Peptic ulcer is sore in the lining of stomach ,first part of small intestine known as duodenum.burning pain is the common symptom.Starts before or after meals,troubles more during nights.
Pain lasts for minutes to hours.suffers from days to weeks.
Peptic ulcer happens when the acids that helps to digest the food , damages the lining of stomach ,duodenum
Peptic ulcers may be acute ulcers which are shallow and multiple. Chronic ulcers are single deep ,scirrhous.
Gastric ulcers may be acute or chronic.85 per chronic ulcers are found in lesser curvature.10 percent found in antrum,2 percent in pyloric canal, 5 per in fundus.
Acid which helps in digestion of food destroys the mucosa of the stomach forms ulcers.
These ulcers sometimes shows proliferative changes turns into carcinoma of stomach.
| Chronic Gastric Ulcer | Duodenal Ulcer |
|---|---|
| 1.Patients are usually middle age | 1.Usually young adults |
| 2.More common in males. | 2.Common In both sexes. |
| 3.Patients look thin. | 3.Patients look obese. |
| 4.Periodicity is less marked. | 4.Periodicity is well marked. |
| 5.Pain in mid epigastrium slightly. | 5.Pain in transpyloric plane To left. |
| 6.Taking food aggravates the pain. | 6.Taking food relieves the pain. |
| 7.Pain is not felt at night | 7.Pain felt at night |
| 8.Vomiting is common found after food | 8.Vomiting is rare unless pyloricstenosis complicates |
| 9.Pt learn to avoid spicy food. | 9.Any food doesn’t intiate pain so He doesn’t avoid. |
| 10.Pt looses weight | 10.Pt gains weight |
| 11.Haematemesis is common | 11.Memaena is more common |
Other remedies are nux vomica, anacardium,sulphur,natrum sulph,robinea,natrumphos
NUX VOMICA: heaviness after eating food. Nausea vomiting after food.stomach is very sensitive to pressure.bloating in epigastrium.desiresspicy , fat food.desires for stimulants
NATRUM PHOS:Sour eructation,sour vomiting,greenish diarrhoea.excessive flatulence,dyspepsia.sour vomiting
PHOSPHORUS: hunger soon after eating.sour erructations after meal,loud belchings after food.throughs ingesta by mouthfuls.vomits water as soon as it gets warm in stomach.cardiac opening seems to be contracted Stomach pain is relieved by taking cold water.
ANACARDIUM:Empty feeling sensation in stomach,weak digestion with fullness distension.erructations ,nausea vomiting.eating relieves the pain.
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