Post-Healing Symptoms of Stomach Ulcers: What to Expect - Gastroenterology and Hepatology

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Symptoms of gastric ulcer?


Dear Dr.
Chen,
Regarding the issue of peptic ulcers, if there are no longer any ulcerative symptoms, can discomfort still occur? For instance, feelings of hunger or stress...
After the last follow-up, the ulcer was healed, but I now frequently experience hunger pangs (about 3 to 4 hours after meals), which leads to discomfort in the stomach.
This phenomenon typically occurs around 5 AM and 5 PM.
When this happens, eating a small amount of food alleviates the symptoms.
The doctor mentioned that the gastric wall is currently thinner, so when gastric acid secretion increases, it becomes more sensitive.
Is it common for symptoms to persist after recovering from a peptic ulcer? Would eating small, frequent meals also cause abnormal gastric acid secretion timing? How can I restore my stomach to its previous healthy state and return to a normal lifestyle? Thank you.

kevin, 30~39 year old female. Ask Date: 2009/09/25

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello Sir: 1.
If you have Helicobacter pylori gastritis, antibiotic treatment is recommended.
2.
Maintain a diet of small, frequent meals, and limit sweets, acidic, and spicy foods.
3.
Keep gastric medications on hand for occasional needs.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2009/09/25

More Info


Dear Patient,
Thank you for your inquiry regarding the post-healing symptoms of stomach ulcers. It’s great that you are taking an active role in understanding your health condition. After the healing of stomach ulcers, it is indeed possible to experience lingering symptoms, even when the ulcers themselves are no longer present. This can be attributed to several factors related to the healing process and the overall condition of the stomach lining.

Firstly, after an ulcer heals, the gastric mucosa may still be sensitive. The healing process can leave the stomach lining thinner and more susceptible to irritation from gastric acid. This is particularly true if you experience hunger pangs or stress, which can stimulate acid production. As you noted, symptoms such as discomfort or a burning sensation in the stomach can occur a few hours after eating, especially if the stomach is empty. This is often referred to as "hunger pain," and it can be exacerbated by the increased acidity in the stomach when it is empty.

The recommendation to eat smaller, more frequent meals is aimed at preventing excessive gastric acid secretion, which can occur when the stomach is empty for prolonged periods. However, if you find that this approach leads to discomfort, it may be beneficial to adjust the timing and composition of your meals. For instance, incorporating more complex carbohydrates and proteins can help to buffer stomach acid and provide a more sustained release of energy, potentially alleviating hunger pangs.

Moreover, stress management is crucial. Stress can significantly impact gastrointestinal function, leading to increased acid production and exacerbating symptoms. Techniques such as mindfulness, yoga, or even simple breathing exercises can help mitigate stress levels and, in turn, reduce the likelihood of experiencing discomfort.

In terms of dietary choices, it is advisable to avoid irritants such as spicy foods, caffeine, and alcohol, as these can aggravate the stomach lining. Instead, focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Keeping a food diary may also help you identify specific foods that trigger discomfort, allowing you to make more informed dietary choices.

As for your concern about returning to a "normal" state of health, it is essential to be patient. The stomach lining can take time to fully recover, and while some sensitivity may persist, many individuals find that their symptoms gradually improve with appropriate dietary and lifestyle modifications. Regular follow-ups with your healthcare provider are also important to monitor your progress and make any necessary adjustments to your treatment plan.

In conclusion, while it is common to experience some discomfort after the healing of stomach ulcers, understanding the underlying causes can help you manage your symptoms effectively. By making mindful dietary choices, managing stress, and maintaining regular communication with your healthcare provider, you can work towards restoring your digestive health and returning to a more comfortable lifestyle.

Thank you for your question, and I wish you the best on your journey to recovery.

Sincerely,
Doctor Q&A Teams
[Your Title]


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