How to correctly examine duodenal ulcer

For the common disease duodenal ulcer, everyone must know more about its symptoms and be able to diagnose it. Because its symptoms are similar to those of other gastrointestinal diseases, an accurate diagnosis is required for better treatment.

Self-diagnosis

Gastric ulcer According to statistics, more than 80% of gastric ulcers have upper abdominal pain.

①Localization: The pain is often limited to the center or left side of the xiphoid process.

② Slow onset: The ulcer is prone to relapse after healing. The course of the disease may last for several years or decades, sometimes as long as 30 to 50 years. However, a small number of patients only have symptoms for several days or weeks.

③ Rhythmic: The pain usually occurs 0.5 to 2 hours after a meal.

The pain recurs periodically and can last from several days to several months. The pattern of gastric ulcer pain is eating followed by pain and then relief. The nature of the pain is often dull pain, burning pain, dull pain, hunger pain, and severe pain; the pain is generally mild, and there are tender points in the painful area: it can be relieved by alkaline drugs. Other symptoms include belching, acid reflux, heartburn, etc. Different complications of gastric ulcer may cause different symptoms.

① Bleeding: Bleeding is one of the common complications of gastric ulcer. It is caused by erosion and rupture of blood vessels by ulcers. The symptoms vary with the size of the damaged blood vessels. For example, when capillaries are damaged, only occult blood is found in the stool; when larger blood vessels are damaged, black stools and vomiting blood may be seen; upper abdominal pain will be reduced or disappear after bleeding.

② Perforation: When the lesions of gastric ulcer reach deep into the serosal layer, acute diffuse peritonitis may occur, which is manifested as sudden severe upper abdominal pain, nausea, vomiting, board-like rigidity of the abdominal wall, obvious tenderness and rebound pain, and some patients are in a state of shock.

③ Pyloric obstruction: Pyloric ulcer can cause temporary pyloric obstruction; the healing of ulcer can cause persistent, organic pyloric stenosis. Its clinical manifestations are: upper abdominal pain, bloating and discomfort, which worsens after meals, often accompanied by peristaltic waves, peristaltic sounds, and gurgling sounds; in the later stage, large amounts of leftover food with a sour and smelly odor may be vomited; the above symptoms can be alleviated or relieved after vomiting.