Duodenal ulcer
Two years ago, I was diagnosed with a duodenal ulcer during an examination.
Since then, I have been diligently following my doctor's instructions and taking medication.
However, after nearly two years of medication, I have recently missed doses occasionally, and I experience mild abdominal pain.
Additionally, after not taking the medication for two consecutive weeks, I noticed blood in my stool during a few bowel movements.
Could you please explain what this situation might indicate? I am concerned about potential side effects from long-term medication use.
Should I continue taking the medication? Also, am I eligible to donate blood?
Xiao Lao Hu, 20~29 year old female. Ask Date: 2004/10/24
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, duodenal ulcers typically heal within 2 to 4 months.
If pain recurs, it is advisable to undergo another gastroscopy.
As for the blood in the stool (bright red?), it is mostly related to anal or rectal issues.
If there is bleeding from a duodenal ulcer, it usually presents as black stools.
I recommend that you schedule a gastroscopy with a gastroenterologist, and if necessary, a sigmoidoscopy as well.
Regarding blood donation, it is unrelated to the aforementioned conditions; the main considerations are whether you have chronic hepatitis (carriers are also included) and other infectious diseases (such as HIV, syphilis, etc.).
Sincerely, Dr.
Chen Zhiping, Internal Medicine.
Reply Date: 2004/10/24
More Info
Duodenal ulcers, also known as peptic ulcers, are sores that develop on the lining of the duodenum, which is the first part of the small intestine. They can cause a variety of symptoms and complications, and understanding these can help in managing the condition effectively.
Symptoms of Duodenal Ulcers
The most common symptoms of duodenal ulcers include:
1. Abdominal Pain: This is often described as a burning sensation in the stomach area, which may improve after eating or taking antacids. However, if you experience pain after not taking your medication, it could indicate that the ulcer is not healing properly or that it is exacerbated by the absence of medication.
2. Nausea and Vomiting: Some individuals may experience nausea, and in severe cases, vomiting may occur.
3. Changes in Bowel Habits: As you mentioned, the presence of blood in your stool (hematochezia) is concerning. This could indicate bleeding from the ulcer, which is a serious complication that requires immediate medical attention.
4. Weight Loss: Unintentional weight loss can occur due to pain or discomfort associated with eating.
5. Fatigue: Chronic blood loss can lead to anemia, causing fatigue and weakness.
Treatment of Duodenal Ulcers
The treatment for duodenal ulcers typically involves:
1. Medications: Proton pump inhibitors (PPIs) and H2-receptor antagonists are commonly prescribed to reduce stomach acid and promote healing. Antibiotics may be used if the ulcer is caused by Helicobacter pylori infection.
2. Lifestyle Modifications: Avoiding irritants such as NSAIDs (non-steroidal anti-inflammatory drugs), alcohol, and smoking can help in the healing process.
3. Regular Monitoring: Since you have been on medication for nearly two years, it is essential to have regular follow-ups with your healthcare provider to monitor the ulcer's healing and adjust treatment as necessary.
Concerns About Blood Donation
Regarding blood donation, it is generally advised to consult with your healthcare provider. If you are currently experiencing symptoms such as blood in your stool, it is crucial to address these issues before considering blood donation. Blood donation is typically not recommended if you are experiencing active bleeding or if you have any condition that could compromise your health or the safety of the blood supply.
Conclusion
Given your symptoms, especially the presence of blood in your stool, it is imperative to seek medical attention promptly. This could indicate a more severe issue, such as a bleeding ulcer, which may require immediate intervention. Continuing your medication as prescribed is essential, and any changes to your treatment plan should be discussed with your healthcare provider.
In summary, duodenal ulcers can lead to significant complications if not managed properly. Regular follow-ups, adherence to medication, and lifestyle changes are key components of effective management. Always prioritize your health and consult with your doctor regarding any new or worsening symptoms, and before making decisions about blood donation.
Similar Q&A
Signs and Symptoms of Duodenal Ulcers You Should Know
What are the signs and symptoms of a duodenal ulcer?
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Possible symptoms include upper abdominal discomfort and bloating, pain when hungry that slightly alleviates after eating, pain radiating to the back, and even waking up at night due to pain. In severe cases, there may be the presence of blood in the stool. Changhua Hospit...[Read More] Signs and Symptoms of Duodenal Ulcers You Should Know
Understanding Stomach Ulcers: Symptoms, Treatment, and Follow-Up Care
Hello Doctor, I was diagnosed with a bleeding gastric ulcer during an endoscopy in early January of this year. After taking PPI medication for several months, I still experience a burning sensation and bloating in my abdomen. During a health check on September 17, I had another e...
Dr. Xiao Yongxun reply Family Medicine
Dear Mr. Jason: 1. In clinical practice, common diagnoses for upper abdominal pain or discomfort include gastric ulcers or inflammation, duodenal ulcers or inflammation, gastroesophageal reflux disease, gallbladder or biliary stones, gallbladder or biliary inflammation, liver ab...[Read More] Understanding Stomach Ulcers: Symptoms, Treatment, and Follow-Up Care
Understanding Duodenal Ulcers: Symptoms, Diagnosis, and Lifestyle Adjustments
Hello! I am a working professional who spends most of my time sitting in the office. I have low physical activity, and my Hepatitis B surface antigen is positive, while the e antigen is negative. My weight and height are 70 kg and 173 cm, respectively. I smoke half a pack of ciga...
Dr. Chen Shidian reply Internal Medicine
Hello: 1. Fatty liver can lead to a slight increase in liver function tests; please exercise more. 2. Chronic infection with Helicobacter pylori can cause gastritis and duodenal ulcers (recurrent ulcers may lead to deformation of the bulb). 3. Elevated atherosclerosis index; plea...[Read More] Understanding Duodenal Ulcers: Symptoms, Diagnosis, and Lifestyle Adjustments
Understanding Duodenal Ulcers: Causes, Symptoms, and Treatment Options
Around mid-November, I underwent an upper gastrointestinal endoscopy at the hospital, which revealed a duodenal ulcer without Helicobacter pylori infection. I have been taking Dexilant for nearly a month now, but I am experiencing some issues, including bloating and intermittent ...
Dr. Chen Shidian reply Gastroenterology and Hepatology
PPIs may lead to an increase in small intestinal bacteria, resulting in diarrhea. Please discuss this further with your attending physician.[Read More] Understanding Duodenal Ulcers: Causes, Symptoms, and Treatment Options
Related FAQ
Duodenal Ulcer
(Gastroenterology and Hepatology)
Gastric Ulcer(Gastroenterology and Hepatology)
Jaundice(Gastroenterology and Hepatology)
Blood(Gastroenterology and Hepatology)
Rectal Bleeding(Gastroenterology and Hepatology)
Gastritis(Gastroenterology and Hepatology)
Helicobacter Pylori(Gastroenterology and Hepatology)
Pancreatitis(Gastroenterology and Hepatology)
Blood In Stool(Gastroenterology and Hepatology)
Stomach Discomfort(Gastroenterology and Hepatology)