Swelling under left ribs

The most typical cause of a dull swelling below the left rib cage is gastric ulcer. Nowadays, people live at a fast pace, and many people have bad eating habits, which can easily lead to various gastrointestinal diseases. The occurrence of gastric ulcer is closely related to diet, medication, etc. In addition to pain in the ribs, other symptoms of gastric ulcer are also needed to make a judgment, so that you can figure out what is going on.

Clinical manifestations : Upper abdominal pain is the main symptom of this disease. It is mostly located in the upper abdomen, but may also appear in the left upper abdomen or behind the sternum or xiphoid process. It often presents as dull pain, bloating, or burning pain. The pain of gastric ulcer usually occurs within 1 hour after a meal, gradually eases after 1 to 2 hours, and the above rhythm returns after the next meal. Some patients may be asymptomatic, or may have complications such as bleeding and perforation as the first symptoms.

Treatment 1. Generally, medication is used according to the treatment principles of peptic ulcer. First, drugs that reduce damaging factors are used: such as antacids, anticholine drugs, H2 receptor antagonists, proglumide, synthetic agents of prostaglandin E2 and omeprazole, etc. At the same time, drugs that protect the gastric mucosa are given: such as sucralfate, bismuth, carbenoxolone (carbenoxolone), etc. Completely eradicate Hp. Because it is currently believed that Hp infection has a certain relationship with this disease, active treatment is required. 2. Upper gastrointestinal bleeding caused by gastric ulcer may manifest as vomiting blood or bloody stool. Go to the hospital immediately. The main hemostatic measures include: ① H2-receptor antagonists or proton pump inhibitors (PPIs) to increase and maintain gastric pH; ② endoscopic hemostasis; ③ surgical treatment; ④ interventional treatment.