The manifestations of duodenal ulcer.

Written by Si Li Li
Gastroenterology
Updated on October 19, 2024
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Duodenal ulcers can cause symptoms such as upper abdominal pain, belching, acid reflux, nausea, vomiting, heartburn, poor appetite, and indigestion. The characteristic of upper abdominal pain in duodenal ulcers typically lessens after eating and worsens when hungry. A gastroscope can reveal defects in the duodenal mucosa, confirming a diagnosis of duodenal ulcer. About 90%-100% of patients with duodenal ulcers are infected with Helicobacter pylori, therefore, a Carbon-14 breath test is recommended to determine the presence of Helicobacter pylori infection. If the infection is positive, a 14-day eradication treatment for Helicobacter pylori is required, involving a proton pump inhibitor, two types of antibiotics, and a bismuth agent. Additionally, treatment for duodenal ulcers includes acid suppression, gastric protection, enhancing gastric motility, and protecting the gastric mucosa. The treatment typically lasts about six weeks.

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Written by Wang Li Wei
Gastroenterology
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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 Si Li Li
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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 Wu Hai Wu
Gastroenterology
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What should I do if a duodenal ulcer causes diarrhea?

Patients with duodenal ulcers who experience diarrhea should undergo a routine stool examination to rule out diarrhea caused by intestinal infections. If there is no obvious organic disease in the intestines, the diarrhea associated with duodenal ulcers may be due to excessive secretion of stomach acid. It is advisable to consider using medications that suppress the secretion of stomach acid, such as proton pump inhibitors like omeprazole or lansoprazole, etc. You can also use aluminum magnesium carbonate, sucralfate, etc., to protect the stomach lining. For patients with abdominal distension, medications like mosapride can be used to promote gastric motility treatment.

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Written by Si Li Li
Gastroenterology
1min 11sec home-news-image

The manifestations of duodenal ulcer.

Duodenal ulcers can cause symptoms such as upper abdominal pain, belching, acid reflux, nausea, vomiting, heartburn, poor appetite, and indigestion. The characteristic of upper abdominal pain in duodenal ulcers typically lessens after eating and worsens when hungry. A gastroscope can reveal defects in the duodenal mucosa, confirming a diagnosis of duodenal ulcer. About 90%-100% of patients with duodenal ulcers are infected with Helicobacter pylori, therefore, a Carbon-14 breath test is recommended to determine the presence of Helicobacter pylori infection. If the infection is positive, a 14-day eradication treatment for Helicobacter pylori is required, involving a proton pump inhibitor, two types of antibiotics, and a bismuth agent. Additionally, treatment for duodenal ulcers includes acid suppression, gastric protection, enhancing gastric motility, and protecting the gastric mucosa. The treatment typically lasts about six weeks.

doctor image
home-news-image
Written by Si Li Li
Gastroenterology
1min 4sec home-news-image

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.