Color of vomit from duodenal ulcer

Written by Wu Hai Wu

Gastroenterology

Updated on May 26, 2025

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The color of vomit from a duodenal ulcer may appear as a coffee-colored liquid or green. If the stomach contents expelled include bile, the vomit may appear green. If the vomitus contains blood, the combination of blood and stomach acid may result in a coffee-colored liquid. Therefore, a detailed analysis is necessary. Once a patient with a duodenal ulcer experiences vomiting, it is important to promptly complete an endoscopic examination. Treatment should be based on the results of the endoscopy.

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Written by Wang Li Wei

Gastroenterology

30sec

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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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Written by Wu Hai Wu

Gastroenterology

50sec

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Does duodenal ulcer cause bloating?

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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Written by Si Li Li

Gastroenterology

59sec

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What is the best treatment for duodenal ulcers?

The main symptoms of duodenal ulcer include upper abdominal bloating, belching, acid reflux, nausea, vomiting, heartburn, poor appetite, and indigestion. A duodenal ulcer can be diagnosed through a gastroscopy, which reveals the presence of an ulcer in the duodenum. The primary cause of duodenal ulcers is infection by Helicobacter pylori, hence a Carbon-14 breath test is recommended to confirm the presence of H. pylori infection. Roughly 90%-100% of patients with duodenal ulcers are infected with H. pylori. Another common cause is the digestion of the stomach itself by stomach acid and pepsin. Treatment primarily involves eradicating H. pylori, suppressing acid, protecting the stomach, enhancing gastric motility, and protecting the gastric mucosa, with the treatment duration being about six weeks.

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Written by Wu Hai Wu

Gastroenterology

39sec

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What position should be taken for duodenal ulcer hematemesis?

Patients with duodenal ulcers, if vomiting blood occurs, are advised to slightly elevate their lower limbs, position their heads lower, and lie on their side. Because when patients with duodenal ulcers vomit blood, it indicates a relatively large amount of bleeding. Elevating the lower limbs slightly can effectively promote the return of blood from the lower limbs, ensuring the blood supply to vital organs, and lying on the side helps prevent the possibility of choking following vomiting. Once vomiting blood due to a duodenal ulcer occurs, an urgent gastroscopy is required, and hemostatic treatment should be carried out under gastroscopy.

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Written by Si Li Li

Gastroenterology

1min 3sec

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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.