The manifestations of duodenal ulcer.

Written by Si Li Li
Gastroenterology
Updated on October 19, 2024
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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.

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Written by Si Li Li
Gastroenterology
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Differentiation between Duodenal Ulcer and Gastric Ulcer

Duodenal ulcers and gastric ulcers primarily differ in their locations: duodenal ulcers occur in the mucosa of the duodenum, whereas gastric ulcers are found in the gastric mucosa. Secondly, the characteristics of upper abdominal pain differ between the two. Pain from duodenal ulcers typically worsens when hungry and lessens after eating, whereas with gastric ulcers, pain intensifies after eating and decreases when hungry. Thirdly, the prognosis differs; gastric ulcers have a certain potential for malignant transformation, and some large ulcers may already be gastric cancer, while duodenal ulcers rarely develop into malignant tumors. It is advisable to undergo active treatment after a clear diagnosis.

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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 Wu Hai Wu
Gastroenterology
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How large does a duodenal ulcer have to be to be considered severe?

There is no specific size to determine the severity of a duodenal ulcer. However, ulcers with a diameter greater than 1.5 cm are generally considered large. In such cases, strong acid-suppressing medications are needed for treatment, along with drugs to protect the gastric mucosa. Additionally, it is necessary to test for Helicobacter pylori infection. If the infection is positive, a bismuth-containing quadruple therapy should be used for two weeks to eradicate Helicobacter pylori. The choice of specific medications, as well as their dosages and administration, should be under the guidance of a doctor.

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Written by Huang Gang
Gastroenterology
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Symptoms of duodenal ulcer

What are the symptoms of duodenal ulcers? Generally, the most obvious symptom of a duodenal ulcer is pain on an empty stomach, which often occurs at midnight or early morning, causing one to wake up from sleep in pain. This is a relatively clear symptom. When this symptom occurs, it is best to go to the hospital for a gastroscope examination as soon as possible. After a clear diagnosis, medication should be taken regularly and according to the treatment course for a cure. Generally, taking medications that inhibit gastric acid secretion and protect the intestinal mucosa, and medications for gastric mucosa, can be quite effective. It is also necessary to test for Helicobacter pylori, and if there is a concurrent infection, antibacterial treatment should be carried out.

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Written by Wang Li Wei
Gastroenterology
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How to examine the duodenum?

For some diseases of the duodenum, such as inflammation, ulcers, polyps, and tumors of the duodenum, the main examination method is gastroscopy. Gastroscopy can clearly and accurately identify the nature and location of the specific lesions. Additionally, by taking biopsies for pathology, it can specifically determine the benign or malignant nature of the disease, which is very helpful for subsequent treatment plans.