Gastric ulcer common symptoms

Common symptoms
Upper abdominal pain, located in the xiphoid (solar plexus), the middle upper abdomen or around the sex was burning, gnawing or hunger, dull pain, tenderness or pain. But sometimes limited to the lower chest. After the pain will last half an hour to three hours. When sent waves of pain elimination, after the last few weeks of intermittent pain occurs after a short period of pain-free period. The diet-related pain, often due to hunger, taking medication, induced by acidic food or drink. Pain can be due to eating, drinking, taking basic food and relief. Other possible symptoms are heartburn, vomiting acidic water, belching, appetite loss, weight loss, anemia, occasional vomiting, the pain will ease after vomiting, black or tarry stools ...
Other symptoms
(A) upper abdominal pain, chronic, cyclical rhythm of abdominal pain is typical of the main symptoms of peptic ulcer. The mechanism of pain with the following factors:
① ulcers and inflammation of surrounding tissue lesions may improve the local sensitivity of visceral receptors, so that lower pain threshold; ② locally increased muscle tone or spasm; ③ stimulation of gastric acid on ulcers. Ulcer pain is characterized by: ① chronic, except for a few patients early after the onset of medical treatment, the majority of the course has been for several years, ten years or more. ② cyclical: Except for a few (about 10-15%) patients no recurrence after the first attack, most of the recurrent course of disease onset and remission appears alternately on each other. Reflects the activity of acute ulcer gradually healed with scarring of the ulcer during the repeated cycles. Attack of up to several weeks or even months, remission can be up to several months or years. Seizure frequency and duration of attack and remission, and because of individual differences in patients with ulcer treatment development and efficacy of the measures and consolidation varies. Attack may be related to the following incentives: season (autumn or winter onset is not the most, followed by the spring), nervousness, mood swings, diet and disease do not transfer or use drugs-related, a few can also be no obvious incentive. ③ rhythm: ulcer pain and acid stimuli in clinical pain and dietary laws among the typical rhythm. Ulcer pain more than half an hour after a meal there, for 1-2 hours, gradually disappeared, until the next meal and repeat the above rules. Duodenal ulcer pain occurred more than 2-3 hours after meal, continuing until the next meal, eat or take antacids after complete remission. Abdominal pain, usually in the lunch or dinner and evening before going to bed or before the middle of the night there, empty abdominal pain at night. Management Office located at pyloric ulcer or duodenal ulcer side by side, his duodenal ulcer pain with the same rhythm. When the pain rhythm changes, increasing development of the disease should be considered, or complications. ④ of the pain: pain, ulcers were located in the midline xiphoid or the left, middle or partial duodenal ulcer in the right upper abdomen. Generally more limited range of pain, local tenderness. Visceral pain location ambiguity, can not determine the ulcer pain location. If the ulcer is deep, penetrating ulcers, or serosa, the pain a bit different because through the Department of elution, respectively to the chest, left upper quadrant, right upper abdomen or back. ⑤ the nature and extent of pain: ulcer pain varies, depending on the nature of the pain threshold of patients and individual differences may be. Can be described as hunger-like discomfort, dull pain, belching, feeling of constriction, burning or tingling pain, and so on. (B) Other: gastrointestinal symptoms and general symptoms of belching, acid regurgitation, retrosternal burning sensation, salivation, nausea, vomiting, constipation can occur alone or with pain. Acid reflux and chest burning sensation is due to cardiac relaxation, salivation (pan of water) is the vagus nerve increased the performance, nausea, vomiting, ulcers and more reflect the high level of activity. Frequent vomiting Sushi, suggesting that pyloric obstruction. Constipation were more common with colonic function disorder. Some patients have insomnia, sweating and other symptoms of autonomic dysfunction. The disease can have on the activities of abdominal tenderness, no obvious signs of remission. Signs of gastric ulcers in remission and more obvious, Attack of the absence of complications, can only area in the upper abdominal pain with tender points, are relatively light. Posterior penetrating ulcer in the back on both sides often 11 to 12 thoracic tenderness. Complications of peptic ulcer according to their different number of different symptoms can occur: ① hemorrhage: stomach ulcers are a common cause of upper gastrointestinal bleeding one. Bleeding ulcer because blood vessels are the erosion caused by rupture. Capillary damage, only in the stool examination and found occult blood; larger vessels are damaged, there melena, hematemesis. The symptoms usually increase bleeding, bleeding after upper abdominal pain reduced or disappeared. ② perforation: deep ulcers can be acute serosal gastric perforation, the contents spilled into the abdominal cavity, leading to acute diffuse peritonitis. Expressed as a sudden upper abdominal pain, nausea, vomiting, abdominal board was like, there was tenderness and rebound tenderness, liver dullness and bowel sounds disappear, abdominal perspective see free gas below the diaphragm, some patients showed a shock state. ③ pyloric obstruction: Helicobacter pyloric sphincter spasm can cause ulcers and ulcer surrounding tissue edema, impeding the smooth passage pylorus, causing a temporary pyloric obstruction. After ulcer healing, scar formation or the surrounding tissue due to adhesions caused by persistent organic pyloric stenosis. Showed prolonged gastric emptying, abdominal pain, fullness discomfort, postprandial increase, often accompanied by gastric peristaltic waves, peristaltic sound, shock the water sound; late peristaltic wave, but no visible expansion of the gastric type profile, are often a lot of vomiting, After vomiting to reduce or alleviate the symptoms, often Gesu vomit food, Pickle smell.