For an ulcer, pain in the epigastric region, which is associated with eating, is typical.
It can occur 30-60 minutes or 2 hours after eating. A duodenal ulcer is characterized by fasting pain (“early” or “hungry” pains). It passes after eating, milk, drinking soda and usually resumes after 2 or 3 hours. Typical “night” pain, also disappearing after eating or alkaline drugs (sometimes a few sips of milk is enough). The pain is very strong, unbearable. I recall my sad experience, how once, after several injections of orthophene, I literally jumped out of bed at night and drank it to the touch, finding milk.
With a stomach ulcer, “early” pains occurring 20-30 minutes after eating are characteristic. Pain can be given in the back, between the shoulder blades, be sharp, dull or aching. If the ulcer is on the back wall, the solar plexus is involved in the process, the pains become girdle, burning, as with pancreatitis. Analyzes for inflammation of the sub-gastric gland are negative.
Exacerbations usually occur in spring and autumn. This is a very important fact. He indicates in which period anti-relapse treatment should be carried out.
It is important to understand that pain caused by excess acidity is spastic in nature. This fact affects the choice of pain relievers. As a rule, these are antispasmodics and agents that reduce the secretion of gastric juice.
In addition to pain in peptic ulcer disease, almost all symptoms of dyspepsia and stool disorders can be observed. Belching, heartburn, nausea, vomiting, unpleasant aftertaste in the mouth, alternating diarrhea and constipation.
As a rule, the pain worsens after a nervous breakdown or taking coarse, acidic, salty and difficult to digest food (fatty fried meat, pastry products, etc.), as well as treatment with non-steroidal anti-inflammatory drugs. That’s why even with radiculitis, anti-inflammatory drugs can be taken no more than five days in a row and strictly after a meal.
The seasonal nature of the pain is characteristic. Its appearance or intensification is noted at a certain time of the year, most often in spring and autumn.
The appetite, as a rule, is not impaired and is even slightly increased.
Heartburn, nausea is usually not typical for patients with peptic ulcer.
Vomiting is possible, which occurs with severe pain and brings relief. Vomiting can occur on an “empty” stomach, as well as directly during meals. Vomit contains a lot of mucus and residues of undigested food. If the patient has vomiting in the form of coffee grounds (dark, almost black), this indicates gastric bleeding. With small gastric bleeding, vomiting may not occur. Blood can enter the intestines, and it can be found in the feces of the patient during the examination.
Abundant and prolonged gastric bleeding causes the patient to have general weakness, anemia (hemoglobin decrease), and weight loss. In addition, the development of anemia is associated with a violation of the development of a specific Castle factor, which was mentioned at the beginning.
During an exacerbation of peptic ulcer of the duodenum, constipation can occur. This symptom is less common with peptic ulcer.
Of the general complaints, increased irritability and sweating can be noted.
Of great importance is the study of gastric juice. Especially significant is the increase in the acidity of gastric juice, which is more common with localization of an ulcer in the duodenal bulb. With gastric ulcer, the acidity of the gastric juice can be normal or even lower.
Peptic ulcer is chronic. The wave-like course with “bright” intervals and periods of exacerbation in the autumn-spring time is especially characteristic of peptic ulcer of the duodenum. Exacerbation of peptic ulcer disease contribute to smoking, neuropsychic overstrain, alcohol abuse.
If these symptoms appear, you should consult your doctor, and also start taking the drugs recommended for you in a similar situation.