Duodenal ulcer

Duodenal ulcers are 4 times more common than gastric ulcers. More about the symptoms, causes and treatment of duodenal ulcers.

Duodenal ulcer


Ulcer duodeni, duodenal ulcer


Gastrointestinal tract

The duodenal ulcer (duodenal ulcer or duodenal ulcer) is a tumor-like, ulcerated, alteration of the duodenum that is immediately adjacent to the stomach. Duodenal ulcers are often associated with gastritis (gastritis) or gastric ulcer. Although duodenal ulcer is 4 times more common than gastric ulcer, it is relatively unknown among the general public. A duodenal ulcer occurs more in younger, a stomach ulcer more in the elderly. Men are more than twice as likely as women. Disease peak are observed in the spring and autumn - why do not know exactly. Symptoms and treatment of gastric ulcer and duodenal ulcer are largely congruent.


The symptoms of duodenal ulcer are often uncommon at the onset of the disease. Later, however, they can not be ignored anymore:

  • severe abdominal pain or deep stomach pain
  • Typically, pain disappears after ingestion and re-occurs about four hours after eating when the stomach is empty again.
  • Indigestion such as bloating, flatulence or belching (heartburn)
  • black stool (tarry stool), visible or occult (hidden) blood in the stool
  • irregular bowel movements
  • Nausea, loss of appetite
  • Vomit.


The majority of duodenal ulcers have the same causes as gastric ulcers. The main causes include chronic gastritis, high levels of painkillers and alcohol, as well as an infection with the bacterium Helicobacter pylori.

Common Causes of Duodenal Ulcer Overview

  • chronic gastritis caused by infection of the stomach with the bacterium Helicobacter pylori
  • Smoke
  • Medications such as analgesics, rheumatism, cortisone
  • excessive consumption of alcohol, alcohol abuse
  • mental stress and / or physical stress such as injuries
  • Surgery, serious illnesses such as heart attack, pulmonary embolism or burns
  • hereditary burden
  • excessive gastric acid production.


The treatment of duodenal ulcer barely differs from that of gastric ulcer. The corresponding information about diagnosis, medical treatment and self-help can be found in the guide stomach ulcers.

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