Very often, the cause of gastrointestinal pain is the ulcerative process that occurs in them. An ulcer, the symptoms of which depend on the location of the defect, behaves differently in different sections of the digestive tube. Therefore, all the clinical manifestations that gastroenterologists can observe in their ulcer patients are very diverse and depend on the phase of the course that is currently taking place.
Nevertheless, the symptoms of peptic ulcer can be generalized in some way into syndromic complexes: pain, dyspeptic, local changes, asthenovegetative and a complex of complications.
Stomach ulcer
A gastric ulcer, the symptoms of which are pronounced, is localized in the walls of this organ. Her favorite place of defeat is the slight curvature. During an exacerbation, pain, which has a clear rhythm, becomes a characteristic symptom. It appears either immediately after a portion of food is ingested in the stomach, or some time after that. The greatest probability of the onset of a pain attack is brought by all sorts of errors in the use of food. If the pain becomes similar to herpes zoster, then most likely the ulcer, the symptoms of which in this case are even more pronounced, has grown in the pancreatic tissue. In addition to pain, patients have complaints of vomiting, a feeling of fullness, fullness, because all gastric contents are poorly evacuated from this organ. An obstacle to evacuation is such a complication as stenosis of the pylorus, or pylorus. Patients are often tormented by heartburn and belching rotten. With a strong delay in food, it can begin to decompose in the stomach itself, and then patients have an unpleasant, musty smell from the oral cavity. Many gastric defects are prone to rapid and progressive malignancy, i.e. their transition to the oncological process. Bleeding of erosion and ulcers is a very common occurrence in peptic ulcer disease.
Intestinal ulcer
Symptoms of an intestinal ulcer differ from the picture that occurs with gastric ulcers in that the pains appear more at night. They are also called "hungry." The defeat is more often found in the duodenum bulb, on its posterior wall. As a rule, such an ulcer, the symptoms of which are also seasonal in nature, never become malignant. Seasonality means that intestinal ulcers often worsen during the demi-season periods of the year. Vomiting that accompanies a duodenal defect has particular specificity. It occurs mainly at the height of the pain syndrome, bringing some relief to patients. During an exacerbation of the disease in patients, a disorder of the psycho-emotional sphere is pronounced. They are very vulnerable, short-tempered, irritated by trifles, tearful. Duodenum ulcers are very prone to complications in the form of germination in neighboring organs, perforation and profuse bleeding. With intestinal ulcers, heartburn often occurs due to an increased level of acidity. Belching in this case has a more sour aftertaste. Due to the high acidity of patients, constipation is often tormented.
A very effective way to diagnose all ulcerative defects is fibrogastroduodenoscopy. It helps to establish not only the location of the focus, but also to accurately know its size, depth, fully characterize the state of the mucosa. On the x-ray, which is carried out using barium suspension, a niche is visible, which is the ulcer itself. On the x-ray, you can also see a large, overstretched stomach with fluid level, when there is pyloric stenosis.
Treatment will depend on the stage of the process, as well as on the presence of complications.