Duodenal ulcers, which form in the upper small intestine. The symptoms of gastric ulcers and duodenal ulcers are similar, except for when pain occurs.
Pain from a gastric ulcer often occurs when food is still in the stomach, shortly after eating. Pain from a duodenal ulcer often occurs when the stomach is empty, several hours after eating, and may improve after eating. Pain also may wake you in the middle of the night. Credits Current as of: April 15, Top of the page Next Section: Related Information. Previous Section: Related Information Top of the page. They made this recommendation because unacceptable levels of NDMA, a probable carcinogen or cancer-causing chemical , were present in some ranitidine products.
People taking prescription ranitidine should talk with their doctor about safe alternative options before stopping the drug. People taking OTC ranitidine should stop taking the drug and talk with their healthcare provider about alternative options. Gastric and duodenal ulcers are types of peptic ulcer. The main distinction is that they affect different parts of the digestive tract. A person could have both at the same time. Some causes of peptic ulcers include an excess of stomach acid, bacterial infection, and certain medications.
In this article, we look at what gastric and duodenal ulcers are and how a doctor diagnoses them. We also explore their causes and treatments, along with associated symptoms and risk factors.
Gastric and duodenal ulcers are peptic ulcers , which are open sores in the lining of the digestive tract. Duodenal ulcers develop in the lining of the duodenum, which is the upper part of the small intestine. Many people with peptic ulcers rely on medical treatment to relieve their symptoms. Peptic ulcers sometimes heal on their own, but they can recur if a person does not receive treatment. Symptoms of gastric and duodenal ulcers are generally similar.
The most common complaint is a burning pain in the stomach. This pain tends to respond well to medications or foods that reduce stomach acid, but as the effects of these wear off, the pain usually returns.
Abdominal pain from a duodenal ulcer may be worse when the stomach is empty, for example, between meals, at night, or first thing in the morning. Some people with these ulcers develop intolerances for specific foods. These foods may make a person feel sick, or they may make ulcer-related symptoms worse. Some people with peptic ulcers have no symptoms. A doctor may only discover the ulcer when checking for a different digestive disorder. Anyone with symptoms of peptic ulcers should see a doctor.
Symptoms alone cannot be used to distinguish a gastric ulcer from a duodenal ulcer. Tests such as an endoscopy or an upper gastrointestinal UGI series may need to be used to find out the location of an ulcer. Gastric ulcers often heal more slowly than duodenal ulcers. A gastric ulcer that does not respond to treatment could be cancer. Your doctor will most likely recommend a biopsy of a gastric ulcer before beginning treatment. The biopsy will make sure there is no cancer hiding in the ulcer.
Author: Healthwise Staff. Medical Review: E. If your ulcers formed as a result of prolonged use of painkillers or medication, your doctor may prescribe medication that reduces your stomach acid or protectively coats your stomach to prevent acid damage. Arterial ischemic ulcers are open sores that primarily develop on the outer side of your ankle , feet, toes, and heels. Arterial ulcers develop from damage to the arteries due to lack of blood flow to tissue.
These forms of ulcers can take months to heal and require proper treatment to prevent infection and further complications. Treatment for arterial ulcers depends on the underlying cause. Primary treatment includes restoring blood circulation to the affected area. While antibiotics may help reduce symptoms, your doctor may recommend surgery to increase blood flow to your tissues and organs. In more severe circumstances, your doctor may recommend amputation.
Venous ulcers — the most common type of leg ulcers — are open wounds often forming on your leg, below your knee and on the inner area of your ankle. They typically develop from damage to your veins caused by insufficient blood flow back to your heart. Other cases of this condition can be very painful. Venous ulcers can take months to fully heal. In rare cases, they may never heal. Treatment focuses on improving flow to the affected area. Alongside medication, your doctor may recommend surgery or compression therapy to increase blood flow.
Mouth ulcers are small sores or lesions that develop in your mouth or the base of your gums. Mouth ulcers are common and often go away within two weeks.
Minor mouth ulcers appear as small, round ulcers that leave no scarring.
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