Diseases need to identify with peptic ulcer
A variety of diseases (mainly upper abdominal disease) can cause chronic discomfort in the upper abdomen, burning sensation or pain, accompanied or not accompanied by nausea, vomiting, flatulence, hiccups, etc., shall be differentiated from peptic ulcer.
1, celiac disease
1, non-ulcer dyspepsia:
Non-ulcer dyspepsia or functional dyspepsia have ulcer disease refers to clinical symptoms, but after checking all the equipment is not of upper gastrointestinal peptic ulcer in the clinical state of existence. Patients complained of belching, ai acid, hiccups, nausea, vomiting or inflatable symptoms such as abdominal discomfort in the stomach burning or pain over there. However, multi-site pain is not fixed, can be induced or aggravated by psychological factors. Symptoms can be treated by the medical anti-ulcer drugs and get better, but few can achieve a complete remission.
2, Moynihan Syndrome:
Of typical clinical symptoms of duodenal ulcer, while those who do not have peptic ulcer, said Moynihan syndrome. Moynihan believes that dyspepsia, duodenitis and duodenal ulcer are the same disease at different time performance of the three was considered a continuous whole. Moynihan that if the patient has indigestion → duodenitis, duodenal ulcer in the whole process can be diagnosed as Moynihan disease.
Patients with chronic gastritis may be asymptomatic, but most of them have different degrees of dyspeptic symptoms.
4, reflux esophagitis and peptic esophageal ulcer:
Both can have Xinwo like the Department of burning sensation or burning pain, ai acid, gas, resembling peptic ulcer, but can be accompanied by pain in swallowing. If concurrent diaphragmatic hernia, then the pain usually occurs when eating their heads off lying, while in the standing position when you disappear.
5, chronic duodenitis:
This disease can specific and non-specific. Both may have associated with the consumption-related upper abdominal pain, discomfort, can be basic drugs to ease.
6, gastric mucosa prolapse:
This disease can occur on the abdominal pain. Because mucosal prolapse often occur intermittently or worsen, it can also be intermittent upper abdominal pain. However, the rhythm of this disease without peptic ulcer pain, taking antacids will not make pain relief. When you can adopt the left side lying in patients with pain relief. X-ray barium meal fluoroscopy can show the existence of gastric mucosa prolapse.
7, gastric cancer and gastric ulcer:
Both are related to the differential diagnosis of benign gastric ulcer and major projects. Patients have been diagnosed as benign gastric ulcer, while the short term lose its rhythm, symptoms increase, though still can not ease to use antacids should be considered cancerous ulcers.
8, gastrinoma:
Gastrinoma is a rare type of peptic ulcer. All refractory, and the outbreak of stomach and duodenal ulcers, conventional medical treatment failed to control persons, to consider the possibility of gastrinoma. Pan-onset (not only involving the stomach and duodenum) and multiple (an organ has more than one ulcer) ulcer formation, but also another feature of gastrinoma. And abnormally high serum gastrin level increased, suggesting that the diagnosis of gastrinoma.
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