Symptoms of gastric ulcer, early treatment

The symptoms of gastric ulcer are more obvious after meals, including stomach pain, nausea, vomiting, acid reflux, diarrhea, and belching. Most gastric ulcers are chronic and have occurred for many years. If you have stomach discomfort, you should check and treat it in time.

1. Clinical characteristics

The clinical manifestations of gastric ulcer have three characteristics: ① Chronic process: from a few years to more than 10 years or longer; ② Periodicity: attacks and remissions often occur alternately during the course of the disease; ③ Rhythmicity: pain manifests as postprandial pain, which starts half an hour after a meal and disappears before the next meal, repeating over and over again. The symptoms of gastric ulcer are mainly abdominal pain, with or without vomiting, nausea, acid reflux, belching and other symptoms, but many patients also have various complications of gastric ulcer such as perforation, bleeding, and pyloric obstruction as the first symptoms.

2. Clinical symptoms and signs

(1) Dull pain and discomfort in the upper abdomen: The pain of gastric ulcer is a visceral pain with unclear location on the surface of the body. The pain is usually not severe and can be tolerated. It manifests as burning pain, dull pain and discomfort. It has rhythmicity during the active phase and manifests as pain after meals. As the pathology develops, it has cyclical and seasonal characteristics. Ulcers near the cardia may also manifest as a burning sensation behind the sternum and pain in the left chest. When the ulcer penetrates, the pain becomes more severe and radiates to the back or causes back pain. There are also symptoms such as night pain. When the nature and rhythm of the pain change, one should be alert to the possibility of malignancy.

(2) Nausea and vomiting: Vomiting without pyloric obstruction usually indicates that the ulcer is in the active stage. Intermittent and frequent vomiting usually indicates pyloric obstruction.

(3) Acid reflux, belching, and diarrhea: Acid reflux also indicates that the ulcer may be in an active stage.

(4) Bleeding and perforation: Bleeding and perforation have their own special clinical manifestations.

(5) Physical signs: There are generally no positive physical signs during the remission period, and only mild tenderness in the upper abdomen during the active period. However, attention should be paid to rectal examination and examination of lymph node enlargement to distinguish it from gastric cancer.