The difference between gastric ulcers and duodenal ulcers.

Written by Wang Hui Jie
Gastroenterology
Updated on September 01, 2024
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The differences between gastric ulcers and duodenal ulcers, in terms of symptoms, include that gastric ulcers often manifest as burning pain, or dull pain, distention pain, etc., usually postprandial pain, occasionally with nighttime pain. If it occurs at the pyloric canal, it lacks typical symptoms, with intense pain likely occurring after eating, and poor drug efficacy, prone to vomiting and pyloric obstruction, perforation, and bleeding. Gastric ulcers have a minor possibility of becoming cancerous. Duodenal ulcer pain is mostly located in the upper abdomen, characterized by hunger pain and midnight pain. Abdominal pain generally eases after eating or taking some antacid medications. For ulcers occurring behind the bulb, nighttime pain and a radiating pain in the back are more common. However, the effectiveness of medication is relatively poor, and it is prone to bleeding. Duodenal ulcers are more likely to lead to perforation and pyloric obstruction, but generally do not become cancerous.

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How to alleviate nausea from duodenal ulcers?

Duodenal ulcer primarily manifests with symptoms such as abdominal pain, bloating, nausea, vomiting, poor appetite, acid reflux, and belching. The characteristic pain associated with this condition typically diminishes after eating and worsens when hungry. A gastroscopy revealing defects in the duodenal mucosa can confirm a diagnosis of duodenal ulcer. Treatment focuses on acid suppression and gastric protection, enhancing gastric motility, and protecting the gastric mucosa. Additionally, a carbon-14 breath test is conducted to check for Helicobacter pylori infection, a bacterium that can cause peptic ulcers. If the test is positive, a 14-day treatment against Helicobacter pylori is required. By adhering to this treatment protocol, symptoms can be effectively resolved.

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Is duodenal ulcer bleeding a sign of cancerous change?

Duodenal ulcer bleeding does not indicate cancerous changes. The duodenal area is relatively thin, so once a duodenal ulcer occurs, it is more likely to lead to complications such as ulcer bleeding and perforation. If vomiting blood occurs with a duodenal ulcer, it indicates that the patient with the duodenal ulcer has a bleeding complication. In terms of treatment, it is first necessary to complete an endoscopic examination, which can include endoscopic hemostasis; secondly, proton pump inhibitors should be used to suppress the secretion of stomach acid and increase the pH level in the stomach; additionally, treatments that protect the stomach lining, such as aluminum hydroxide and magnesium carbonate, should be used. (Medication should be taken under the guidance of a physician.)

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Is a duodenal frost-like ulcer serious?

The frost-like ulcers in the duodenal bulb are not severe. They refer to relatively superficial ulcers in the duodenum that will heal quickly. To shorten the healing duration of duodenal frost-like ulcers, several aspects should be considered: First, check for Helicobacter pylori infection. If this bacterium is present, it is necessary to first eradicate the bacteria with a quadruple therapy, and then treat with medications that suppress stomach acid or promote ulcer healing. Second, pay attention to the diet. It is not advisable to eat too many gas-producing foods, such as soy products or foods high in starch. Third, avoid smoking and drinking alcohol. Fourth, finally, treatment should be administered systematically and throughout the entire course.

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Can you eat sunflower seeds with a duodenal ulcer?

Duodenal ulcer, its main symptoms include stomach pain, bloating, belching, acid reflux, nausea, vomiting, poor appetite, heartburn, and indigestion, among others. By undergoing gastroscopy, if defects are observed in the duodenal mucosa, a diagnosis of duodenal ulcer can be made. The treatment focuses on acid suppression, gastric protection, enhancing gastric motility, and protecting the gastric mucosa. Dietary considerations are crucial. Firstly, it is essential to quit smoking and alcohol. Avoid strong tea, coffee, fatty, greasy, spicy, fried, barbecued, cold foods, and sweets. Consumption of seeds such as sunflower seeds, which are high in fats, is also not recommended. These can increase gastric acid secretion and potentially worsen duodenal ulcers, hence they should be avoided.

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What will happen if you drink alcohol with a duodenal bulb ulcer?

Common symptoms of duodenal bulb ulcers include stomach pain, bloating, belching, acid reflux, nausea, and vomiting. A gastroscopy can reveal defects in the duodenal mucosa, which can be diagnosed as duodenal ulcers. Drinking alcohol can irritate the gastric mucosa as well as the duodenal mucosa. If there is an ulcer in the duodenal bulb and alcohol is consumed, it can exacerbate the ulcer, causing the ulcerated area to enlarge and more severe symptoms to appear. Therefore, drinking alcohol can lead to the worsening of duodenal ulcers. Thus, individuals with gastric diseases or peptic ulcers must abstain from alcohol, as it can aggravate the existing condition. If a duodenal ulcer worsens, penetrating the serosal or basal layer, it may lead to perforation. In such cases, emergency surgery is required for treatment. Hence, it is crucial for those with duodenal ulcers to avoid alcohol.