What are the indications of a perforated peptic ulcer?

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Peptic ulcer is a condition which involves the erosion of the tissue lining the upper digestive tract, especially in the stomach and initial part of the small intestine. The condition is often caused by a bacterial infection that compromises the defense against the acid production in the stomach. These erosions can penetrate entirely via the stomach or intestinal wall, resulting to the perforation and the spillage of acid as well as other contents into the abdominal cavity.

Symptoms of a perforated peptic ulcer

The initial indication of a perforated peptic ulcer is severe pain. The experience can be extreme in which the individual remembers exactly when it occurred, his/her location, what he/she was doing and the other trivial elements. The pain is at its highest level and persists. It can be aggravated by coughing, movement or even sneezing. The individual can also experience excessive sweating, fainting and rapid heart rate.

Peptic ulcer
The pain is at its highest level and persists. It can be aggravated by coughing, movement or even sneezing.

Symptoms that manifest prior to perforation

Even though perforation is the initial symptom of peptic ulcer, it is often preceded for days or weeks by mild symptoms. The pain between the navel and breastbone can manifest once the stomach is empty and many might be relieved with antacids. The pain can come and go as well as worsens at night time. Tarry bowel movements or passage of coffee grounds can indicate bleeding from a peptic ulcer.

What are the signs of a perforated peptic ulcer?

An individual who has a perforated peptic ulcer will lie quietly and breathes in a shallow manner. He/she appears clammy and pale and the heart rate becomes rapid. Take note that the abdomen becomes rigid to the touch and warm. Upon tapping lightly on the abdomen, it often produces a hollow, drum-like sound. A diagnosis can be given after an X-ray result that shows an abnormal collection of gas within the abdomen.

Even though the distinctive signs and symptoms are typically present and can be properly diagnosed by a doctor, a perforated peptic ulcer can be confused with other inflammatory diseases of the abdomen.

Home care for peptic ulcer

The first aid care for peptic ulcer at home focuses on neutralizing the stomach acid. By taking into consideration these measures, it can help alleviate the symptoms. If you want to be prepared in managing ulcer, read more.

  • Instruct the individual to avoid smoking, alcohol and coffee. These will only increase the production of gastric acid and weaken the mucosal barrier of the GI tract, thus promoting the formation of ulcer as well as slowing down the healing process.
  • Do not provide the individual with aspirin or non-steroidal anti-inflammatory drugs (NSAIDs).
  • In case the symptoms are mild, you can provide an over-the-counter antacid or histamine blocker to neutralize the stomach acid.
  • As for the diet, a bland diet is recommended as well as avoiding greasy or spicy foods. Just remember that any food that aggravates the condition must be avoided.

With the help of these measures, the symptoms of peptic ulcer that is perforated can be relieved.

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