Overview of peptic ulcer

Common clinical manifestations of gastric ulcer on the abdomen, abdominal pain confined to, can be summarized as limitations, slow and rhythmic. Ulcer pain and more limitations or left in the middle of the sword; onset and more slowly, the course for years or decades, pain and more in the meal 1 / 2 to 2 hours attack the stomach for 1 to 2 hours row Air remission, the law is eating → pain → relief.

Clinical manifestations of gastric ulcer

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 (eg bread) and remission. 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.

Gastric ulcer was diagnosed

(1) chronic process, periodic attacks, often associated with seasonal changes, psychological factors, poor diet-related; or long-term use can cause ulcers and other drugs such as aspirin.

(2) upper abdominal pain, burning or dull pain, relieved by taking basic drugs. Under a typical gastric ulcer often left in the xiphoid, occur in the meal half an hour to 1 to 2 hours. Acid reflux pain often accompanied by belching.

(3) basis and the maximum amount of gastric acid secretion Determination of gastric acid secretion help diagnosis. The basis of the amount of gastric acid secretion is normal or slightly lower, but not for the free acid deficiency.

(4) ulcer activity of fecal occult blood positive.

(5) X-ray barium meal examination showed mucosal folds Kanying and concentrate the direct signs. Purely local tenderness, irritability and other indirect signs of deformation for reference only.

(6), endoscopy, may see a round or oval in the stomach, the bottom flat, neat edges of ulcers. According to ulcers can see, can be divided into: ① active: ulcers or brown fur is gray membrane covering, edge swelling, red color, smooth and soft. ② healing: moss film thinning, ulcers reduced epithelial regeneration can be seen around the flush; or ulcers almost disappeared, on which there is very little thin fur. ③ scar of: ulcers white fur has disappeared, bloodshot red scar; visible fold concentrated.

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