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Home > West Medicine > Internal Medicine > Gastroenterology
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Gastric Ulcer

消化内科

Common symptoms

溃疡龛影、烧灼性疼痛、餐后发作性腹痛、阴虚胃痛、胃痉挛、腹痛、恶心、胃火口臭、胃镜下表现出广...、嗳气

The pathology of disease

Gastric ulcer is mucosal break (>=5 mm) in stomach, usually on lesser curvature, due to H. pylori infection, NSAIDs, or stress, presenting with epigastric pain (worse with food), bleeding, and possible perforation. Treatment: PPI 4-8 weeks; H. pylori eradication (quadruple therapy) if positive; stop NSAIDs; endoscopy with biopsy to rule out malignancy; treat complications (bleeding/perforation/obstruction); mucosal protectants; lifestyle (avoid alcohol/smoking/spicy); follow-up endoscopy to confirm healing; long-term PPI if recurrent.

Common Symptoms

Epigastric pain (worse with food); bleeding/black stools; by H. pylori/NSAID/stress

Causes and Pathogenesis

H. pylori/NSAID causes gastric mucosal inflammation and ulceration.

Treatment

PPI; H. pylori eradication; stop NSAIDs; endoscopy to rule out malignancy; treat complications

Preventive Measures

H. pylori screening/treatment; avoid NSAIDs; limit alcohol/smoking.

Department to Visit

It is recommended to visit the Gastroenterology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.