Digestive ulcer (stomach, duodenal ulcer) 1. Clinical manifestations (1) Abdominal pain: This is the main symptom of peptic ulcer, with the following characteristics: 1. The history of chronic pain is due to ulcer repeatedly, Abdominal pain, repeated violations. 2, cyclical episodes are more prominent with duodenal ulcers, generally in autumn, early spring, is all seasons of ulcers. Every patient is pain in the abdomen, it can last for several weeks, and then the symptoms have gradually disappeared, similar to healing; but interval from January-February tends to send. 3, the nature of pain: self-oppression or expansion, dental pain, burning, cone or severe pain; generally, patients can complain about hunger or pain, pain is constantly limited to 3-4cm between umbilical and swords The range of diameters. 4, the rhythm of pain: Most of which have a typical rhythmic pain, after eating, the pain can be in the meal half an hour, sustainable for 1-2 hours, Gradually disappeared, and the above rhythm can be reproduced next time, some can be pain in the middle of the night. (2) Nausea and vomiting: During the high activity period of ulcer, there is often nausea and vomiting during Helichannel obstruction. (3) When the gas and anti-acid: ulcer concurrently, the gas is particularly common; the duodenal ulcer is more gastric acid reflux, suggests too much gastric acid secretion. Second, the cause of the disease: 1, the factors that promote ulceration formation of gastric acid and gastric protease: gastric juice contains protease and hydrochloric acid, hydrochloric acid exceeding a certain concentration, the gastric protein is affected by the hydrolysis of the gastric protease. 2. Factors that resist ulceration formation is essentially digestible to digest all living tissues including the stomach wall, but the gastric duodenal mucosa is normal under normal circumstances and does not soak in the pure acid gastric liquid. The gastric acid is mostly saliva, food moisture, gastric mucus, obviously, obvious, mucus, mucosa resistance plays an important protection. 3, the relationship between hormone and peptic ulcer, adrenal corticotropin causes passion ulcers, and alkylene is ulcer has non-specific healing. 4. Other factors such as "O" blood is higher than other blood type cramps, some drugs such as aspirin can stimulate the gastric mucosa and smoke affect the normal secretion of the stomach. Tri-Philigerative examination: gastric liquid examination increased gastric liquid secretion, increased gastric acid concentration, and ulcer activity period is mostly positive. X-ray barium production can be shadowed. Fiber gastroscopy is the best inspection effect on ulceration or malignancy. Complications of four stomach, duodenal ulcer 1, a large amount of bleeding, one bleeding amount is above 60-100mi, can reproduce the hematemesis and black. 2, acute perforation, digestive ulcer, the most serious complications, most of the ulcer perforated parts in the front wall of the first paragraph of the pylorus front zone and the twelve reflection, the acidic content of the stomach enters the free belly cavity, and rapidly causes diffuse peritonitis Subsequently, ppymium infections, can cause death when severe. 3 Helicobial obstruction 4 cancer change
