium: This bacterium is a common cause of foodborne illness (salmonellosis) and typhoid fever. It is not known to cause peptic ulcers.

Based on extensive medical research, the bacterium strongly associated with causing peptic ulcers is Helicobacter pylori. Infection with Helicobacter pylori weakens the stomach's defense against acid, leading to the development of peptic ulcers.

Conclusion

Apart from hyper acid secretion, bacterial infection, specifically by Helicobacter pylori, is a primary cause of peptic ulcers. Identifying and treating the Helicobacter pylori infection is crucial for healing peptic ulcers and preventing recurrence.

Bacterium Common Illnesses Caused Association with Peptic Ulcers
Helicobacter pylori Gastritis, Peptic Ulcers, Stomach Cancer Primary causative agent
E. coli Food poisoning, UTIs None
Streptococcus pneumoniae Pneumonia, Meningitis None
Salmonella typhimurium Salmonellosis, Typhoid fever None

Revision Table: Peptic Ulcers & Bacteria

Reviewing the key points about peptic ulcers and their bacterial cause:

  • Peptic ulcers can be caused by excess acid and/or bacterial infection.
  • The main bacterium causing peptic ulcers is Helicobacter pylori.
  • Helicobacter pylori damages the stomach lining, making it susceptible to acid.
  • Treating Helicobacter pylori infection helps heal ulcers.

Additional Information: Diagnosing and Treating Peptic Ulcers

Diagnosing Helicobacter pylori infection involves tests like breath tests, stool tests, or endoscopy with biopsy. Treatment typically involves a combination of antibiotics to kill the bacteria and acid-reducing medications (like proton pump inhibitors) to help the ulcer heal. Successful treatment of the Helicobacter pylori infection significantly reduces the risk of ulcer recurrence.

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