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 Wu Hai Wu
Gastroenterology
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Characteristics of vomiting in duodenal ulcer

The main characteristic of vomiting due to duodenal ulcer is postprandial vomiting. Generally, patients with duodenal ulcers are prone to pyloric obstruction. When a large meal is consumed, pyloric obstruction may occur, preventing stomach contents from passing into the duodenum, leading to vomiting. Additionally, patients might also experience vomiting of acidic stomach contents while fasting. After vomiting, patients with duodenal ulcers can use acid-suppressing medications to alleviate gastric edema and medications like mosapride to promote gastric motility. (Medication should be used under the guidance of a physician.)

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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.

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Written by Wu Hai Wu
Gastroenterology
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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.

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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 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.