The clinical manifestation of gastric ulcer and _ symptom of symptom
There is abdominal pain limited to the upper abdomen in the common clinical manifestation of gastric ulcer, can sum up for limitation, slow and rhythm. Limitation pain of gastric ulcer lie in the centre under the sword or take back more; How slow the disease is to get up, the course of disease is as long as several years or decades, there is after the meal more pain to break out in 1/ 2- 2 hours, relieve after the stomach is emptied in 1- 2 hours, its law is eaten Pain Relieve. Relatively deep for ulcer, especially punching person, pain can involve the back. Disease this present periodic outbreak, relate to season, most large in the beginning in winter in the end in autumn, spring take second place, rare in summer. With spiritual mood, treat and react etc. to also have something to do. The intersection of pain and often for secret anguish, burn kinds of pain, dull pain hungry ache or sharp pain property, can be relieved by alkaline medicine. When ulcer such as pylorus of the special type is in charge of ulcer, ulcer, enormous ulcer, multiple ulcer, compounding ulcer of cardia district of fundus of stomach or have complication, pain is not typical. Besides pain, have other gastrointestinal symptoms, if belch, sour, heartburn, disgusting and vomiting etc. instead concurrently often even, vomit to reflect more with nausea ulcer has higher activity intensity.
Physical sign of gastric ulcer it relieves issue to be more obvious, break out issue have complication, can have, pigeonhole sore spot on the intersection of upper abdomen and the intersection of pain and district only, generally is relatively light. The penetrating ulcer of back wall often has tenderness on thoracic vertebrae both sides of back 11- 12.
Gastric ulcer is different in accordance with his complication can also present some different symptoms: Bleed: The intersection of gastric ulcer and common reason that digestive tract bleed one of at being. It is caused by the blood vessel is corroded to bleed by the ulcer, break-up. When the capillary is damaged, only find the latent blood when the stool is checked; Relatively when the trunk is damaged, it is black and spittinging blood to appear. Generally symptom became more serious before bleeding, the upper abdomen pained and lightened or disappeared after bleeding. Punch: Acute gastric perforation takes place when ulcer is reached the serous coat layer deeply, the content thing overflows the abdominal cavity, cause acute filling peritonitis. Shown as sharp pain of unexpected upper abdomen, disgusting, vomiting, belly are presented the board kind, there is obvious tenderness and jump and ache instead, liver voiced sound circle and gurgling sound disappear, the belly perspects and sees the diaphragm low reaches leave the gas, in the form of shock some patients. Pyloric stenosis: Pylorus ulcer can cause the pylorus to draw together and invite myospasm, ulcer and surrounding tissue congestion edema, the ones that hindered the pylorus corridor are unobstructed, cause temporary pyloric stenosis. After ulcer heals, because cicatrix form and surrounding tissue adhesion cause the permanent organic pylorus to be narrow. Shown as the stomach empties time to lengthen, the upper abdomen pains, bloated and full and uncomfortable, become more serious after the meal, often with the stomach peristaltic wave, peristaltic sound, shake the water sound; There is no peristaltic wave on later stage but can see the extended stomach type outline, often vomit in a large amount, the above-mentioned symptom is lightened or relieved after vomiting, the vomit, often in order to separate the constellation food, the flavor is sour and bad smell.
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