symptoms a patient may report who has reflux or ulcers

by Dwight Goyette V 8 min read

Symptoms & Causes of Peptic Ulcers (Stomach Ulcers)

4 hours ago  · It’s possible for you to have GERD or ulcers — or even both — without experiencing any symptoms. If you do have symptoms, GERD and ulcers can share some similar ones, including: Upper abdominal pain that people often describe as “burning” Nausea and/or vomiting. Decreased appetite. Symptoms that get worse with certain types of foods — like spicy food, … >> Go To The Portal


Other common symptoms include bloating or a feeling of fullness, heartburn, and nausea. There are a few more severe symptoms of an ulcer, but they’re far less frequent. These include vomiting or vomiting blood, black tarry stools, trouble breathing, feeling faint, unexplained weight loss, and appetite changes.

Esophageal ulcer induced by GERD often presents with esophageal and gastric symptoms. Patients reports pyrosis, regurgitations, dysphagia, chest pain, water brash, Globus sensation, odynophagia, nausea, vomiting, atypical chest pain and in some cases weight loss.May 8, 2022

Full Answer

What are the symptoms of acid reflux and stomach ulcer?

dizziness and/or sweating Pain from either an ulcer or acid reflux can usually be treated fairly easily if diagnosed before complications develop. However, if you have signs of blood loss -- such as vomiting blood, bloody or tarry stools and/or tiredness -- it is important to see your doctor right away.

Why should I see a doctor for acid reflux and ulcer?

Because: Pain from either an ulcer or acid reflux can usually be treated fairly easily if diagnosed before complications develop. However, if you have signs of blood loss -- such as vomiting blood, bloody or tarry stools and/or tiredness -- it is important to see your doctor right away.

Should I talk to my doctor about my ulcer symptoms?

Even if your symptoms are mild, you may have a peptic ulcer. You should see your doctor to talk about your symptoms. Without treatment, your peptic ulcer can get worse.

What are the symptoms of a peptic ulcer?

What Is a Peptic Ulcer? What Are the Symptoms of an Ulcer? The symptoms of an ulcer include: You've been diagnosed with an ulcer and begin having symptoms of anemia, such as dizziness, weakness, fatigue, and a pale complexion; your ulcer may be bleeding.

What are the clinical signs and symptoms of peptic ulceration?

These symptoms include epigastric pain that worsens with eating, postprandial belching and epigastric fullness, early satiety, fatty food intolerance, nausea, and occasional vomiting [2,5].

How do you know if you have acid reflux or an ulcer?

GERD can also cause trouble swallowing and a cough, which isn't typical of peptic ulcers. Ulcer pain is usually located in the upper abdomen, rather than in the chest. And you may notice it on an empty stomach or a few hours after a meal. This is less likely with GERD, which tends to happen quickly after eating.

What are common clinical findings associated with the presence of gastroesophageal reflux disease?

The classic symptoms are heartburn and regurgitation, which may also include dysphagia. In the absence of classic symptoms, GERD becomes more difficult to diagnose. Other symptoms that may be caused by GERD are atypical chest pain, hoarseness, nausea, cough, odynophagia and asthma.

What are symptoms of esophageal ulcer?

What are the symptoms of an esophageal ulcer?Difficult or painful swallowing.Pain that is lessened by eating, drinking, or taking antacids.Nausea or vomiting.Acid reflux or indigestion.Dry cough.

How do you diagnose an ulcer?

Your doctor will use information from your medical history, a physical exam, and tests to diagnose an ulcer and its cause. The presence of an ulcer can only be determined by looking directly at the stomach with endoscopy or an X-ray test.

Are acid reflux and ulcers related?

The underlying issue for both these conditions is the same—acid. In GERD, acid in the esophagus is the problem, whereas with an ulcer, acid is causing a problem in the stom- ach lining. So, the medication used to treat them is the same, an acid reducer (e.g. Pepcid, Zantac and Prilosec).

Which of the following is a symptom of reflux?

A burning sensation in your chest (heartburn), usually after eating, which might be worse at night. Chest pain. Difficulty swallowing. Regurgitation of food or sour liquid.

How is gastric reflux diagnosed?

Your doctor inserts a thin, flexible tube equipped with a light and camera (endoscope) down your throat, to examine the inside of your esophagus and stomach. Test results can often be normal when reflux is present, but an endoscopy may detect inflammation of the esophagus (esophagitis) or other complications.

What are the symptoms of severe GERD?

