Symptomatic ulcer
Symptoms of gastric and duodenal ulcers include:
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- Stress gastroduodenal ulcers that occur with widespread burns (Curling’s ulcers), during neurosurgical operations, skull injuries and cerebral hemorrhages; in patients on mechanical ventilation, ill with sepsis, myocardial infarction, after transplantation, etc.
- Medicinal ulcers that have developed as a result of taking a number of drugs. Ulcers develop in about 30% of arthritis patients who take large doses of aspirin. A similar effect is observed in other NSAIDs, glucocorticoids, reserpine.
- Endocrine ulcers (in patients with Zominger-Ellison syndrome, hyperparathyroidism).
- Gastroduodenal ulcers that occur in patients with certain diseases of the internal organs, for example, with cirrhosis of the liver (hepatogenic ulcers), chronic pancreatitis (pancreatogenic ulcers), in patients with COPD, widespread atherosclerosis, erythremia, etc.
Clinical picture
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- Develop acutely, manifesting infrequently massive gastrointestinal bleeding or perforation of ulcers
- Erased symptoms: weak, severity or absence of pain syndrome and dyspeptic disorders, seasonality of exacerbation, low rates of hydrochloric acid secretion.
Treatment – see peptic ulcer disease. Diet. In the acute stage – diet No. 1a, in the remission stage – diets No. 16, 1. See. See also Duodenal ulcer disease, Gastric ulcer disease, Peptic ulcer disease
ICD
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- K25 Gastric ulcer
- K26 Duodenal ulcer