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Duodenal Ulcer: Understand How It Arises and What the Main Symptoms Are

by Felipe Paludo Salles
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Many doubts arise regarding the term duodenal ulcer, after all, little is said about the subject.

Understand the condition, its main symptoms, how the diagnosis and treatment are done, as well as tips to take care of yourself if you are feeling pain.

What is a duodenal ulcer?

A duodenal ulcer is nothing more than a sore that forms on the mucosa (inner lining) of the duodenum, which can be superficial or deep. In more severe cases, it can cause perforation of the organ.

The duodenum is located right after the stomach, at the beginning of the intestine, and an ulcer in this region is called a “duodenal ulcer”.

The condition tends to develop more in men between 40 and 50 years old.

Main symptoms

Among the symptoms of a duodenal ulcer, it is possible to mention:

  • Constant pain in the abdomen, mainly with a burning sensation;
  • Nausea and vomiting;
  • Weight loss;
  • Constant feeling of a full or bloated stomach.

There may be a worsening of the symptoms mentioned above after heavier meals, when the stomach needs to increase the synthesis of gastric acid. The same occurs when the patient goes a long time without eating, and the gastric acid ends up affecting the mucous membranes of the digestive system.

How does the sore develop?

In most cases, the natural protection of the duodenum decreases due to some factor, such as stress, excessive alcohol use, or as a result of the use of anti-inflammatory medications. As a consequence, the small sore originates from the direct contact of gastric acid with the mucosa of the organ.

But the main cause of duodenal ulcer is infection by Helicobacter Pylori, and treatment of this bacterium is mandatory in these cases.

How is the diagnosis and treatment?

Diagnosis

The diagnosis of a duodenal ulcer is made through an upper digestive endoscopy, and there may be a need to perform a biopsy (removal of a small part of tissue for laboratory tests).

Treatment

The treatment, in turn, depends on the size and causes of the duodenal ulcer.

The protocol depends entirely on the doctor’s diagnosis, but usually combines medication to protect the gastric mucosa and antacid medication, aiding in the healing of the sore.

If the biopsy identifies the presence of the H. Pylori bacterium, it will be necessary to use antibiotic medication.

Regarding diet, it is essential to adopt a series of changes aimed at dietary re-education, including reducing the consumption of fatty foods, heavy meals, processed products, and carbonated drinks, which tend to intensify symptoms.

How can you take care of yourself?

If you have a duodenal ulcer, there are some important steps to follow to take care of yourself, such as:

  • Resting well;
  • Following the treatment prescribed by the doctor and continuing with the follow-up as long as necessary;
  • Having a balanced diet, preferably with the guidance of a nutritionist;
  • Avoiding alcoholic beverages, tobacco, citrus drinks, spicy foods, caffeine, and sodas;
  • If possible, avoiding anti-inflammatory medications that irritate the stomach, such as diclofenac, aspirin, and naproxen;
  • Exercising as recommended by the doctor;
  • Seeking therapy to deal with emotions and stress.

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Residência em Endoscopia Digestiva no Hospital das Clínicas da USP (HCFMUSP)
Residência em Gastroenterologia no Hospital Universitário da UFSC
Presidente da SOBED / SC na gestão 2018-2020
Médico da clínica Endogastro em Florianópolis e ProGastro em Joinville


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