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Home > West Medicine > Internal Medicine > Gastroenterology
K26.900x001

Duodenal Ulcer

消化内科

Common symptoms

饥饿时上腹痛、球后溃疡、脊肋角膨隆、幽门前区溃疡、上腹部疼痛、剑突压痛、腹痛、急性胃痛、中上腹持续性疼痛、嗳气

The pathology of disease

Duodenal ulcer is mucosal break in duodenum (usually bulb), due to H. pylori infection/NSAIDs, presenting with epigastric pain (relieved by food, worse at night), and possible bleeding/perforation. Treatment: PPI 4-6 weeks; H. pylori eradication (quadruple therapy) if positive; stop NSAIDs; endoscopy with biopsy; treat complications (bleeding/perforation/obstruction); mucosal protectants; lifestyle (avoid alcohol/smoking/spicy); follow-up endoscopy usually not needed unless complications; long-term PPI if recurrent.

Common Symptoms

Epigastric pain (relieved by food/night pain); bleeding/black stools; by H. pylori/NSAID

Causes and Pathogenesis

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

Treatment

PPI; H. pylori eradication; stop NSAIDs; endoscopy; 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.