What is a stomach ulcer?

Written by Li Xue Qing
Gastroenterology
Updated on September 28, 2024
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Peptic ulcer is caused by long-term Helicobacter pylori infection and the consumption of stomach-irritating medications such as corticosteroids, aspirin, and long-term use of non-steroidal anti-inflammatory drugs, as well as irregular intake of spicy, stimulating, and cold foods, coupled with long-term emergency mental factors, leading to postprandial pain. The main symptoms are periodic rhythmic upper abdominal pain, which may be accompanied by nausea, vomiting, and acid reflux. Diagnosis can be made by performing a gastroscopy. Treatment mainly involves the eradication of Helicobacter pylori and protective stomach treatments among other symptomatic treatments. Complications may include upper gastrointestinal bleeding, perforation, pyloric obstruction, and malignant transformation. Dietary recommendations include avoiding smoking, alcohol, strong tea, coffee, indigestible foods, and some stimulating condiments.

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Written by Li Xue Qing
Gastroenterology
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What foods to eat for gastric ulcers?

People with stomach ulcers should eat foods that are easy to digest and high in protein and vitamins, such as soft rice, porridge, and noodles. Foods rich in protein include fish, milk, and walnuts. Foods high in vitamins include tomatoes, carrots, bean sprouts, and spinach. Patients with stomach ulcers should avoid spicy and stimulating foods such as chili peppers, garlic, leeks, and ginger, as well as seasonings like cinnamon, star anise, and Sichuan pepper. They should also avoid overly acidic foods, raw and cold foods, fried foods, and foods that are high in rough fiber.

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Written by Wang Hui Jie
Gastroenterology
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Medications for treating gastric ulcers

Here I will introduce several major types of medications for treating gastric ulcers, but specific medication use should be consulted with a doctor or pharmacist according to individual conditions. The first major type is anti-gastric acid medications. Since gastric acid plays a significant role in ulcerative lesions, it is considered appropriate to treat gastric ulcers by adjusting the stomach environment to a pH of 3.5. Anti-acid medications include antacids, H2 receptor antagonists, proton pump inhibitors, and others. The second major type is gastric mucosal protectants, which include some class B drugs, prostaglandin derivatives, and some containing sucralfate. The third major type is medications that treat Helicobacter pylori, with quadruple therapy currently being a common practice. Note: Medications should be used under the guidance of a doctor.

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Written by Zhu Dan Hua
Gastroenterology
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How is a gastric ulcer diagnosed?

Gastric ulcers can generally be diagnosed through gastroscopy. They are commonly found in middle-aged and elderly patients, particularly those between the ages of 30-40. Some patients present with abdominal pain, bloating, and general discomfort, while a small number of patients might not experience abdominal pain but present with gastrointestinal bleeding, indicated by black stools or blood in stool. Therefore, if abdominal pain is suspected, it is generally recommended that patients undergo routine blood tests and gastroscopy, among other examinations. The abdominal pain from gastric ulcers usually manifests as upper abdominal pain, occurring in episodic attacks, with chronic and recurrent episodes and a long history of illness. Symptoms typically worsen after eating but may gradually alleviate on their own. Of course, taking some stomach-protecting medication can help manage the condition. A small portion of patients may also experience nausea and belching, which are nonspecific gastrointestinal symptoms. If gastric ulcers are suspected, further screening for Helicobacter pylori is usually conducted. (The use of medication should be under the guidance of a professional doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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What causes bleeding from gastric ulcers?

Gastric ulcers can cause damage to the gastric mucosa, and if the ulcer further affects the blood vessels, it can lead to rupture of the vessels and cause bleeding. Therefore, gastric ulcers should be treated actively. If the amount of bleeding is substantial, it is advisable to opt for endoscopic hemostasis or use hemostatic medications, while also treating the ulcer fundamentally. If the ulcer is large, a major part of the stomach may be removed surgically. Post-operative care is crucial, including maintaining a balanced diet; the diet should consist mainly of soft, easily digestible foods, with an emphasis on consuming more vegetables and fruits, and avoiding spicy and cold foods.

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Written by Ren Zheng Xin
Gastroenterology
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Does gastric ulcer require hospitalization?

Whether a stomach ulcer requires hospitalization depends on the condition. For minor ulcers, if the pain is mild and there are no significant symptoms of vomiting or nausea, treatment can be managed with medication, such as drugs that inhibit stomach acid secretion and protect the gastric mucosa. It is also important to regulate diet, eat soft foods, avoid cold, spicy foods, and alcohol, as symptoms can gradually ease. If the ulcer is larger and exhibits perforation or bleeding, hospital treatment is necessary, usually involving a significant portion of the stomach being surgically removed to completely cure the ulcer. (Medication should be taken under the guidance of a doctor.)