Pain in duodenal ulcer is the main complaint in more than 80% of patients. It is for pain and heartburn that most often it is possible to diagnose various disorders in the work of the digestive tract. Therefore, in order not to confuse one disease with another, let's see how the duodenal ulcer hurts and where it hurts?
The ulcer of the duodenum is affected in different ways. Some patients complain of cramping pains. Others observe painful aching, dull, boring or cutting pains. In addition, there is no unambiguous answer to the question "where?" However, in most cases, the site of its localization is the upper abdomen( from the lower thoracic to the lumbar segment) with irradiation to the right collarbone. With a combination of ulcers of the duodenum and stomach, pain can occur in the epigastric region and will be given up on the back and in the right arm.
As for the nature of pain, in 80% of cases it is hungry / nocturnal pains, which can help to reduce food intake for a short while. In this case, the gastric juice ceases to enter the intestine, irritating its inflamed walls. But the effect is temporary. As soon as the food is digested in the stomach and proceeds further along the digestive tract, they will resume again. A similar pattern is observed when a combination of intestinal lesions and the antrum of the stomach. But with a combination of inflammation of the shell of the duodenum and the upper stomach, the picture is more disappointing. The stomach starts to ache immediately after eating, and these pains begin to subside after 2 hours, when the contents of the stomach get into the duodenum, and at the same time, its inflamed skin irritates with a fresh portion of gastric juice.
A similar pattern is observed in patients whose ulcer has sprouted into neighboring organs. In this case, patients complain of severe discomfort in one or another area of the abdomen and severe vomiting, which does not bring any relief. If, after a vomiting, the patient achieves relief, and its contents are acidic, then this is normal for this disease with localization in the intestine.
Special attention in the diagnosis of the disease and monitoring the course of treatment should be given to the patient's complaints of acute pain in the abdomen in combination with a semi-fainting condition and pale skin. This is usually a symptom of perforation, and if you miss the moment, then the patient will have a fester in the abdominal cavity.
Although the nature and localization of pain in duodenal ulcer in most cases are sufficiently indicative to determine this disease, in 15% of patients it can proceed without causing any discomfort.