Symptoms and treatment of gastric ulcer in adults


The main cause of stomach ulcers is an imbalance of the mucous membrane. The catalysts of the disease are spiral pyloric bacteria called Helicobacter pylori. Significantly increase the risk of ulceration drug nonsteroidal drugs, for example, banal acetylsalicylic acid.

There are other causes of the disease:

  • hormonal disorders;
  • heredity;
  • unhealthy diet;
  • bad habits (regular and excessive alcohol use, smoking);
  • stress, depression, apathy, nervous tension;
  • cholelithiasis;
  • chronic cholecystitis.


As a rule, the manifestation of gastric ulcer in adults can not be overlooked. The manifestation of the inflammatory process for a long time knocks out of the rut and makes radically change the way of life. In the early stages, the symptoms of the ulcer are blurred, its signs are easily confused with other diseases.For example, the cause of heartburn is considered to be eating certain foods, and abdominal pain - a banal constipation or an excess of gas. When an adult feels pain in the chest, he first thinks about heart disease, then about osteochondrosis and various neuralgia. Without a medical examination, few people may even think that inflammatory processes in the stomach give a painful signal to the ribs and shoulder blades.

Secondary symptoms:

  • increased anxiety;
  • unconditioned depression;
  • recurrent headaches;
  • fatigue and apathy;
  • insomnia or, on the contrary, excessive sleepiness;
  • sudden rashes on the skin, changes in its condition.

According to statistics, you can cure 90% of all manifestations of gastric ulcers. It is important to understand the difference between gastric ulcer and duodenal ulcer. The latter is often referred to as “hungry ulcer”, as its symptoms are often manifested on an empty stomach. When a stomach ulcer nausea, heartburn and vomiting occur after eating.

Bleeding with ulcers

Ulcerative bleeding is quite a dangerous condition. Its symptoms are:

  • the stool is very dark with the smell of rot;
  • vomiting blood;
  • pain in the area of ​​the shoulder blades and chest;
  • episodic dizziness and fainting.


After the doctor has listened to the patient's complaints and singled out the characteristic symptoms of an ulcer from them, he conducts an external examination, palpation (probing) of the place of possible localization of the ulcer. The next stage is laboratory tests: complete blood count, feces analysis, urea breath test, biopsy of the gastric mucosa, endoscopy (endoscopy).

This endoscopy is the most accurate method for the detection of gastric ulcers. If even the slightest doubt remains, x-rays are taken using a contrast agent.


In most cases, the stage of long-term remission can be achieved after a course of drugs. Only in the most neglected and most severe cases is an operation prescribed.

In mild cases, gastric ulcers prescribe H2-blockers, which normalize the acid-base balance in the stomach, antacids, cytoprotective agents (activate the process of tissue regeneration, relieve inflammation).

After the diagnosis of gastric ulcer, an adult should stop smoking permanently, go on a special diet, abandon a number of drugs and products that can cause a relapse of the ulcer.

Sometimes without surgical intervention in the treatment of ulcers can not do. This happens if the ulcers do not heal and / or gastric bleeding has opened. The surgeon selects one of the methods of surgery:

  1. Resection. The part of the stomach where the ulcer or several ulcers formed is removed.
  2. Vagotomy They cut off the nervous enzymes of gastrin, which are responsible for the production of hydrochloric acid.
  3. Endoscopy. Removing a portion of affected tissue through a small incision in the abdomen. The most gentle way, belonging to the category of minimally invasive procedures.

The longer the symptoms of the ulcer are ignored and the treatment is delayed, the more likely it is that instead of using drug therapy, the doctors will refer the patient directly to the operating table.