Characteristics of vomiting in duodenal ulcer

Written by Wu Hai Wu
Gastroenterology
Updated on September 09, 2024
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The main characteristic of vomiting due to duodenal ulcer is postprandial vomiting. Generally, patients with duodenal ulcers are prone to pyloric obstruction. When a large meal is consumed, pyloric obstruction may occur, preventing stomach contents from passing into the duodenum, leading to vomiting. Additionally, patients might also experience vomiting of acidic stomach contents while fasting. After vomiting, patients with duodenal ulcers can use acid-suppressing medications to alleviate gastric edema and medications like mosapride to promote gastric motility. (Medication should be used under the guidance of a physician.)

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Written by Jiang Guo Ming
Gastroenterology
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Can duodenal ulcers be cured?

Duodenal bulb ulcers are definitely treatable. Treatment is mainly through medication, with the specific approach depending on the presence of Helicobacter pylori infection. If there is no Helicobacter pylori infection, treatment primarily focuses on symptomatic relief using traditional medicines such as proton pump inhibitors, like omeprazole and lansoprazole. If Helicobacter pylori infection is present, antibacterial treatment is generally needed, using either triple or quadruple antibiotic therapy; triple therapy consists of a proton pump inhibitor plus two antibiotics, and adding bismuth forms quadruple therapy. One treatment cycle lasts two weeks, and after completing medication, Helicobacter pylori can be rechecked in one month. Additionally, it's important to maintain good dietary and living habits. If recurrent duodenal bulb ulcers cause bleeding at night, surgical treatment can typically be considered.

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Written by Si Li Li
Gastroenterology
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What are the symptoms of duodenal ulcers?

The main symptoms of duodenal ulcers include upper abdominal bloating, burping, acid reflux, nausea, vomiting, poor appetite, and indigestion. The characteristic of the upper abdominal pain associated with duodenal ulcers is that the pain intensifies when hungry and decreases after eating. In terms of treatment, the main approach includes acid suppression to protect the stomach, promoting gastric motility, and protecting the gastric mucosa, with the treatment course lasting about six weeks. Additionally, a Carbon-14 breath test is necessary to determine the presence of Helicobacter pylori infection, as Helicobacter pylori has been confirmed as the most important cause of peptic ulcers. If the Helicobacter pylori infection is positive, a 14-day treatment targeting Helicobacter pylori is required, using a regimen of a proton pump inhibitor, two antibiotics, and a bismuth agent.

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Written by Si Li Li
Gastroenterology
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What is the best treatment for duodenal ulcers?

The main symptoms of duodenal ulcer include upper abdominal bloating, belching, acid reflux, nausea, vomiting, heartburn, poor appetite, and indigestion. A duodenal ulcer can be diagnosed through a gastroscopy, which reveals the presence of an ulcer in the duodenum. The primary cause of duodenal ulcers is infection by Helicobacter pylori, hence a Carbon-14 breath test is recommended to confirm the presence of H. pylori infection. Roughly 90%-100% of patients with duodenal ulcers are infected with H. pylori. Another common cause is the digestion of the stomach itself by stomach acid and pepsin. Treatment primarily involves eradicating H. pylori, suppressing acid, protecting the stomach, enhancing gastric motility, and protecting the gastric mucosa, with the treatment duration being about six weeks.

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Written by Jiang Guo Ming
Gastroenterology
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Symptoms and Treatment of Duodenal Ulcer

Duodenal bulb ulcers often manifest as hunger-like pain in the upper abdomen, which relieves after eating, accompanied by nocturnal pain. Symptoms also include acid reflux, heartburn, nausea, etc. If there is bleeding, symptoms may include black stools and vomiting blood. Treatment depends on whether there is a Helicobacter pylori infection. If there is a Helicobacter pylori infection, antibacterial treatment is required, commonly using a triple or quadruple antibiotic therapy for two weeks. If there is no Helicobacter pylori infection, symptomatic treatment is sufficient, generally using proton pump inhibitors and gastroprotective medications such as bismuth agents. Additionally, it is important to develop good dietary and lifestyle habits to prevent recurrence.

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Written by Si Li Li
Gastroenterology
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The manifestations of duodenal ulcer.

Duodenal ulcers can cause symptoms such as upper abdominal pain, belching, acid reflux, nausea, vomiting, heartburn, poor appetite, and indigestion. The characteristic of upper abdominal pain in duodenal ulcers typically lessens after eating and worsens when hungry. A gastroscope can reveal defects in the duodenal mucosa, confirming a diagnosis of duodenal ulcer. About 90%-100% of patients with duodenal ulcers are infected with Helicobacter pylori, therefore, a Carbon-14 breath test is recommended to determine the presence of Helicobacter pylori infection. If the infection is positive, a 14-day eradication treatment for Helicobacter pylori is required, involving a proton pump inhibitor, two types of antibiotics, and a bismuth agent. Additionally, treatment for duodenal ulcers includes acid suppression, gastric protection, enhancing gastric motility, and protecting the gastric mucosa. The treatment typically lasts about six weeks.