The main difference between duodenal ulcers and gastric ulcers lies in the timing and nature of the pain. Treatment requires adjustments to medication, diet, and lifestyle based on the specific cause and symptoms. Duodenal ulcer pain often occurs on an empty stomach or at night and is relieved after eating; gastric ulcer pain usually occurs after meals and lasts longer. Both may be accompanied by symptoms such as nausea, vomiting, and indigestion, and medical attention is required in severe cases.
1. Pain timing: The pain of duodenal ulcers usually worsens on an empty stomach or at night and is relieved after eating, possibly due to excessive gastric acid secretion. The pain of gastric ulcers usually appears 30 minutes to 1 hour after meals and lasts for several hours, which is related to damage to the gastric mucosa.
2. Nature of pain: The pain of duodenal ulcers is mostly a burning or dull ache, located in the upper right abdomen. The pain of gastric ulcers is mostly a dull or distending ache, located in the upper left abdomen.
3. Accompanying symptoms: Both may be accompanied by nausea, vomiting, loss of appetite, indigestion, etc. If hematemesis, melena, or significant weight loss occurs, it indicates a serious condition and requires immediate medical attention.
4. Diagnostic methods: Endoscopic examination is the gold standard for diagnosis, as it can clearly determine the location, size, and nature of the ulcer. Helicobacter pylori testing may be performed if necessary to guide treatment.
5. Drug treatment: Commonly used drugs include proton pump inhibitors such as omeprazole, H2 receptor antagonists such as ranitidine, and gastric mucosal protectants such as sucralfate. If Helicobacter pylori infection is present, combined antibiotic treatment is required.
6. Dietary adjustments: Avoid spicy, greasy, excessively cold or hot foods. Eat smaller, more frequent meals to reduce the irritation of the gastric mucosa caused by gastric acid secretion. You can consume appropriate amounts of foods rich in protein and vitamins, such as eggs, milk, and fresh vegetables.
7. Lifestyle: Quit smoking and limit alcohol consumption, avoid staying up late, maintain a regular schedule, and reduce mental stress, all of which can help ulcers heal.
While the symptoms of duodenal ulcers and gastric ulcers differ, both require timely diagnosis and treatment to avoid complications. Most patients can effectively control their condition and improve their quality of life through medication, dietary adjustments, and lifestyle modifications. If symptoms persist or worsen, prompt medical attention and professional treatment are necessary.