Today we’ll talk about the varieties of ulcer pain and how to deal with it. We begin our article with a small amount of statistical information: YABJ and YAB 12PK are very common diseases, the percentage is 10% of the total population of the planet.
A characteristic feature of peptic ulcer is pain, which can be severely or mild, typical and not typical, can be accompanied by heartburn or vomiting.
Immediately, we note that these diseases belong to the group of chronic ones, since exacerbations (relapses) periodically occur against the background of gastritis. What causes peptic ulcer? Of course, due to a malfunction in the balance of the aggressive and protective mechanisms of the mucous membrane of the stomach and intestines. We suggest immediately highlighting these factors. Aggressive - hydrochloric acid, digestive enzymes and bile acids; protective - mucus secretion, cell renewal, mucosal blood supply.
Do not try to cope with the disease yourself. Be sure to consult a doctor. Only a competent specialist will help establish a diagnosis and prescribe appropriate therapy. For the purpose of diagnosis, the gastroscopy (EGDS) procedure is used, of course it is very unpleasant, but completely painless and lasts no more than five minutes. This refers to the introduction of a special tube with an endoscope into the stomach. Endoscopic endoscopy is simply necessary, since the doctor can accurately recognize the disease and, if necessary, conduct a biopsy.
Rarely, but still prescribed additional ultrasound and radiography of the stomach.
Causes of pain
Many factors can be provocateurs of a pain syndrome at a peptic ulcer. Now we list only a few of them:
- irregularity of nutrition (with prolonged intervals between meals, the mucous membrane is irritated by gastric juice, which causes pain);
- stress;
- smoking;
- non-compliance with the diet (if you eat fatty, smoked, salty, pickled and the like, then the likelihood of exacerbation of the disease and the occurrence of pain is high);
- insomnia;
- physical or psycho-emotional overstrain;
- bacterial activity;
- the use of vinegar in the preparation of dishes;
- coffee;
- the use of alcohol;
- pathologies that can cause ischemia of the gastric mucosa and so on.
Thus, we can conclude: the pain occurs as a result of irritation of the nerve endings in the area of the ulcer. Particularly noteworthy are the pains of trophic ulcers arising from circulatory disorders. In general, a trophic ulcer must be urgently treated, since it can cause the formation of a malignant tumor. The causes of the formation of such an ulcer can be disorders of the vascular system, metabolic, blood or neurological.
Localization
In which area does it hurt with peptic ulcer? A typical pain syndrome is observed in the epigastric region. They have the nature of seizures, intensifying after eating, especially with regard to the time of exacerbation of the disease. Depending on the specific location of the ulcer, the pain will change location. The pain can be localized in different areas. For instance:
- To begin, consider pain with a duodenal ulcer. In this case, the pain symptom will be localized in the upper right part of the peritoneum. As a rule, it has the nature of attacks that are quite intense, at the same time, and can be repeated several times a day. However, there have been cases when the pain is increasing in nature and quite long.
- If the ulcer is located right in the center of the stomach, then the pain symptom is felt in the epigastrium, sometimes on the left side of the abdomen.
- The located ulcer in the upper stomach makes itself felt with pains in the form of burning and pressure behind the sternal process. It is worth paying attention to the fact that they are often confused with the symptoms of an angina attack, a characteristic feature of which is pain in the region of the left shoulder blade, heart or arm. As a rule, symptoms appear after eating, but it is possible to notice them after intense physical exertion.
Do not self-diagnose and self-medicate. Diagnosing the problem at home only by the nature of the pain on your own will not work. In these cases, gastroenterological diagnosis is simply necessary, which can only be done by an experienced specialist.
Pain
As it has already become clear, the symptoms of peptic ulcer of any organ of the gastrointestinal tract are very similar. Thus, only an experienced specialist will help to accurately diagnose the problem, having done a lot of examinations. There are only a few distinctive signs in peptic ulcer of the duodenum and stomach, which can be detected after eating.
And so, how does a stomach ulcer hurt and how long after eating can it be detected? To begin with, the pain symptom will not manifest itself within an hour after eating, and the duration of the pain completely depends on the location of the lesion:
- cardiac department - 30 minutes;
- stomach - 1 hour;
- antrum - no more than 1.5 - 2 hours.
If you are dealing with pain with a duodenal ulcer, then you will feel its manifestations only 2 hours after eating.
Early type
This type of pain makes itself felt in the first minutes of eating. A distinctive feature is a gradual increase, anxiety for two hours, a slow decline. When food moves further along the intestines, all the unpleasant sensations immediately go away.
Such will be pain if the localization of the lesion falls on the stomach body. When placing it in the cardiac or fundal departments, you will begin to feel discomfort immediately at the time of eating.
Late type
The late type of ulcer pain that occurs several hours after eating is also distinguished. They increase with the transition of food to the duodenum. As it has already become clear, these pains are characteristic of the defeat of this particular organ.
