What position should be taken for duodenal ulcer hematemesis?

Written by Wu Hai Wu
Gastroenterology
Updated on September 21, 2024
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Patients with duodenal ulcers, if vomiting blood occurs, are advised to slightly elevate their lower limbs, position their heads lower, and lie on their side. Because when patients with duodenal ulcers vomit blood, it indicates a relatively large amount of bleeding. Elevating the lower limbs slightly can effectively promote the return of blood from the lower limbs, ensuring the blood supply to vital organs, and lying on the side helps prevent the possibility of choking following vomiting. Once vomiting blood due to a duodenal ulcer occurs, an urgent gastroscopy is required, and hemostatic treatment should be carried out under gastroscopy.

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Written by Jiang Guo Ming
Gastroenterology
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Where does a duodenal ulcer hurt?

Firstly, the common sites for duodenal ulcers are the anterior and posterior walls posterior to the bulb, as well as the area behind the duodenal bulb itself. The pain symptoms typically show a pattern. For example, the pain occurs in recurrent, cyclical episodes related to eating, manifesting as sporadic abdominal pain about 2cm above the right side of the belly button, more pronounced on an empty stomach, and alleviating after meals. Sometimes, there is also pain during the night. If the ulcer is located behind the duodenal bulb, it often causes back pain. The main cause is usually an infection with Helicobacter pylori, and eradication therapy can generally cure the condition.

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Written by Wu Hai Wu
Gastroenterology
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Color of vomit from duodenal ulcer

The color of vomit from a duodenal ulcer may appear as a coffee-colored liquid or green. If the stomach contents expelled include bile, the vomit may appear green. If the vomitus contains blood, the combination of blood and stomach acid may result in a coffee-colored liquid. Therefore, a detailed analysis is necessary. Once a patient with a duodenal ulcer experiences vomiting, it is important to promptly complete an endoscopic examination. Treatment should be based on the results of the endoscopy.

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Written by Wang Hui Jie
Gastroenterology
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The difference between gastric ulcers and duodenal ulcers.

The differences between gastric ulcers and duodenal ulcers, in terms of symptoms, include that gastric ulcers often manifest as burning pain, or dull pain, distention pain, etc., usually postprandial pain, occasionally with nighttime pain. If it occurs at the pyloric canal, it lacks typical symptoms, with intense pain likely occurring after eating, and poor drug efficacy, prone to vomiting and pyloric obstruction, perforation, and bleeding. Gastric ulcers have a minor possibility of becoming cancerous. Duodenal ulcer pain is mostly located in the upper abdomen, characterized by hunger pain and midnight pain. Abdominal pain generally eases after eating or taking some antacid medications. For ulcers occurring behind the bulb, nighttime pain and a radiating pain in the back are more common. However, the effectiveness of medication is relatively poor, and it is prone to bleeding. Duodenal ulcers are more likely to lead to perforation and pyloric obstruction, but generally do not become cancerous.

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Written by Si Li Li
Gastroenterology
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Can you eat sunflower seeds with a duodenal ulcer?

Duodenal ulcer, its main symptoms include stomach pain, bloating, belching, acid reflux, nausea, vomiting, poor appetite, heartburn, and indigestion, among others. By undergoing gastroscopy, if defects are observed in the duodenal mucosa, a diagnosis of duodenal ulcer can be made. The treatment focuses on acid suppression, gastric protection, enhancing gastric motility, and protecting the gastric mucosa. Dietary considerations are crucial. Firstly, it is essential to quit smoking and alcohol. Avoid strong tea, coffee, fatty, greasy, spicy, fried, barbecued, cold foods, and sweets. Consumption of seeds such as sunflower seeds, which are high in fats, is also not recommended. These can increase gastric acid secretion and potentially worsen duodenal ulcers, hence they should be avoided.

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Written by Wang Hui Jie
Gastroenterology
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The difference between duodenitis and duodenal ulcer

The difference between duodenitis and duodenal ulcer is as follows: A diagnosis of duodenitis under endoscopy indicates inflammation in the duodenal bulb or descending part, featuring patchy congestion or spotted, erosive conditions identified during the endoscopic procedure, which lead to the diagnosis of duodenitis. If isolated or multiple ulcerative lesions are found in a certain area, it is diagnosed as a duodenal ulcer. Benign ulcers typically have clear boundaries, with surfaces covered with white moss or blood scabs, and the surrounding area may exhibit redness, concentrated mucosa, among other characteristics. Depending on these different presentations, there are different stages of the disease. Both duodenitis and duodenal ulcers are considered benign lesions.