Do Peptic Ulcers Cause Hunger Pangs? Symptoms and Treatment - Gastroenterology and Hepatology

More Info

---

Peptic ulcers, which include both gastric and duodenal ulcers, can indeed cause a variety of symptoms, including hunger pangs. These ulcers are sores that develop on the lining of the stomach or the first part of the small intestine (duodenum) due to the erosion caused by stomach acid. The sensation of hunger pangs is often linked to the stomach's natural rhythm of contractions and the secretion of gastric acid, which can be heightened in the presence of an ulcer.

When you have a peptic ulcer, the pain can sometimes mimic hunger pangs. This is because the ulcer can cause discomfort or pain that may feel similar to hunger, especially when the stomach is empty. The pain may temporarily subside after eating, as food can act as a buffer against stomach acid, but it can return as the stomach empties. Therefore, it is not uncommon for individuals with peptic ulcers to experience these sensations, leading to confusion about whether they are truly hungry or if the ulcer is causing discomfort.

Regarding your concern about eating between meals, it is generally advisable to follow a diet that minimizes irritation to the stomach lining. This includes avoiding spicy foods, caffeine, alcohol, and acidic foods, which can exacerbate ulcer symptoms. Eating smaller, more frequent meals can also help manage symptoms and prevent the stomach from becoming too empty, which might trigger pain.

As for the timeline of symptom improvement after starting medication, it is important to understand that while proton pump inhibitors (PPIs) like Pantoloc are effective in reducing stomach acid and promoting healing, they may not provide immediate relief. It can take several days to weeks for the medication to fully alleviate symptoms and for the ulcer to heal. If you have been on the medication for 4 to 5 days and have not noticed significant improvement, it is not unusual, but it is essential to monitor your symptoms closely.

If your symptoms persist beyond a week or worsen, it is crucial to follow up with your healthcare provider. They may consider adjusting your treatment plan, which could include a different medication, further diagnostic tests, or a referral to a gastroenterologist for more specialized care.
In summary, peptic ulcers can cause sensations that mimic hunger pangs, and dietary adjustments can help manage symptoms. While it is normal for symptoms to take some time to improve after starting treatment, persistent or worsening symptoms should prompt further evaluation by your healthcare provider. Always prioritize open communication with your doctor regarding your symptoms and treatment progress to ensure the best possible care.