Clinical Manifestation of Peptic Ulcer

The symptoms of ulcers can disappear for several days, weeks, or months and can even disappear only to look back, often without an identifiable cause. Many individuals have symptoms of ulcer, and 20-30% had perforation or hemorrhage that without that precedes manifestation.

Clinical Manifestation of Peptic Ulcer
  • Pain: usually patients with ulcers complain of a dull pain, like a punctured or epigastric burning sensation in the middle or at the back. It is believed that the pain occurs when the acid content of gastric and duodenal increased erosion and stimulate the nerve endings exposed. Another theory suggests that the lesion contact with acids stimulate local reflex mechanisms that initiate the surrounding smooth muscle contraction. Pain is usually relieved by eating, from eating to neutralize the acid or by using an alkali, but when the stomach is empty or unused alkaline back pain arises. Local press that sharp pain can be eliminated by providing gentle pressure on the epigastrium or slightly to the right of the midline. Some of the symptoms decreased by giving local pressure on the epigastrium.
  • Pirosis (heartburn): some patients experience a burning sensation in the esophagus and stomach, rising to the mouth, sometimes accompanied by acid eruktasi. Eruktasi or belching is common when the patient's stomach is empty.
  • Vomiting: although rarely was uncomplicated duodenal ulcers, vomiting can be symptoms of peptic ulcer. It is connected with the formation of scar tissue or acute swelling of the inflamed mucous membrane around the acute ulcer. Vomiting may occur or without a preceded by nausea, severe pain usually after being eliminated by the ejection of stomach acid content.
  • Constipation and bleeding: constipation may occur in patients with ulcer, possibly as a result of diet and drugs. Patients may also come with a small portion of gastrointestinal bleeding due to ulcer patients who had not previously experienced an acute complaints, but they show symptoms later.

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