Pay attention to the fact that people do not always feel any discomfort at the same time. However, many are afraid of the manifestation of a symptom of pathology and begin to eat as often as possible, which also badly affects the patient's condition.
Hunger
Pain with a duodenal ulcer can occur on an empty stomach. In this section, we briefly discuss the so-called "hunger pains."
As mentioned earlier, peptic ulcer occurs against the background of gastritis, which can form erosion on the gastrointestinal mucosa. If the latter are not treated, then the inflammatory process begins to progress, which leads to this ailment.
With pathology of the duodenum 12, painful sensations may occur on an empty stomach. These cramps can also be given to other areas of the body, such as the back or lower back. The character can also change, there is pain:
You can notice this symptom before the main meals or five hours after them. The reason for its occurrence is excessive secretion by the glands of hydrochloric acid secretion.
Recurrent pain
Pain with an ulcer can also be periodic in nature, characterized by a short duration. They are evidence of the development of exacerbation of peptic ulcer.
These pains pass independently, and they are associated with sharp spasms of the muscles of the stomach. If such pain persecutes you quite often, then you need to contact your doctor who will conduct a medical correction.
Night pains
This nature of pain is typical of a duodenal ulcer and belongs to the group of "hungry" hunger. It also appears on an empty stomach. Many ulcers have repeatedly noticed that they can wake up in the middle of the night with severe attacks. Pain in this case can have a different nature:
To relieve this symptom, a light snack or a glass of warm milk helps.
Acute attacks
What ulcer pains can still be? Sometimes there are cases of severe bouts of acute pain. In this case, you should definitely contact your doctor, as this may indicate the process of perforation of the ulcer. This incomprehensible combination of words refers to the formation of a through hole in the stomach.
The danger of this phenomenon is not worth talking about, the contents of the stomach provoke an inflammatory process and peritonitis. In this case, urgent hospitalization of the patient is necessary to provide emergency surgical care.
Other types of pain
We talked in great detail about how a stomach ulcer hurts, but we only looked at typical symptoms. Pay attention to the fact that painful attacks can have other atypical localization.
- The back and lower back can hurt when there is a violation of gastric motility. As a rule, these pains begin to bother the patient even before being diagnosed with peptic ulcer. Therefore, diagnosing a back pain problem may be incorrect. With the development of gastrointestinal disease, pain in the back and lower back region also intensifies.
- Pain in the head can occur immediately for several reasons. Migraine-like sensations worry those who take drugs against peptic ulcer. As a rule, these drugs have a side effect. A pulsating and painful sensation may also occur. Especially if the ulcer is accompanied by vomiting. Thus, there is a sharp influx of blood to the head vessels, and after vomiting, its outflow.
Also, we recall once again that the companion of peptic ulcer is abdominal pain, which can have a different nature and location. Pain can intensify for several reasons, including physical exertion. This can be explained by muscle tension, which causes spasm, the result is abdominal pain. In addition to drug treatment, pain will help to remove the embryo pose on the side. And with severe attacks, vomiting is possible, which contains gastric juice.
Asymptomatic course of the disease
Many people ask: does an ulcer hurt? Is an asymptomatic course of the disease possible? Now we will try to answer this question. This pathology may be asymptomatic in the initial stage of the formation of erosive formations.
As a rule, an advanced disease has a whole bunch of vivid symptomatic manifestations. In addition, whether the patient feels pain or not depends on several factors:
- pain threshold;
- regenerative ability rate.
Sometimes an ulcer develops latently and is detected only at a chronic stage. Many patients completely ignore pain, attributing them to poor nutrition. This is the wrong tactic! The manifestation of pain is evidence of ulceration of the gastrointestinal mucosa, with symptoms an examination is necessary.
We remove the attack
In this section, we’ll talk about how to relieve pain in an ulcer. Typically, the following drugs are prescribed to combat this symptom:
- No-shpa;
- Gastroceptin;
- "Phosphalugel";
- De Nol;
- "Dicalin" and so on.
That is, several groups of drugs (antispasmodics, anticholinergics, antacids and others) are involved at once.
In addition, to combat the problem, you must adhere to proper nutrition. With peptic ulcer, you can not eat foods that can irritate the mucous membrane. Meals should be at least six times a day, and one serving should not exceed one hundred and fifty grams.
Recovery period
There are a number of methods used for rehabilitation after a given disease. Among them:
- Exercise therapy;
- acupuncture;
- acupressure;
- balneotherapy;
- mud therapy;
- diet therapy;
- phytotherapy;
- physiotherapy.
The latter concept conceals a whole list of procedures, such as ultrasound, electrophoresis, laser therapy and so on. It is also recommended to carry out spa treatment, but not earlier than three months after the exacerbation.