What are the symptoms of GERD (chronic acid reflux)?Heartburn.Regurgitation (food comes back into your mouth from the esophagus).The feeling of food caught in your throat.Coughing.Chest pain.Problem swallowing.Vomiting.Sore throat and hoarseness.

What causes acid reflux?

The most common cause is food that's acidic or high in fat—like citrus fruits, tomatoes, onions, chocolate, coffee, cheese, and peppermint. Spicy foods or large meals can also be the root of distress. Other sources of heartburn include aspirin or ibuprofen, as well as some sedatives and blood pressure medications.

How are esophageal ulcers diagnosed?

Healthcare providers use an endoscopy to diagnose esophageal ulcers. But not everyone with an esophageal ulcer will necessarily have an upper endoscopy. Typically providers only perform these when someone with ulcers has more serious or unexplained symptoms, like bleeding or difficulty swallowing.

Can ulcers cause chest pain and shortness breath?

An untreated peptic or stomach ulcer may, in some cases, cause the following severe symptoms: loss of appetite and weight loss. difficulty breathing. lightheadedness or faintness.

How to tell if you have a peptic ulcer?

What are the symptoms of a peptic ulcer? 1 bloating 2 burping 3 feeling sick to your stomach 4 poor appetite 5 vomiting 6 weight loss

How do H. pylori cause a peptic ulcer and peptic ulcer disease?

H. pylori are spiral-shaped bacteria that can cause peptic ulcer disease by damaging the mucous coating that protects the lining of the stomach and duodenum. Once H. pylori have damaged the mucous coating, powerful stomach acid can get through to the sensitive lining. Together, the stomach acid and H. pylori irritate the lining of the stomach or duodenum and cause a peptic ulcer.

How do NSAIDs cause a peptic ulcer?

To understand how NSAIDs cause peptic ulcer disease, it is important to understand how NSAIDs work. Nonsteroidal anti-inflammatory drugs reduce pain, fever, and inflammation, or swelling.

What does it mean when you have blood in your stool?

have sudden, sharp stomach pain that doesn’t go away. These symptoms could be signs that a peptic ulcer has caused a more serious problem. Call your doctor if the pain gets worse.

What does it mean when your stomach hurts?

A dull or burning pain in your stomach is the most common symptom of a peptic ulcer. You may feel the pain anywhere between your belly button and breastbone. The pain most often. happens when your stomach is empty—such as between meals or during the night. stops briefly if you eat or if you take antacids.

How long does it take for a peptic ulcer to come and go?

comes and goes for several days, weeks, or months. Less common symptoms may include. bloating. burping. feeling sick to your stomach. poor appetite. vomiting. weight loss. Even if your symptoms are mild, you may have a peptic ulcer.

What is the National Institute of Diabetes and Digestive and Kidney Diseases?

This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health. The NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by the NIDDK is carefully reviewed by NIDDK scientists and other experts.

What is the best test for ulcers?

If blood is detected, suspicion for an ulcer increases. A blood test called the CLO test looks for evidence of H. pylori. A more expensive method of detecting H. pylori is the urea breath test. If either of these are positive, treatment to eliminate the H. pylori using two or three antibiotics is recommended. None of the above tests are definitive for ulcer disease.

Why do ulcers occur?

Previously, most ulcers were thought to be caused by irritants to the stomach, such as stress, spicy foods, caffeine, tobacco and alcohol. Alcohol in particular is an irritant to the lining of the stomach (mucosa). All of these can cause the circular muscle at the lower end of the esophagus to relax and allow food to reflux from ...

How to treat GERD and PUD?

Most physicians will treat a person with GERD or PUD symptoms conservatively in the initial stages. The individual will be instructed to avoid aspirin and similar pain medications, alcohol and tobacco. Frequently the individual has tried OTC antacids or H2 blocking medications. These H2 medications recently approved for OTC use include Zantac, Pepcid AC and Tagamet. If these provide partial relief, a prescription strength of the same medication may be used. These H2 blockers work by interfering with the secretion of stomach acid in response to food. Antacids such as Mylanta, Maalox, Tums and Rolaids neutralize acid that has already been secreted, but only act locally. The liquid preparations may be more effective than tablet forms.

What causes ulcers in the duodenum?

Most ulcers of the duodenum are caused by an infectious agent named Helicobacter pylori or H. pylori. According to the Centers for Disease control and Prevention, 90% of duodenal (small intestine) and 80% of gastric (stomach) ulcers are caused by H. pylori. Elimination of this bacteria frequently causes quick resolution ...

How long does it take for a bleeding ulcer to return?

