Does duodenal ulcer cause bloating?

Written by Wu Hai Wu
Gastroenterology
Updated on September 19, 2024
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Duodenal ulcers can lead to bloating because the duodenum is located just below the pylorus. Once an ulcer occurs in the duodenum, it can cause swelling of the pylorus. Consequently, when the pylorus is swollen, it becomes difficult for gases to be expelled from the stomach, leading to a likelihood of bloating in patients. Once a patient develops a duodenal ulcer, it is imperative first to use proton pump inhibitors to suppress gastric acid secretion to alleviate congestion and swelling of the duodenal mucosa. Secondly, medications that protect the stomach lining, such as magnesium aluminum carbonate and sucralfate, should be used for treatment. (Please follow medical advice regarding medication.)

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Does duodenal ulcer cause nausea and vomiting?

The common symptoms of duodenal ulcers include stomach pain, bloating, nausea, vomiting, belching, acid reflux, poor appetite, and indigestion, among others. Therefore, nausea and vomiting are symptoms that can occur with duodenal ulcers. The primary diagnostic method is through an endoscopy, which allows us to see lesions on the mucous membrane of the duodenum, thus confirming a diagnosis of a duodenal ulcer. The treatment focuses on acid suppression, gastric protection, enhancing gastric motility, and protecting the gastric mucosa. Additionally, a Carbon 14 breath test is recommended. If the Carbon 14 breath test is positive, a comprehensive treatment for Helicobacter pylori infection is required, typically lasting 14 days. Dietary recommendations for duodenal ulcers include a diet that is light and easy to digest, avoiding foods that are hard to digest.

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The difference between gastric ulcers and duodenal ulcers.

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 examine the duodenum?

For some diseases of the duodenum, such as inflammation, ulcers, polyps, and tumors of the duodenum, the main examination method is gastroscopy. Gastroscopy can clearly and accurately identify the nature and location of the specific lesions. Additionally, by taking biopsies for pathology, it can specifically determine the benign or malignant nature of the disease, which is very helpful for subsequent treatment plans.

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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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Is duodenal bulb inflammation an ulcer?

Duodenal bulb inflammation is not an ulcer. It refers to chronic inflammation of the mucosa of the duodenum without erosion, hence it is not a duodenal ulcer. However, if patients with duodenal bulb inflammation do not receive proper treatment and fail to pay attention to their diet, among other factors, it may potentially develop into a duodenal ulcer. Once a duodenal ulcer occurs, it could lead to potential complications such as pyloric obstruction, gastrointestinal bleeding, and perforation of the duodenal bulb, etc. Therefore, it is crucial for patients with duodenal bulb inflammation to seek active treatment.