Stomach Ulcers: Bitter Taste and Nausea Symptoms - Gastroenterology and Hepatology

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Gastric ulcer, bitter taste in the mouth?


Hello Doctor, for the past week I have been experiencing persistent nausea and loss of appetite due to a gastric ulcer.
I have been taking antacids, but now I feel a bitter taste in my mouth when I eat, which started yesterday.
Drinking water doesn't help.
Are these symptoms related to the gastric ulcer? What solutions do you recommend? Should I go to the hospital? Thank you, Doctor.

Yi Yi, 10~19 year old female. Ask Date: 2022/06/18

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: It is recommended to consult a gastroenterologist.
Self-medication is not advised.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2022/06/18

More Info


Stomach ulcers, also known as peptic ulcers, can indeed lead to a variety of symptoms, including nausea, a bitter taste in the mouth, and a loss of appetite. These symptoms can be quite distressing and may significantly affect your quality of life. The bitter taste you are experiencing, particularly after eating or drinking, could be related to several factors associated with stomach ulcers.

Firstly, the presence of an ulcer can lead to increased gastric acid production, which may cause irritation of the stomach lining and contribute to a bitter taste. Additionally, if the ulcer is located in the stomach, it can disrupt normal digestive processes, leading to symptoms like nausea and a feeling of fullness or discomfort after eating. This discomfort can sometimes be exacerbated by certain foods or beverages, particularly those that are spicy, acidic, or high in fat.

The use of acid-reducing medications, such as proton pump inhibitors (PPIs) or H2 blockers, is a common treatment for stomach ulcers. These medications work by decreasing the amount of acid produced by the stomach, which can help alleviate symptoms and promote healing of the ulcer. However, if you are still experiencing significant symptoms despite taking these medications, it may indicate that your ulcer is not healing properly or that there may be other underlying issues at play.

In terms of management, here are several recommendations that may help alleviate your symptoms:
1. Dietary Modifications: Avoid foods and drinks that can irritate your stomach, such as spicy foods, caffeine, alcohol, and acidic foods (like citrus fruits and tomatoes). Instead, focus on a bland diet that includes foods like bananas, rice, applesauce, and toast (often referred to as the BRAT diet). Eating smaller, more frequent meals can also help reduce the burden on your stomach.

2. Hydration: While you mentioned that drinking water does not help, staying hydrated is still important. Try sipping water slowly throughout the day, and consider avoiding carbonated beverages, which can increase bloating and discomfort.

3. Stress Management: Stress can exacerbate ulcer symptoms. Engaging in relaxation techniques such as deep breathing, meditation, or gentle exercise can be beneficial.

4. Follow-Up with a Healthcare Provider: Since your symptoms have persisted and you are experiencing a bitter taste and nausea, it is advisable to consult with a healthcare provider. They may recommend further evaluation, such as an upper endoscopy, to assess the ulcer and rule out any complications. Additionally, they can evaluate whether your current medication regimen is adequate or if adjustments are necessary.

5. Consider Potential Infections: If you have not been tested for Helicobacter pylori (H. pylori), a common bacterial infection associated with ulcers, it may be worth discussing with your doctor. If present, this infection can be treated with a combination of antibiotics and acid-reducing medications.

In conclusion, while the symptoms you are experiencing can be associated with stomach ulcers, it is essential to seek medical advice for a thorough evaluation and tailored treatment plan. Persistent symptoms warrant further investigation to ensure proper management and healing of the ulcer. If you find that your symptoms worsen or do not improve with conservative measures, do not hesitate to seek immediate medical attention. Your health and well-being are paramount, and timely intervention can lead to better outcomes.

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