What should I avoid for gastric ulcer and 12 duodenal ulcer? What to eat? Is running effective?

Scientists often refer to gastric ulcer and duodenal ulcer as peptic ulcer, and it seems that there is no difference between them. In fact, there are many differences between them, and it is of great significance to understand their respective characteristics for the diagnosis and prevention of these two diseases.

Duodenal ulcer is common in young people, especially in middle-aged and elderly people.

The incidence ratio is 4 ~ 5: 1. Because the incidence of duodenal ulcer is much higher than that of gastric ulcer, and it mostly occurs in young people, it is more harmful and more attention should be paid to prevention.

It is generally believed that duodenal ulcer will not become cancerous (according to literature reports, only 1 case of duodenal ulcer patients), while gastric ulcer may become cancerous (the canceration rate is 6% ~ 18%). Therefore, we should be alert to the occurrence of canceration and monitor the dynamic changes by gastroscope regularly for the intractable gastric ulcer that has not been cured for a long time.

Etiology At present, it is believed that the common causes of duodenal ulcer and gastric ulcer are hyperacidity and helicobacter pylori infection. However, taking some drugs that directly destroy the gastric mucosal barrier, such as salicylate, aspirin, indomethacin, phenylbutazone, corticosteroids, etc., can cause gastric ulcer. When patients suffer from bile reflux disease, bile, lysolecithin and other harmful substances in duodenal contents flow back to the stomach, such as chronic gastritis, and gastric mucosa is easily damaged, thus forming ulcers.

The characteristic part of abdominal pain is that the pain area of gastric ulcer is wide, so it is difficult to determine the specific part; The pain of duodenal ulcer is limited, and patients can often point out that one point is the most painful.

Rhythmic gastric ulcer has no typical rhythmic pain; Duodenal ulcer has typical rhythmic pain, which usually occurs on an empty stomach (fasting) at 10 ~ 1 am, 3 ~ 4 pm,10 ~/am,1am ~.

Relationship with eating: The pain of gastric ulcer appears shortly after eating (within 30 minutes); On the contrary, the pain of duodenal ulcer can be relieved after eating.

Degree gastric ulcer is mostly burning pain or dull pain, generally mild; Duodenal ulcer can cause severe pain or colic.

At present, there are mainly three kinds of drugs for treating ulcers, namely: ① acid inhibitors and acidulants, such as omeprazole (Losec), ranitidine, famotidine, magnesium oxide and metoclopramide; ② Anti-Helicobacter pylori drugs, such as colloidal bismuth subcitrate, amoxicillin and metronidazole; ③ Mucosal protectants, such as Maizilin -S granules, sucralfate, Weibizhi, Letivir, gastrin ketone, etc. All the above three drugs can be used for gastric ulcer and duodenal ulcer caused by hyperacidity and helicobacter pylori infection. However, on the basis of chronic gastritis (especially chronic atrophic gastritis), taking drugs that stimulate gastric mucosa alone and bile reflux can all cause gastric ulcer. Gastric ulcer caused by this reason, gastric acid is not only not high but may be low, and Helicobacter pylori is often negative. This kind of gastric ulcer is obviously not suitable for taking acid inhibitors or acidic preparations (low acidic environment is conducive to the occurrence of gastric cancer), but should take mucosal protective agents. Therefore, before the treatment of gastric ulcer, it is best to measure the concentration of gastric acid and whether there is Helicobacter pylori before deciding which medicine to use.