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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.
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 ]
However, not all stomach diseases are labeled with the word "gastropathy"; examples include peptic ulcer disease, gastroparesis, and dyspepsia. Many stomach diseases are associated with infections. In the past it was widely but incorrectly believed that the highly acidic environment of the stomach would keep the stomach immune from infection.
Additionally, severe physiologic stress from sepsis, hypoxia, trauma, or surgery is also a common etiology for acute erosive gastritis, resulting in "stress ulcers". This form of gastritis can occur in more than 5% of hospitalized patients. [citation needed] Also, alcohol consumption does not cause chronic gastritis.
Indigestion is a diagnosis related to a combination of symptoms that can be attributed to "organic" or "functional" causes. [13] Organic dyspepsia should have pathological findings upon endoscopy, like an ulcer in the stomach lining in peptic ulcer disease . [ 13 ]
Complications of an ulcer can cause severe signs and symptoms such as black or tarry stool indicative of bleeding into the stomach or duodenum; blood - either red or coffee-ground colored in vomit; persistent sharp or severe abdominal pain; dizziness, and a fast heartbeat. [67] [68] Bleeding is the most common complication.
The causes are divided into benign or malignant. Benign Peptic ulcer disease; Infections, such as tuberculosis; and infiltrative diseases, such as amyloidosis.; A rare cause of gastric outlet obstruction is blockage with a gallstone, also termed "Bouveret syndrome" or "Bouveret's syndrome".
The antibacterial properties of bismuth were not known until much later. [1] 1875 G. Bottcher and M. Letulle hypothesize that ulcers are caused by bacteria. [1] 1880 J. Cohnheim suggests that ulcers may be caused by chemical factors. [1] 1881 Klebs notes the presence of bacteria-like organisms in the lumen of the gastric glands. [4] 1889