How to recognize a stomach ulcer

Stomach ulcer is a fairly common disease. And dangerous. Therefore, do not ignore the alarming symptoms.

Many people believe that peptic ulcer is always severe pain. However, this is not always the case.

For example, recently, so-called silent, or “mute,” ulcers have become very common, which practically do not cause pain. This picture is most characteristic of elderly or, conversely, very young patients. But if there are at least some unusual symptoms (heartburn, sour belching, nausea and constipation, feeling of heaviness, stomach overflow), it is better not to delay time and consult a doctor immediately. The fact is that peptic ulcer is fraught with deadly complications, such as internal bleeding and perforation of the stomach (that is, perforation of the ulcer, in which it “eats through the wall” of the organ and the contents of the stomach into the abdominal cavity). A non-fatal but unpleasant complication can also occur – stenosis (that is, narrowing) of the duodenum, in which food is no longer absorbed. Such a complication can be eliminated only with the help of surgery. Another danger of an untreated ulcer is that, over time, it degenerates into a malignant tumor. The early stages of gastric cancer do not practically manifest themselves or are indistinguishable from manifestations of peptic ulcer and chronic gastritis. Therefore, one should pay attention not only to obvious, “speaking” symptoms, but also to insignificant, at first glance.

Attention to symptoms

Pain. Bursting, burning pains usually appear in the epigastric region: under the sternum and around the navel. With esophageal ulcers, pain occurs when swallowing or when a person lies down. Duodenal ulcers are more characteristic of nocturnal and so-called hunger pains, which appear in the morning, on an empty stomach, or when you skip the next meal. After eating, the discomfort usually subsides. And with a stomach ulcer – the opposite is true, eating only increases the pain. Antacid or a glass of milk helps to drown out the pain. But if there is a sharp, dagger-like pain in the abdomen, you should immediately call an ambulance – such a symptom is characteristic of ulcer perforation.

Heartburn. With long-standing heartburn, you should definitely contact a gastroenterologist. Most often, this symptom occurs with increased acidity of gastric contents, but it happens with any acidity, even zero. For peptic ulcer most often characterized by the presence of heartburn and belching acidic contents.

Nausea and vomiting after eating. Vomiting with an ulcer is usually very acidic (from hydrochloric acid). Vomiting of scarlet or dark blood, resembling coffee grounds, is a very bad sign. This happens when a bleeding ulcer. You need to immediately call the “03”. For internal bleeding, blood in the stool and tar-colored stools are also characteristic.

Expert commentary

Candidate of Medical Sciences, gastroenterologist surgeon.

-Recently, peptic ulcer disease has become atypical. Instead of the classic picture, when the pain is localized in the epigastric region, patients complain that they have pain in the lumbar region, liver or gallbladder. If a peptic ulcer is accompanied by heartburn, a person often suffers from pain and a burning sensation in the chest, and with this refers to a cardiologist, where he is treated for a long time, but without success, losing precious time. Another symptom associated with heartburn is chronic tracheitis and bronchitis. Sometimes the patient is given bronchial asthma, while bronchial trouble causes stagnant food in the stomach.

local_offerevent_note April 30, 2019

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