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“The main symptom of an ulcer is pain in the upper abdomen that tends to worsen after eating, although in some cases the pain can get better after eating,” Dr. DeCoste says, adding to this.
Treatment for functional dyspepsia involves addressing the predominant symptom or symptoms with a realistic discussion of the limitations of available therapies to manage expectations, as well as providing reassurance that there is no structural cause for the symptoms and an explanation of the pathophysiology and natural history of the disorder.
However, upper central abdominal pain is the most common symptom; the pain may be dull, vague, burning, aching, gnawing, sore, or sharp. [13] Pain is usually located in the upper central portion of the abdomen , [ 14 ] but it may occur anywhere from the upper left portion of the abdomen around to the back.
Treatment of the condition depends upon the underlying cause; it can involve antibiotic treatment when Helicobacter pylori is related to an ulcer, [1] endoscopic therapies (such as dilation of the obstruction with balloons or the placement of self-expandable metallic stents), other medical therapies, or surgery to resolve the obstruction.
An ulcer in the stomach is called a gastric ulcer, while one in the first part of the intestines is a duodenal ulcer. [1] The most common symptoms of a duodenal ulcer are waking at night with upper abdominal pain, and upper abdominal pain that improves with eating. [1] With a gastric ulcer, the pain may worsen with eating. [7]
Bloody diarrhea and abdominal pain may be more prominent features in severe disease. [12] The severity of abdominal pain with UC varies from mild discomfort to very painful bowel movements and abdominal cramping. [14] High frequency of bowel movements, weight loss, nausea, fatigue, and fever are also common during disease flares.
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Gastric ulcer either at the site of the button or on the opposite wall of the stomach ("kissing ulcer") Perforation of bowel (most commonly transverse colon) leading to peritonitis; Puncture of the left lobe of the liver leading to liver capsule pain; Gastrocolic fistula: this may be suspected if diarrhea appears a short time after feeding.
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