Duodenal Ulcers: Symptoms, Treatment, and Dietary Concerns

Duodenal ulcer

Two years ago, I was diagnosed with a duodenal ulcer through an endoscopy.
The ulcer was quite extensive, and the doctor said it was serious.
I took Western medicine for about four to five months, and since I did not experience any discomfort or pain in the lower right abdomen, I switched to traditional Chinese medicine for about five to six months.
I then returned to Western medicine treatment, as I was hesitant to undergo another endoscopy to confirm if I had truly healed.
After May of last year, I stopped taking medication altogether.
Recently, I have been experiencing more severe discomfort and pain in the lower right abdomen.
Pressing on the area below the chest and under the right rib cage causes pain.
Last night, when I felt unwell, I took some of the previous Western medication, which alleviated the symptoms, but I have been experiencing frequent urination and gas.
I also felt hungry, but then the symptoms flared up again, and I felt nauseous, although I did not vomit.
After eating, the symptoms improved significantly.

Could this indicate a recurrence of ulcer symptoms? The doctor I previously consulted is no longer at that hospital.
Should I see a general internist or a gastroenterologist? Can a duodenal ulcer cause gas to affect the bladder, leading to frequent urination? Is it safe to eat toasted bread and cheese slices with a duodenal ulcer? Thank you for your response.

Xiao Cai, 30~39 year old female. Ask Date: 2005/02/22

Dr. Chen Zhiping reply Gastroenterology and Hepatology

Hello, pain in the lower right abdomen is generally not indicative of a peptic ulcer; it is usually related to intestinal issues.
You may want to visit an internal medicine or gastroenterology clinic for evaluation.
Duodenal ulcers are also not caused by bloating leading to frequent urination.
Toast or cheese slices are acceptable to eat, but it is advisable to avoid irritating foods or medications.
If discomfort persists, please seek medical evaluation and treatment.
Sincerely, Dr.
Chen Zhi-Ping, Internal Medicine.

Reply Date: 2005/02/22

More Info

Duodenal ulcers, also known as peptic ulcers, are open sores that develop on the lining of the duodenum, which is the first part of the small intestine. These ulcers can cause a variety of symptoms and can significantly impact a person's quality of life. Understanding the symptoms, treatment options, and dietary concerns associated with duodenal ulcers is crucial for effective management and recovery.

Symptoms of Duodenal Ulcers
The symptoms of duodenal ulcers can vary from person to person, but common signs include:
1. Abdominal Pain: This is often described as a burning or gnawing sensation in the upper abdomen. The pain may come and go and is typically relieved by eating or taking antacids.

2. Nausea and Vomiting: Some individuals may experience nausea, and in severe cases, vomiting may occur.

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

4. Changes in Appetite: Some may experience an increase in hunger or a feeling of fullness after eating only a small amount of food.

5. Frequent Urination: While not a direct symptom of ulcers, discomfort in the abdominal area can sometimes lead to sensations that mimic urinary urgency.

Treatment Options
Treatment for duodenal ulcers typically involves a combination of medications and lifestyle changes:
1. Proton Pump Inhibitors (PPIs): These medications reduce stomach acid production, promoting healing of the ulcer. Common PPIs include omeprazole and lansoprazole.

2. Antibiotics: If the ulcer is caused by an infection with Helicobacter pylori (H. pylori), antibiotics may be prescribed to eradicate the bacteria.

3. Antacids and H2-receptor antagonists: These can help neutralize stomach acid and provide symptomatic relief.

4. Dietary Modifications: Patients are often advised to avoid spicy foods, caffeine, alcohol, and smoking, as these can exacerbate symptoms.

Dietary Concerns
When managing a duodenal ulcer, diet plays a crucial role. Here are some dietary considerations:
1. Soft Foods: Eating soft, bland foods can help minimize irritation to the stomach lining. Foods like oatmeal, bananas, and yogurt are often recommended.

2. Avoid Irritants: Spicy foods, citrus fruits, and high-fat foods can aggravate ulcer symptoms and should be avoided.

3. Hydration: Staying well-hydrated is essential, but it’s best to avoid carbonated beverages that can cause bloating.

4. Specific Foods: Foods like toasted bread and cheese can be consumed in moderation, as they are generally well-tolerated. However, it’s important to listen to your body and avoid anything that triggers discomfort.

Addressing Your Concerns
Given your history of a significant duodenal ulcer and the recent symptoms you described, it’s essential to consult with a healthcare professional, preferably a gastroenterologist. The right specialist can perform necessary evaluations, such as imaging or endoscopy, to assess the current state of your ulcer and rule out any complications.

The right lower abdominal pain you are experiencing could be related to the ulcer, but it may also indicate other gastrointestinal issues. The sensation of frequent urination could be a result of referred pain or pressure from the gastrointestinal tract, but it’s crucial to evaluate this symptom further.

In conclusion, while duodenal ulcers can cause a range of symptoms and discomfort, effective management through medication, dietary changes, and regular medical follow-up can lead to significant improvement. If you experience worsening symptoms or new concerns, seeking medical advice promptly is vital for your health and well-being.

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...

Managing Duodenal Ulcers: Symptoms, Treatment, and Dietary Tips

Hello Doctor, I am currently 19 years old. In February, I suddenly experienced severe stomach burning, and it wasn't until the end of February that I underwent an endoscopy, which revealed a mild duodenal ulcer. There was no Helicobacter pylori, and I informed the doctor tha...

Dr. Chen Shidian reply Gastroenterology and Hepatology
It is recommended to first consult a psychiatrist to manage anxiety and tension, and to use medications from the gastroenterology department as needed. A normal diet is acceptable, with the exception of avoiding刺激性食物 (irritating foods), and there should be no significant restrict...

Understanding Duodenal Ulcers: Symptoms, Pain Management, and Dietary Impact

Is it possible for duodenal ulcers or duodenitis to cause pain from morning until night, with no relief from proton pump inhibitors (PPIs)? If so, what could be the situation? Does eating food cause pain during the active phase of a gastric ulcer? Does eating food cause pain duri...

Dr. Chen Shidian reply Gastroenterology and Hepatology
It depends on the individual case. If medication treatment for one month does not alleviate symptoms, further evaluation for potential issues with nearby organs may be considered. A diet consisting of soft foods and smaller, more frequent meals is recommended.

Managing Appetite Loss and Duodenal Ulcers: Tips for Relief

Recently, I've been experiencing a loss of appetite and constant nausea. I saw a doctor who said it might be due to high stress and a slight duodenal ulcer. If I don't have an appetite, should I still eat? Will not eating make my stomach acid discomfort worse? Is white ...

Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello, Miss Yun. Duodenal ulcers require medication, and it may be necessary to check for Helicobacter pylori. It is advisable to discuss this with your treating physician. White toast, porridge, and yogurt are not a long-term solution; identifying the underlying issue is essenti...