Managing Intermittent Abdominal Pain from Gastric Ulcers: The Key Role of Medication
Gastric ulcers are a common condition affecting the digestive system, and symptoms can vary depending on the severity of the ulcer. In this case study, a 55-year-old female patient experienced intermittent abdominal pain accompanied by watery diarrhea, fatigue, shortness of breath, chest tightness, and poor appetite. After undergoing a barium meal test and gastroscopy, she was diagnosed with multiple gastric ulcers. With a one-week hospitalization followed by four weeks of outpatient medication therapy, her condition significantly improved and follow-up tests confirmed full healing of the ulcers.
Early Symptoms and Initial Diagnosis
The patient first noticed intermittent abdominal pain about ten days prior to seeking medical attention. She also experienced frequent episodes of diarrhea, fatigue, and other related symptoms. Initially treated at a local clinic without improvement, she came to China Medical University Hospital for further evaluation. A barium meal test revealed Niche shadows projecting outward with many lines converging towards them - clear signs of gastric ulcers. Based on these findings, she was admitted for further diagnosis and treatment
Diagnostic Procedures and Treatment Plan
Once hospitalized, additional diagnostic procedures were carried out, including a Helicobacter pylori breath test and gastroscopy. The results confirmed an H. pylori infection. Gastroscopy showed esophageal varices along with inflamed and swollen mucosa in the stomach lining and multiple ulcers in the gastric region. Biopsies were taken to rule out malignancy, which fortunately confirmed benign lesions. Following discussions with the patient and her family, a conservative medication approach was chosen. Intravenous omeprazole sodium was administered to reduce gastric acid production, while oral medications—including calcium carbonate, bismuth potassium citrate, clarithromycin, and metronidazole—were prescribed to neutralize stomach acid and protect the gastric mucosa. The esophageal varices were monitored without immediate intervention.
Positive Outcomes Following Treatment
After just one week of treatment, the patient's abdominal pain had nearly disappeared, bowel movements normalized, and other symptoms like fatigue and shortness of breath improved. Although endoscopic re-examination showed that the ulcers were not yet fully healed and H. pylori was still present, the patient requested discharge due to personal circumstances. She continued her prescribed oral medications at home and returned for a follow-up visit one month later. At that time, endoscopy confirmed complete healing of the ulcers and no detectable Helicobacter pylori infection.
Lifestyle Adjustments and Prevention Tips
Following recovery, the patient expressed joy and gratitude. However, it's important to emphasize that gastric ulcers can recur. Maintaining a regular lifestyle, avoiding excessive stress, eating balanced meals, and limiting irritants like spicy foods and strong tea are essential. Nutrient-rich, easily digestible foods such as soy milk, eggs, fruits, and vegetables can support digestive health and prevent recurrence.
The Importance of Early Intervention
Gastric ulcers often begin with subtle or non-specific symptoms, such as mild upper abdominal discomfort. Without timely medical care, complications like bleeding, perforation, or even life-threatening hemorrhagic shock may occur. Additionally, since most patients with gastric ulcers also have H. pylori infections—and considering the high prevalence of this bacteria in China—it is strongly advised to adopt hygienic eating habits such as using separate utensils or serving dishes communally to prevent reinfection and reduce the risk of recurrence.