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Peptic ulcer: symptoms

Common symptoms

The most common symptom of a peptic ulcer is pain. The pain is often described as:

  • dull
  • gnawing
  • achy
  • comes and goes for days or weeks
  • occurs 2 to 3 hours after meals
  • occurs in the middle of the night (when your stomach is empty)
  • is often relieved by eating

Other symptoms of a peptic ulcer may include:

  • weight loss
  • poor appetite
  • bloating
  • burping
  • nausea
  • vomiting

It is important to remember that although these are the most common symptoms, not everyone with a peptic ulcer feels the same. Some people may have only very mild symptoms or no symptoms at all.

Emergency symptoms

Occasionally, complications of a peptic ulcer may occur. These can include perforation, bleeding, or obstruction.

  • Perforation occurs when the ulcer burrows completely through the wall of the stomach or duodenum.
  • Bleeding can occur when the ulcer or stomach acid breaks open a blood vessel.
  • Obstruction occurs when the ulcer blocks the path of food trying to leave the stomach.

These peptic ulcer complications are emergencies and are often characterized by the following symptoms:

  • sharp, sudden, persistent pain
  • bloody or black, tarry stools
  • bloody vomit or vomit that looks like coffee grounds

If you experience any of the symptoms, it is very important that you seek immediate medical attention.

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