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Is acute gastric ulcer serious? What are the consequences and symptoms?

2026-02-01 22:17:04 · · #1

Acute gastric ulcers require prompt treatment, otherwise they may lead to serious consequences such as bleeding and perforation. Common symptoms include upper abdominal pain, nausea, and vomiting. Treatment methods include medication, dietary adjustments, and surgical intervention when necessary.

1. The severity of acute gastric ulcers should not be underestimated. A gastric ulcer refers to damage to the gastric mucosa caused by the erosion of gastric mucosa by gastric acid and digestive enzymes. If acute gastric ulcers are not treated promptly, they may lead to serious complications such as gastric bleeding and gastric perforation, even endangering life. Gastric bleeding manifests as vomiting blood or black stools, while gastric perforation can lead to acute peritonitis, requiring emergency surgery.

2. Common symptoms of acute gastric ulcer include upper abdominal pain, usually described as a burning or dull ache, which worsens on an empty stomach. Patients may also experience nausea, vomiting, and loss of appetite. Some patients may also experience acid reflux, belching, and other signs of indigestion. If vomiting blood, black stools, or severe abdominal pain occurs, seek medical attention immediately.

3. Drug treatment is the primary approach for acute gastric ulcers. Commonly used medications include proton pump inhibitors such as omeprazole and lansoprazole to reduce gastric acid secretion, H2 receptor antagonists such as ranitidine and famotidine to inhibit gastric acid production, and gastric mucosal protectants such as sucralfate and bismuth preparations to promote ulcer healing. Doctors will prescribe appropriate medications based on the patient's specific condition.

4. Dietary adjustments are crucial for the recovery of acute gastric ulcers. Patients should avoid spicy, greasy, excessively cold, or excessively hot foods, and reduce their intake of stimulating beverages such as coffee and alcohol. It is recommended to choose easily digestible foods, such as porridge, noodles, and steamed eggs, and eat small, frequent meals, avoiding overeating. At the same time, maintain good eating habits, eating regularly and in appropriate portions.

5. For patients who do not respond to medication or experience serious complications, surgical treatment may need to be considered. Surgical procedures include partial gastrectomy and vagotomy, which aim to reduce gastric acid secretion or remove the ulcer. These surgeries carry high risks and should be carefully chosen under the guidance of a doctor.

Timely treatment and daily care of acute gastric ulcers are key to preventing complications. With appropriate medication, dietary adjustments, and, when necessary, surgical intervention, most patients can effectively control their condition and recover. If suspected symptoms appear, seek medical attention as soon as possible to avoid delaying treatment.

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