Sometimes these symptoms are relieved temporarily by eating or taking antacids, but return in 30-60 minutes. People with bleeding ulcers may note dark, tar colored stools, fatigue or weakness.

How many antibiotics to treat H pylori?

If either of these are positive, treatment to eliminate the H. pylori using two or three antibiotics is recommended. None of the above tests are definitive for ulcer disease. A more specific test is an upper GI contrast study using a series of X-rays taken when an individual swallows a chalky liquid containing Barium.

What happens if you swallow acid?

The consequences include scarring of the lower esophagus and the formation of strictures which impair swallowing. The lining of the esophagus changes when repeatedly exposed to acid. This change may lead to a condition known as Barrett’s esophagus, which may lead to the cancer of the esophagus.

Do You Have A Stomach Ulcer?

If you suspect that you have a stomach ulcer, it is beyond important that you seek medical attention as soon as possible. As you can tell from the symptoms listed above, things can only get worse if your ulcer goes untreated. Call the experts at West Gastroenterology in Los Angeles today and make an appointment!

How long does stomach ulcer pain last?

The onset of the pain may occur several hours after a meal when the stomach is empty. Patients have reported paint to be worse at night as opposed to the morning. Pain duration may vary from a few minutes to several hours. Pain may be relieved by foods, antacids or vomiting.

What does it feel like to have a burning stomach ulcer?

This may seem like a no-brainer but the most common sign that people experience when they have a stomach ulcer is a persistent burning pain in their abdomen. This sensation occurs when juices in the stomach used for digestion come into contact with the open sore. For the most part, the pain is felt from ...

Why does my stomach bloat?

Having a lot of scar tissue in your stomach can also lead to significant bloating. Since your food cannot move through your stomach opening the way it should, gas builds up quite easily in your intestines.

What causes a person to regurgitate and have heartburn?

This is known as acid reflux and it is known to cause severe heartburn and regurgitation in those who suffer from it.

What does vomit look like?

While you might expect to see a bright red color to the blood, most often ulcers cause for your vomit to look similar to coffee grinds, meaning they it will likely be dark brown in color.

How to tell if you have an ulcer?

Black or Dark Colored Stool. If you think you may have an ulcer, a good way to tell is to look at your stool. If you notice that when you use the restroom your stool is extremely dark in color, or even black, chances are you are right about what is ailing you.

What are the signs of an ulcer?

The signs of a stomach ulcer can range from mild to severe. Here are the top five signs you may have an ulcer:

What are stomach ulcers?

There are two kinds of stomach ulcers: gastric ulcers and duodenal ulcers. Gastric ulcers are sores on the lining of your stomach. Duodenal ulcers are sores on the upper section of your small intestine.

How can I be sure it’s an ulcer?

The only way to be sure an ulcer is causing your discomfort is with a medical diagnosis. We will evaluate your medical history and conduct a thorough physical examination.

What causes ulcers in older people?

Ulcers are usually caused by an infection from a common bacteria called helicobacter pylori or from the habitual use of nonsteroidal anti-inflammatory drugs, such as aspirin. Other factors, such as being older than age 50, smoking, genetics, steroid use, and frequent alcohol use, can increase your risk of developing an ulcer.

What causes a burning sensation in the upper stomach?

Ulcers can increase the feeling of indigestion or heartburn, a burning feeling near your heart or upper stomach that happens when stomach acid flows up into your esophagus. If you notice increased instances of indigestion or heartburn, a stomach ulcer could be to blame. 3. Nausea or vomiting.

How many people have stomach ulcers?

Did you know that stomach ulcers ― also called peptic ulcers ― affect at least 1 in 10 Americans over the course of their lives? And while stomach ulcers can be treated easily when caught early, lack of medical care can lead to serious complications.

Can antibiotics help with ulcers?

For example, if our tests indicate that an infection caused by helicobacter pylori is what created your ulcer, we’ll give you antibiotics to eliminate the bacteria. Regardless of the cause, medications that help reduce the level of acid in your stomach can help the ulcer heal.

When does pain from ulcers worsen?

When does the pain happen? Pain from ulcers is generally worse when you’re hungry, Dr. Brocato explains. “People with ulcers can feel either better or worse after they’ve had something to eat.”

What is an ulcer in the stomach?

An ulcer is an open sore in the lining of your stomach or the upper part of your small intestine. It can break through the tissue’s protective layer, letting stomach acids in. That can be painful.

Why does my stomach feel like it's burning?

