Peptic ulcer of a stomach and duodenum - chronic recurring disease which basic attribute is formation of defect (ulcer) in a wall of a stomach or a duodenum.

Signs, current. A leading sign of a peptic ulcer is the pain, arising to a thicket in an anticardium to the left of a median line (at ulcers of a body of a stomach) or to the right of it (at ulcers in the field of the channel of the gatekeeper and a bulb of a duodenum), quite often irradiating in the left half of thorax, area of a xiphoid process of a breast bone, a thoracal or lumbar department of a backbone. The pain can be cutting, colicy, blunt or intensive. It is usually precisely bound to reception of nutrition. So, at ulcers of a body of a stomach the pain arises, as a rule, in 30-60 minutes after meal (early pains), at ulcers of the channel of the gatekeeper and a bulb of a duodenum - in 2-3 hours (late pains), and also on an empty stomach (« hungry pains »), at quite often night. The vomiting by acidic gastric contents at height of the pain, bringing simplification is quite often observed. Often peptic ulcer of a duodenum is accompanied by constipations. Despite of good appetite growing thin can be marked in connection with that patients limit themselves in meal, being afraid of occurrence or intensifyings of a pain. It is necessary to consider, that at ulcers of a cardial department of a stomach the pain is quite often localized in the field of a xiphoid process of a breast bone, that at times is incorrectly regarded as display of disease of heart. At ulcers outside of a bulb the pain can be localized in the field of the right hypochondrium, feigning an exacerbation of a chronic cholecystitis. In some cases the painful syndrome in general is absent, as its equivalent various dyspeptic frustration, for example a heartburn arising with the same periodicity, as pains act.