Stomach ulcers

What are the symptoms of stomach ulcers?

It is important for physicians to record a thorough history of the condition. Because complaining of a stomach ache is a very broad complaint, the physician must ask further questions in order to summarize all the symptoms carefully and thoroughly.

This helps the physician consider the appropriate disease which may be ailing the patient and order the appropriate diagnostic tests.

Main Symptoms

Dull stomach pain, which is characterized by the following:
- The pain is intermittent, it comes and goes periodically
- Ulcers occur most commonly during spring or autumn
- The pain follows a certain rhythm, in four parts: the patient eats-pain subsides- pain returns-pain subsides. Shortly after meals, the pain subsides. The pain restarts, lasting for about two hours, and it suddenly subsides.
- The localization of the pain depends on the positioning of the ulcer in the stomach.
- The distribution of pain. In cases of duodenal ulcer, the patient will indicate the place where he/she feels pain by pointing, since the pain is more localized.
  In cases of stomach ulcers, the pain is more widely distributed, thus felt in wider regions. If the stomach ulcer is positioned in the back face of the stomach, the patient may experience pain in their spine near the T10 vertebra.
- There is usually burning, sharp pain.
- Sometimes the pain is described as a feeling of hollowness, or in the form of cramps. Upon consumption of meals or antacids the pain may subside.
In cases of duodenal ulcers the rhythm is different: the patient eats-the pain subsides- pain returns.
After meals, the pain subsides for a long time lasting for up to four hours. After this, the pain returns, and only subsides when the patient consumes food once again.
Vomiting, nausea
Weight loss
Heartburn (pyrosis), pain felt in one’s sternum, and a sour taste in the mouth
Hemorrhage, which could manifest as strains of blood in the vomit (hematemesis), or it could manifest as strains of blood in the feces (melena)
Hyper salivation, the patient starts producing more saliva
Burping
Constipation

Medically Reviewed by a doctor on 23 Jan 2018
Medical Author: Dr. med. Diana Hysi

Articles for stomach ulcers

Introduction

Stomach ulcers, also known as gastric ulcers, are open sores that develop on the lining of the stomach. Read about the possible symptoms, causes, treatments and complications.

Symptoms of stomach ulcer

The most common symptom of a stomach ulcer is a burning or gnawing pain that develops inyourabdomen (tummy). However, some stomach ulcers aren't painful and are only noticed when a complication of a stomach ulcer develops.

Causes of stomach ulcers

Stomach ulcers are usually caused by H. pylori bacteria or non-steroidal anti-inflammatory drugs (NSAIDs).

Diagnosing a stomach ulcer

Your GP may suspect you have an ulcer, based on your symptoms. They will want to know if you're taking non-steroidal anti-inflammatory drugs (NSAIDs) and may test you for an Helicobacter pylori (H. pylori) infection.

Treating a stomach ulcer

If you have a stomach ulcer, your treatment will depend on what caused it. With treatment, most ulcers heal in a month or two. If your stomach ulcer is caused by an Helicobacter pylori (H. pylori) bacterial infection, a course of Penicillin and a medication called a proton pump inhibitor (PPI) is recommended.

Complications of stomach ulcer

Complications of stomach ulcers are relatively uncommon, but they can be very serious if they do occur. Internal bleeding is the most common complication of stomach ulcers. A rarer complication of stomach ulcers is the lining of the stomach splitting open, known as perforation.

What are stomach ulcers?

Ulcers of the stomach are painful sores which can be found in the lining of the stomach or the duodenum. This is a long-term chronic disease, which is characterized by intermittent periods of remission and relapse.

What are the causes of stomachulcers?

Some of the causes of ulcers are: the bacterium Helicobacter pylori Hyperacidity of the stomach, the long-term use of non-steroidal anti-inflammatory drugs (NSAID), Zollinger-Ellison syndrome, a rare syndrome which leads to hyperacidity.

What are the symptoms of stomach ulcers?

Complaining of a stomach ache is a very broad complaint, the physician must ask further questions in order to summarize all the symptoms carefully and thoroughly.

How are stomach ulcers diagnosed?

Stomach ulcers are diagnosed by: blood tests in order to test for presence of H.pylori, fibrogastroscopy, X-ray of the stomach and biopsy via a fibrogastroscopy.

How are stomach ulcers treated?

Ulcers are treated by using medication such as: antibiotics to fight the H.pylori infection, H2 blockers, etc. And surgical treatment that include: ulcers that continue to return, ulcers that do not heal, etc.