Clinical manifestations duodenal ulcer

Thursday, February 28, 2008 · Posted in

The main clinical manifestations of duodenal ulcer for upper abdominal pain, For, burning, pain or pain, but also for the performance only when the secret anguish in the hunger discomfort. Typical are manifested as mildly or moderately under persistent pain, acid agent can be eased or eating. Clinical about 2 / 3 of pain was rhythm: After breakfast one to three hours began to emerge, abdominal pain, such as medication or not eating lunch would last until after mitigation. Fresh after 2 to 4 hours, but also to alleviate the meal. About half of patients midnight pain, pain patients often wake up. Most sustained rhythm pain a few weeks, with the mitigation few months, recurring.
Duodenal ulcer disease has the following characteristics: ① chronic process was repeated attack, history up to a few years or even 10 years. ② attack cyclical, alternating with each other remission. The last attack can be as long as several weeks or months, due to effective treatment and is significantly shortened. Remission can be of different lengths, short only a few weeks or months, and up to several years long. ③ a seasonally attack, and more in the autumn or winter and spring at the turn of incidence can be bad because of emotional or mental antipyretic analgesics and anti-inflammatory drug-induced. ④ multiple in young and middle-aged men.
Some of these typical cases, no pain, but only for non-performance regularity than vague epigastric pain unwell with abdominal distension, anorexia and the navel, and other symptoms. Along with the development of disease, complications can occur and the emergence of symptoms change. Generally, duodenal ulcer site with epigastric pain and not very defined features. If the pain intensified and fixed sites, radiation to the back, acid agent can not be alleviated, often have suggested that chronic perforation of the posterior wall; sudden and rapid spread of severe abdominal pain and should be considered a full-acute abdominal perforation; sudden vertigo that may be complicated by hemorrhage.

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