How do you assess a duodenal ulcer?

Your doctor will use information from your medical history, a physical exam, and tests to diagnose an ulcer and its cause. The presence of an ulcer can only be determined by looking directly at the stomach with endoscopy or an X-ray test.

Which condition is associated with duodenal ulcers?

Peptic ulcer disease (PUD) is a break in the inner lining of the stomach, the first part of the small intestine, or sometimes the lower esophagus. An ulcer in the stomach is called a gastric ulcer, while one in the first part of the intestines is a duodenal ulcer.

Which bacteria causes duodenal ulcer?

Helicobacter pylori(H. pylori) is a type of bacteria. These germs can enter your body and live in your digestive tract. After many years, they can cause sores, called ulcers, in the lining of your stomach or the upper part of your small intestine.

What is the best treatment for duodenal ulcer?

Medicines to treat ulcers may include:

  • Antibiotics. These bacteria-fighting medicines are used to kill the H.
  • H2-blockers (histamine receptor blockers). These reduce the amount of acid your stomach makes by blocking the hormone histamine.
  • Proton pump inhibitors or PPIs.
  • Mucosal protective agents.
  • Antacids.

What are the typical complaints of patients with duodenal ulcer disease?

[7] The pain associated with duodenal ulcers improves after meals, while the pain associated with gastric ulcers generally intensifies after meals. Other common signs and symptoms include epigastric abdominal pain, bloating, nausea and vomiting, and weight gain due to improved symptoms post meals.

Are there perforations in the duodenal ulcers?

Duodenal ulcer perforations are a common surgical emergency, but literature is silent on the exact definition, incidence, management and complications of large perforations of duodenal ulcers.

What kind of pain does a duodenal ulcer cause?

Character of duodenal ulcer pain is burning pain. The stomach or gastric ulcer pain is at peak when stomach is empty and there is no food content in stomach. The reason gastric acid pain is severe during empty stomach is because of highest acid content of the gastric juice.

Can a duodenal ulcer block the small intestine?

Ulcers that are found where the duodenum joins the stomach can cause swelling and scarring. This can narrow or even block the opening to the duodenum. Food can’t leave your stomach and go into your small intestine.

How does a gastroenterologist check for a duodenal ulcer?

Gastroenterologist observes the image of stomach and duodenal mucosa on TV screen, which is magnified several fold. Careful examination of entire mucosa of stomach and duodenum is performed to find the ulcer. Once the ulcer is located in duodenum the piece of border of ulcer is removed as a biopsy for lab study.