Does peptic ulcer cause severe dull pain in the abdomen?

Hi,

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I suggest taking acid suppression medicine like Pantoprazole 30 milligrams half an hour before breakfast and some antacid syrup like Gaviscon 10 milliliters (Sodium alginate 500 mg, Sodium bicarbonate 213 mg, and Calcium carbonate 325 mg) after every meal.

There are two important complications, and one is bleeding. That means bleeding in vomiting or stools. If this is not present, then do not worry.

Thank you.

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Another complication you mentioned is perforation. It is even worse than bleeding, but in that case, the patient is very sick with severe abdominal pain. The abdomen is as hard as a wooden board, and pain will not resolve with painkillers.

Changes from simple ulcer to perforation are very few.

Thank you.

Hi,

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How much will you score your pain intensity out of 10?

1 means negligible pain, and 10 means severe pain, unable to tolerate at all.

Which antacid are you taking?

Mild to moderate pain can occur in patients with gastritis or simple ulcers. Perforation is severe and almost the last complication of an ulcer, so it is very unlikely to have pain for the first time, and your ulcer has already perforated.

Thank you.

Hi,

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Pain is not that severe, like perforation. Gaviscon (sodium alginate 500 mg, sodium bicarbonate 213 mg, and calcium carbonate 325 mg) is an excellent antacid, and you can increase the dose. You can add proton pump inhibitors like Pantoprazole or Lansoprazole once daily, half an hour before breakfast.

Try to eat home-cooked soft meals. Avoid re-heated meals or eating out for a few days.

Thank you.

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Wishing you good health.

Thank you.

Hi,

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I have reviewed your case history and attached pictures (attachment removed for patient identity protection).

1) These are two different conditions, do not confuse them, initial upper abdominal pain that resolved with acid suppression medicine was likely gastritis, and I agreed you can take medicine for 30 to 60 days.

2) This time, abdominal cramps, diarrhea, and associated gastrointestinal bleeding seem to be a gut infections like small or large bowel infections commonly known as enterocolitis. You might have a history of eating out or eating unusual meals. This does not relate to acid suppression medicine use or coming from the stomach as such.

3) I do not think that this is hemorrhoidal bleeding. Hemorrhoidal bleeding is fresh red and most often occurs with constipation rather than diarrhea. There should be no abdominal pain in the case of hemorrhoids.

My suggestions,

1) Get your stool DR (detailed report) simple test to see stool infection.

2) Take anti-spasmodic medicine like Mebeverine (Mebeverine hydrochloride 135 mg) or Drotaverine (40 mg of Drotaverine hydrochloride) half an hour before meals twice a day.

3) Start probiotics once daily.

4) If there is an infection in your stool report, you may need a short course of antibiotics.

Thank you.

Hi,

Welcome back to icliniq.com.

I hope you will be fine soon.

Thank you.