Stomach Pain When Hungry: Could It Be a Peptic Ulcer?

Understanding the Difference Between Gastric and Duodenal Ulcers

Pain experienced on an empty stomach may be linked to a duodenal ulcer. Both gastric ulcers and duodenal ulcers fall under the category of peptic ulcer disease, but they differ in several key aspects such as location, timing of pain, and potential complications.

Pain Location Helps Identify the Type of Ulcer

Gastric ulcers typically cause discomfort in the central upper abdominal area. In contrast, duodenal ulcers tend to produce pain slightly to the right of the midline. Recognizing this difference can help doctors determine which type of ulcer may be present before diagnostic testing.

Pain Patterns Provide Important Clues

People with gastric ulcers often feel pain shortly after eating, as food comes into contact with the damaged lining of the stomach. On the other hand, those suffering from a duodenal ulcer may experience pain when the stomach is empty—such as between meals or during the night—which can sometimes wake them from sleep.

Risk of Complications Varies Between Ulcer Types

One major concern with gastric ulcers is their potential to become cancerous if left untreated over a long period. Duodenal ulcers, however, are far less likely to develop into cancer. Regardless of the type, early diagnosis and proper treatment are essential to prevent serious complications.

Accurate Diagnosis Requires Medical Evaluation

The most reliable way to distinguish between a gastric and duodenal ulcer is through an endoscopic examination. During this procedure, a doctor uses a flexible tube with a camera to visually inspect the inside of the stomach and small intestine. Once diagnosed, patients should follow a structured treatment plan that may include medication and lifestyle adjustments to promote healing and prevent recurrence.