Early symptoms of gastric ulcer

Written by Ren Zheng Xin
Gastroenterology
Updated on November 05, 2024
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Gastric ulcers refer to ulcerative lesions on the gastric mucosa and are very common in gastroenterology. Typical symptoms include pain in the upper abdomen, often presenting as dull pain or a burning sensation in the early stages. Particularly after eating, pain in the upper abdomen occurs within an hour and gradually eases after two hours. As the condition progresses, complications such as gastric bleeding and gastric perforation may occur. Diagnosis can be confirmed clinically through a barium meal examination and gastroscopy. Currently, with the development of internal medicine drugs, most gastric ulcers can be treated with medication.

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Written by Jiang Guo Ming
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What should I do if there is bleeding from a gastric ulcer?

If there is only a small amount of bleeding in gastric ulcer bleeding, manifested as black stool without any other special discomfort symptoms, this condition can be treated with oral medication in an outpatient setting. The treatment plan is usually determined based on the presence or absence of Helicobacter pylori infection. For those with Helicobacter pylori infection, a quadruple therapy is generally used for eradication treatment. For those without the infection, proton pump inhibitors are the preferred choice, combined with medications that protect the gastric mucosa, and so on. If there is a significant amount of bleeding, with symptoms like vomiting blood, this situation requires timely hospital treatment, usually involving fasting and intravenous fluid therapy. If medical treatment is ineffective, a combined medical and surgical approach may be necessary. (The use of medications should be under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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How to care for gastric ulcer bleeding

Gastric ulcer bleeding is a relatively common complication. First, it is important to soothe the patient's emotions, encourage rest, reduce mental stress, and pay attention to significant bleeding, which can cause vomiting of blood. It is necessary to promptly clean the blood stains in the mouth to prevent aspiration, provide timely symptomatic treatment, and choose to use proton pump inhibitors combined with endoscopic hemostasis. Vascular intervention or surgery may be required when necessary. Dietary management should be strengthened, with regular meals, consumption of soft, easily digestible food, and avoidance of hard, cold foods. It is crucial to strictly abstain from smoking and alcohol, and to consume less strong tea, coffee, etc., while actively treating any complications. (Please use medications under the guidance of a doctor.)

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Written by Li Xue Qing
Gastroenterology
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Foods to avoid for gastric ulcers

Foods to avoid for gastric ulcers include spicy and stimulating foods such as chili peppers, garlic, onions, leeks, ginger, and alcoholic beverages. Seasonings like cinnamon, star anise, black pepper, and fennel should also be avoided. Acidic foods such as lemons, limes, and green apples are not recommended, as well as foods that can cause bloating like soybeans and peanuts. Additionally, cold foods such as ice water and frozen fruits, as well as fried and grilled foods like street food and barbecues, should be avoided. It is also advisable to limit intake of foods high in roughage, such as corn, buckwheat, and celery.

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Written by Zhu Dan Hua
Gastroenterology
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Gastric ulcer clinical symptoms

Gastric ulcers are a common clinical manifestation, with diverse symptoms. Typical symptoms include abdominal pain, bloating, nausea, vomiting, or early satiety. Typically, the abdominal pain is more noticeable after eating and presents as postprandial abdominal pain, but it can naturally subside after several hours. Of course, when accompanied by complications such as decreased appetite, nausea, and vomiting, it can manifest as vomiting blood or bloody stools, with the stools often being loose and black in color. Therefore, clinically, if you encounter situations like bleeding stools or vomiting blood accompanied by abdominal pain, ulcers should be considered, and it is recommended to seek timely treatment at a local hospital. If these conditions are relatively stable, they can be managed with medication.

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Written by Wang Hui Jie
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Symptoms of gastric ulcer

The clinical manifestations of stomach ulcers can vary from person to person. Some patients are asymptomatic and present to the clinic due to stomach bleeding or perforation. Generally, there are three main characteristics of peptic ulcers: First, they tend to be a chronic, recurrent condition. Second, they exhibit periodicity. Third, they have rhythmic manifestations. The primary symptom is periodic, rhythmic upper abdominal pain, often described as burning, dull, or bloating pain. This usually occurs in the upper abdomen, possibly on the left or right side, and typically manifests as post-meal pain. Nighttime pain is uncommon, and there may be localized tenderness. If the ulcer occurs in the pyloric canal, it may lack some of these typical symptoms. Post-meal intense pain is possible, and the effectiveness of medication is generally poor. This condition can easily lead to vomiting or pyloric obstruction and is also prone to perforation and bleeding. A minority of stomach ulcers may potentially become cancerous.