That nasty burning sensation in your stomach could be many things, but 2 common causes are peptic ulcers and gastroesophageal reflux disease (GERD). Though the symptoms may be different, the conditions are often confused. “Sometimes it’s challenging to figure out what’s going on,” says Ruth Brocato, MD, a family medicine specialist at Mercy Medical Center in Baltimore. “There are so many conditions that can cause abdominal symptoms.”

How to treat ulcers caused by H. pylori?

Treatment depends on the cause. “If the ulcer is caused by H. pylori, we prescribe a course of 3 different antibiotics, ” says Dr. Boling. “And if we think the cause is too many NSAIDs, just stopping those pain relievers often makes the problem go away.”

What causes a burning sensation in the throat and chest?

It starts at the bottom of the esophagus, the tube that carries food from your mouth to your stomach. When the valve at the bottom of your esophagus doesn’t close properly, acid backs up and causes a painful burning sensation in your chest and throat. “When you’ve got GERD, acid is coming back up and bathing your esophagus, ...

What are the causes of GERD?

Milk, spices, fried foods or asthma medication can trigger GERD in some people. Other risk factors include obesity, smoking or pregnancy.

How common is GERD?

GERD is very common. According to the National Institutes of Health, it affects about 20% of Americans.

What factors are considered when determining acid reflux versus ulcer?

Your symptoms, the site and character of your discomfort, and symptom timing are important factors your doctor will consider in differentiating acid reflux versus an ulcer.

What are the symptoms of acid reflux?

Your symptoms, the site and character of your discomfort, and symptom timing are important factors your doctor will consider in differentiating acid reflux versus an ulcer. Burning pain behind the breastbone and possibly into the throat that occurs after meals points toward acid reflux.

What is esophageal manometry?

Esophageal manometry may be performed if acid reflux is suspected. The test assesses the function of the esophageal muscles , including the band at the entrance to the stomach that normally prevents reflux. If your diagnosis is unclear, your doctor may recommend pH monitoring to measure esophageal acid levels.

What does it mean when you have burning pain in your throat?

Burning pain behind the breastbone and possibly into the throat that occurs after meals points toward acid reflux. This discomfort often worsens when you lie down or bend over. Ulcer pain is commonly described as gnawing or boring discomfort located toward the bottom of the rib cage. Ulcer pain usually occurs on an empty stomach ...

What does blood work tell you about acid reflux?

Your doctor might request laboratory tests to assist with the diagnosis between acid reflux versus an ulcer. Blood tests can also determine whether you are anemic, ...

What does it mean when your stomach is tender?

Mild to moderate tenderness confined to one area of the upper abdomen might indicate an ulcer. Severe, more diffuse abdominal tenderness suggests the possibility of an ulcer that has bored through the wall of the stomach or intestine -- or another serious problem.

What does it mean when your abdomen is yellow?

Yellowish discoloration of your skin, known as jaundice , points toward the liver rather than the stomach or esophagus as the culprit for abdominal pain. A mass felt in the abdomen might indicate a tumor. Mild to moderate tenderness confined to one area of the upper abdomen might indicate an ulcer.

How do you know if you have an ulcer?

An ulcer often comes with these symptoms: Burning sensation in your gut, about halfway between the navel and breastbone. Pain or discomfort two to three hours after eating. Pain that wakes you up at night. Pain that is eased by eating, drinking, or taking antacids. Blood in your stool or vomit.

What to do if you have GERD and have an ulcer?

“Generally, when there is suspicion of an ulcer, you recommend endoscopy. If the suspicion is for GERD, you do a therapeutic trial,” says McGuigan.

What does it mean when your stomach is burning?

GERD, on the other hand, means that your stomach acid is coming up from your stomach into your esophagus, causing a burning sensation (sometimes referred to as acid indigestion or heartburn) and unpleasant taste in the back of your mouth. This has to occur at least twice a week to be considered GERD. “Most patients with GERD have either heartburn ...

Why does my stomach feel burning?

That burning sensation in your stomach could be an ulcer — or it might be gastroesophageal reflux disease (GERD), a chronic acid reflux condition.

What is the difference between GERD and ulcer?

Ulcer or GERD: Understanding the Differences. An ulcer is a small sore or lesion in the lining of your stomach or duodenum, the first part of your intestine. This sore is often aggravated by your stomach acid, but is usually not caused by the acid itself.

How many people have heartburn?

Ulcer or GERD: Stomach Discomfort. The two conditions are actually different, even if they make you feel equally miserable. By some estimates, one in five people experience heartburn at least weekly. Stomach discomfort can easily have a negative effect on your life, leading to: Lost sleep.

What does an accurate diagnosis do?

An accurate diagnosis will get you one step closer to relief.