Peptic Ulcer - Complications

Not ready to share? Read other Patient Comments

Did you experience any complications with your peptic ulcer? Please share your story.

Share your story with others:

MedicineNet appreciates your comment. Your comment may be displayed on the site and will always be published anonymously.Patient Comments FAQs

Enter your Comment

Tell us a bit about your background to make your comments more useful to other MedicineNet users. (Optional)

Screen Name: *

Gender of Patient: Male Female

Age Range of Patient:

I am a: Patient Caregiver

* Screen Name will appear next to the published comment. Please do not include your full name or email address.

By submitting your comment, and other materials (collectively referred to as a "Submission") to MedicineNet, you grant MedicineNet permission to use, copy, transmit, publish, display, edit and modify your Submission in connection with its Web site. MedicineNet will not pay you for your Submission. You represent that you have all rights necessary for MedicineNet to use your Submission as set forth above.

Please keep these guidelines in mind when writing your comment:

  • Please make sure you address the question asked.
  • Due to the overwhelming number of comments received, not all comments will be published.
  • When selecting comments to publish, our staff will choose those that are educational and complement the topic. Please try to stay on topic.
  • Your comment may be edited. We would typically edit comments to make them clearer and more readable. We will remove personal information such as last names, email and web addresses, and other potentially harmful information.
  • We will not notify you if your comment has been published. We suggest that you check back on the topic article regularly.
  • We do not provide medical or healthcare advice, treatment, or diagnosis.

Thank you for participating!

I have read and agree to abide by the MedicineNet Terms and Conditions and the MedicineNet Privacy Policy (required).

To prevent our systems from spam, please complete the following prior to submitting your comment.

Please select the black triangle:

What are the complications of peptic ulcer?

Patients with ulcers generally function quite comfortably. Some ulcers probably heal even without medications (though they probably recur as well). Therefore, the major problems resulting from ulcers are related to ulcer complications. Complications include bleeding, perforation, and obstruction of emptying of the stomach.

Patients with ulcer bleeding may report passage of black tarry stools (melena), weakness, a sense of passing out upon standing (orthostatic syncope), and vomiting blood (hematemesis). Initial treatment involves rapid replacement of lost blood intravenously, usually with fluids. Patients with persistent or severe bleeding may require blood transfusions. An endoscopy is performed to establish the site of bleeding and to stop active ulcer bleeding with the aid of specialized endoscopic instruments.

Perforation through the stomach leads to the leakage of stomach contents into the abdominal (peritoneal) cavity, resulting in acute peritonitis (infection of the abdominal cavity). These patients report a sudden onset of extreme abdominal pain, which is worsened by any type of motion. Abdominal muscles become rigid and board-like. Urgent surgery usually is required. A duodenal ulcer that has perforated can burrow into adjacent organs such as the pancreas or behind the abdomen and into the back. An esophageal ulcer that perforates can cause severe inflammation of the tissues that surround it and the heart and those that lie between the lungs (mediastinitis).

If an ulcer occurs in the narrow outlet from the stomach, it can obstruct the flow of stomach contents into the duodenum. Duodenal ulcers sometimes also may obstruct the flow of intestinal contents. Patients with obstruction often report increasing abdominal pain, vomiting of undigested or partially digested food, diminished appetite, and weight loss. The obstruction usually occurs at or near the pylorus that separates the stomach from the duodenum. Endoscopy is useful in establishing the diagnosis of obstruction from an ulcer and excluding gastric cancer as the cause of the obstruction. In some patients, gastric obstruction can be relieved by suction of the stomach contents with a tube for 72 hours, along with intravenous anti-ulcer medications, such as cimetidine (Tagamet) and ranitidine (Zantac). Patients with persistent obstruction require surgery.

Return to Peptic Ulcer

See what others are saying

Comment from: mouser, 55-64 Male (Patient) Published: October 15

I was suffering with severe chest pains and GERD like symptoms for over 2 months. Pain would wake me in the middle of the night. I finally tried eating the Greek yogurt one night out of desperation. The intense chest pains disappeared within minutes and I slept great till the morning. Finally I went in to urgent care and had really high blood pressure so I was sent later to the cardiac clinic to rule out heart troubles. But the attending doctor at urgent care said it sounded like peptic ulcer and gave me Protonix to try. It worked wonders. Now I am trying to kill the bacteria which is likely causing the troubles, H. pylori. I'm taking colloidal silver and Pepto-Bismol along with probiotics and digestive enzymes. Will let you know if that works.

Was this comment helpful?Yes
Comment from: wvhawk, 75 or over Male (Patient) Published: March 19

I have lumbar pain (degenerative discs), and found ibuprofen was the best pain reliever. When pain got worse my doctor prescribed etodolac, 3 times a day. The side effect of having it 3 times was too much so I took either 1 or 2 a day (12 hours apart) depending on pain. I then developed occasional difficulty in swallowing (usually meat). An EGD was performed. Results: non-bleeding ulcers were found in esophagus, stomach, and duodenum bulb, and irritation in the linings. Cause was NSAIDs. PPI (proton pump inhibitor) was prescribed. I am well on the way to healing.

Was this comment helpful?Yes


Get the latest health and medical information delivered direct to your inbox!