GASTRIC ULCER & DUODENAL ULCER

NCM 116 LEC

CRITERIA GASTRIC ULCER DUODENAL ULCER

Age Between the age groups 50- Between age groups of 20-
60 50

Male: Female ratio Almost equal 2:1

Pain Felt over the umbilicus and Felt above the umbilicus
left to midline and right to the midline

Radiation of pain No radiation May radiate to back

Nature of pain Periodical Periodical

Weight loss Present due to reduced No weight loss as patient

intake feels better with eating and
hence goes on eating

Hemorrhages Hematemesis (blood Black or bloody stools

vomiting) may be present (melena) may be present

Gastric symptoms Sensation of feeling Bloated feeling of intestinal

fullness, indigestion, gas
heartburn, gas trouble or
belching

Malignancy Chances are common Chances are rare

Aggravating factors Immediately after food 1-2 hours after food, when
the stomach gets empty,
middle of the night or sleep

Ameliorating factors Vomiting or alkali foods After taking food

Pathogenesis Caused by a decrease in Caused by an increase in

defensive factors (gastric offensive factors (higher
acid level is normal/ low rates of basal and
unless ulcer is pyloric or stimulated gastric acid
prepyloric) secretion

Helicobacter pylori infection 60% to 70% of patients 70% to 90% of patients

Associated blood type Type A Type O

Geomhai B. Catbagan | NCM 117

LEC
GASTRIC ULCER & DUODENAL ULCER
NCM 116 LEC
Risk factors NSAIDs, alcohol, smoking, H. Alcohol, cirrhosis, stress, H.
pylori, gastritis, stress pylori, smoking

REFERENCES:

https://medizzy.com/feed/27168987

https://www.brainkart.com/article/Gastric-and-Duodenal-Ulcers_32074/

http://ksumsc.com/download_center/Archive/3rd/435/Teams/Internal%20Medicine/1st
%20Semester/4-%20GIT%20%26%20Hepatobiliary/Abdominal%20Pain%20Include%20IBS%20.pdf

Geomhai B. Catbagan | NCM 117

LEC