The difference between peptic ulcer and gastric ulcer.

Written by Ren Zheng Xin
Gastroenterology
Updated on September 14, 2024
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Peptic ulcers refer to ulcers occurring in the digestive tract, including duodenal ulcers and gastric ulcers, whereas gastric ulcers specifically refer to ulcerative lesions occurring in the gastric mucosa. Clinically, there is often a distinction made between duodenal ulcers and gastric ulcers. Clinically, gastric ulcers cause postprandial pain, while duodenal ulcers are characterized by midnight pain and hunger pain. Additionally, the locations of occurrence differ; gastric ulcers commonly occur on the lesser curvature of the stomach, whereas duodenal ulcers commonly occur in the bulb. The treatment methods are fundamentally similar, primarily involving the use of medications that inhibit gastric acid secretion and protect the mucous membrane. Moreover, it involves enhancing health education, maintaining a regular diet, reasonable rest, and avoiding excessive fatigue. (Please use medication under the guidance of a physician.)

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Written by Jiang Guo Ming
Gastroenterology
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Can peptic ulcers be cured?

Peptic ulcers include gastric ulcers, duodenal bulb ulcers, complex ulcers, and more. The primary cause is usually Helicobacter pylori infection, particularly in patients with duodenal bulb ulcers. Generally, eradicating Helicobacter pylori can cure the ulcer. However, a small number of patients, due to underlying diseases or irregular medication use, often develop resistance to Helicobacter pylori. In such cases, peptic ulcers are prone to recurrent flares. Additionally, peptic ulcers caused by other factors, such as smoking and alcohol stimulation, poor dietary habits, medication, emotional issues, etc., can generally be cured by removing the triggers. However, it's essential to develop good dietary and living habits and strictly follow medical advice regarding medications.

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Written by Jiang Guo Ming
Gastroenterology
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How is peptic ulcer treated?

The treatment of peptic ulcers mainly depends on their cause. It is generally believed that infection with Helicobacter pylori is most closely related to peptic ulcers. In such cases, the first step is to check for Helicobacter pylori infection. If there is an infection, antibacterial treatment is generally used, with the common regimen being quadruple therapy: a proton pump inhibitor plus two antibiotics and a bismuth agent. If there is no Helicobacter pylori infection, symptomatic treatment is generally sufficient. The preferred method is to use acid-suppressing and stomach-lining-protecting medications, combined with symptomatic treatment. At the same time, it is helpful to develop good dietary and living habits, opt for a light and easy-to-digest diet, and eat regularly in fixed amounts. Avoid overeating and excessive fatigue; abstain from smoking and alcohol, and maintaining a good mood all help. (Medication should be used under the guidance of a professional doctor.)

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Written by Jiang Guo Ming
Gastroenterology
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How to treat peptic ulcers?

The treatment of peptic ulcers should be based on specific causes, as well as the patient's gender, age, medical history, and medication history, among other factors. Generally speaking, the primary cause of peptic ulcers is usually Helicobacter pylori infection. Therefore, the first step is to test for Helicobacter pylori. If Helicobacter pylori is present, antibacterial treatment is required, with the first choice being quadruple therapy, which includes a proton pump inhibitor, two types of antibiotics, and a bismuth agent, administered over a 10 to 14-day treatment course. If there is no Helicobacter pylori infection, the first choice would be proton pump inhibitors and gastric mucosal protective drugs, combined with symptomatic treatment. Meanwhile, it is crucial for patients with peptic ulcers to develop good eating and living habits, and relaxing their mindset can also be helpful.

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home-news-image
Written by Ren Zheng Xin
Gastroenterology
1min 2sec home-news-image

The difference between peptic ulcer and gastric ulcer.

Peptic ulcers refer to ulcers occurring in the digestive tract, including duodenal ulcers and gastric ulcers, whereas gastric ulcers specifically refer to ulcerative lesions occurring in the gastric mucosa. Clinically, there is often a distinction made between duodenal ulcers and gastric ulcers. Clinically, gastric ulcers cause postprandial pain, while duodenal ulcers are characterized by midnight pain and hunger pain. Additionally, the locations of occurrence differ; gastric ulcers commonly occur on the lesser curvature of the stomach, whereas duodenal ulcers commonly occur in the bulb. The treatment methods are fundamentally similar, primarily involving the use of medications that inhibit gastric acid secretion and protect the mucous membrane. Moreover, it involves enhancing health education, maintaining a regular diet, reasonable rest, and avoiding excessive fatigue. (Please use medication under the guidance of a physician.)

doctor image
home-news-image
Written by Jiang Guo Ming
Gastroenterology
53sec home-news-image

Peptic ulcer clinical symptoms

Helicobacter pylori infection is considered the primary cause of peptic ulcers, often leading to excess stomach acid, abnormal gastric motility, and other symptoms. Excess stomach acid can cause acid reflux, heartburn, and a burning sensation, while abnormal gastric motility may lead to nausea, belching, and even vomiting and bloating, with stomach acid irritation likely causing upper abdominal pain. Gastric ulcer pain is generally located in the upper left abdomen or below the sternum, typically presenting as postprandial pain. Duodenal bulb ulcers generally cause pain to the upper right of the navel, typically fasting pain that eases upon eating, sometimes accompanied by menstrual-like pain, with pain from ulcers behind the bulb potentially radiating to the back.