The difference between gastric ulcers and duodenal ulcers.

Written by Ren Zheng Xin
Gastroenterology
Updated on September 06, 2024
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Gastric ulcers and duodenal ulcers are collectively known as peptic ulcers, formed under the self-digestion action of gastric acid and pepsin. Gastric ulcers are more common in middle-aged and elderly people, generally occurring at the lesser curvature of the stomach body. The pain of a gastric ulcer typically appears within an hour after eating, also known as postprandial pain, which gradually eases after one to two hours of digestion and absorption; gastric ulcers can easily lead to bleeding and perforation. Duodenal ulcers are more common in young and middle-aged adults, frequently occurring in the duodenal bulb. Typical symptoms include postprandial pain and midnight pain, which can be alleviated by using antacids. The treatment methods for gastric and duodenal ulcers are similar. Additionally, it is important to pay attention to diet in daily life, eat less spicy, greasy, and irritating food, and consume more soft, easily digestible food.

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Written by Jiang Guo Ming
Gastroenterology
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What medicine is taken for duodenal ulcer?

Duodenal bulb ulcer, its main cause should be related to Helicobacter pylori infection. In this case, first check for Helicobacter pylori infection, generally using the carbon-13 or carbon-14 breath test. If there is Helicobacter pylori infection, then formal antibiotic treatment is required. For example, a proton pump inhibitor combined with two antibiotics, secondly, bismuth preparations, constitute the standard quadruple therapy, with a treatment duration of 10 to 14 days. If there is no Helicobacter pylori infection, symptomatic treatment is generally sufficient. For example, suppressing stomach acid, protecting the gastric mucosa, etc. At the same time, attention should be paid to regular dietary habits, quitting smoking and alcohol, and avoiding excessive fatigue, etc. (Specific medication use should be conducted under the guidance of a doctor.)

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Written by Wang Li Wei
Gastroenterology
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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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Written by Si Li Li
Gastroenterology
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Can you eat garlic with a duodenal ulcer?

Common symptoms of duodenal ulcer include stomach pain, bloating, burping, acid reflux, nausea, and vomiting. The pain typically becomes more noticeable when hungry and lessens after eating. This pattern of pain is a characteristic manifestation. By performing endoscopy, defects can be seen in the duodenal mucosa. Treatment involves acid suppression, stomach protection, and promotion of gastric motility, with a particular emphasis on dietary adjustments. It is important to avoid smoking and alcohol, as well as spicy, fried, barbecue, and other irritating foods. Garlic, being an irritant, should not be consumed by those with duodenal ulcers. A diet consisting of easily digestible and mild foods is recommended, such as porridge, soup, noodles, or very tenderly cooked meats, which can assist in the treatment of duodenal ulcers.

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Written by Zhu Dan Hua
Gastroenterology
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Symptoms of duodenal ulcer

Duodenal ulcers are relatively common in clinical practice and are a frequent condition in gastroenterology. Duodenal ulcers are generally more prevalent among middle-aged individuals, with symptoms most commonly including abdominal pain, bloating, nausea, and vomiting. The abdominal pain typically manifests as upper abdominal pain, usually hunger pain which often improves after eating. It typically presents as long-term, chronic episodes over extended periods and can also occur at night as hunger pain. Therefore, for some typical patients, especially middle-aged individuals, upper abdominal pain should raise concerns about duodenal ulcers. If a patient exhibits symptoms other than abdominal pain, such as black stools, this could suggest bleeding associated with duodenal ulcers, potentially leading to black stools or even vomiting blood. Hence, it is advised that if a patient has symptoms of gastrointestinal bleeding along with abdominal pain, consideration should be given to the possibility of a bleeding duodenal ulcer. It is recommended that such patients undergo thorough gastroscopic examinations to clarify the diagnosis further.

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Written by Si Li Li
Gastroenterology
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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.