Stomach Ulcer Symptoms and When to See a Gastroenterologist

Gastric ulcer related?

Hello doctor, I would like to ask if diarrhea is a symptom of a gastric ulcer? Besides experiencing pain and bloating in the stomach, I also have pain in my back and right lower back.
Would you recommend seeing a gastroenterologist? Additionally, should issues related to the pancreas and kidney stones also be addressed by a gastroenterologist? Thank you, doctor.

Xiao Hua, 20~29 year old female. Ask Date: 2022/06/20

Dr. Chen Shidian reply Gastroenterology and Hepatology

You can first consult a gastroenterologist to investigate the reasons for your symptoms, and if kidney stones are found, you can then be referred to a urologist.

Reply Date: 2022/06/20

More Info

Stomach ulcers, also known as peptic ulcers, are sores that develop on the lining of the stomach or the upper part of the small intestine (duodenum). They can cause a variety of symptoms, and understanding these symptoms is crucial for determining when to seek medical attention from a gastroenterologist.

Symptoms of Stomach Ulcers
The most common symptoms of stomach ulcers include:
1. Abdominal Pain: This is often described as a burning or gnawing sensation in the stomach area. The pain can vary in intensity and may be relieved by eating or taking antacids, but it can also worsen when the stomach is empty.

2. Bloating and Gas: Many patients report feeling bloated or experiencing excessive gas, which can lead to discomfort.

3. Nausea and Vomiting: Some individuals may experience nausea, and in severe cases, vomiting may occur. If the vomit contains blood or looks like coffee grounds, this is a medical emergency.

4. Loss of Appetite and Weight Loss: Due to the pain and discomfort associated with eating, individuals may lose their appetite, leading to unintentional weight loss.

5. Back Pain: It is not uncommon for pain from a stomach ulcer to radiate to the back or sides, particularly the right side, as the nerves in the abdomen can refer pain to these areas.

6. Diarrhea: While diarrhea is not a classic symptom of stomach ulcers, some patients may experience changes in bowel habits, including diarrhea, especially if there is an underlying condition such as gastritis or if the ulcer is causing irritation.

When to See a Gastroenterologist
If you are experiencing symptoms such as persistent abdominal pain, bloating, back pain, or changes in bowel habits like diarrhea, it is advisable to consult a gastroenterologist. They can perform necessary diagnostic tests, such as an endoscopy, to visualize the ulcer and determine the best course of treatment. Additionally, if you experience any of the following symptoms, you should seek immediate medical attention:
- Severe abdominal pain
- Vomiting blood or material that looks like coffee grounds
- Black or tarry stools
- Unexplained weight loss

Other Conditions: Pancreatic Issues and Kidney Stones
Regarding your question about pancreatic issues and kidney stones, these conditions are typically managed by different specialists. Pancreatic problems, such as pancreatitis, are usually treated by a gastroenterologist, as they involve the digestive system. Symptoms of pancreatic issues can include severe abdominal pain that may radiate to the back, nausea, vomiting, and changes in bowel habits.

On the other hand, kidney stones are generally managed by a urologist. Symptoms of kidney stones include severe flank pain, hematuria (blood in urine), and urinary urgency or frequency. If you suspect kidney stones, it would be best to consult a urologist for appropriate evaluation and treatment.

Conclusion
In summary, if you are experiencing symptoms consistent with stomach ulcers, such as abdominal pain, bloating, and back pain, it is advisable to see a gastroenterologist. They can provide a thorough evaluation and appropriate treatment. If you have concerns about pancreatic issues or kidney stones, you should seek care from the relevant specialists. Always prioritize your health and seek medical advice when experiencing concerning symptoms.

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