Duodenal Ulcer vs. Gastric Ulcer: Understanding the Key Differences

Digestive ulcers, also known as peptic ulcers, can occur in two main areas — the stomach and the duodenum. While both types share some similarities, they differ significantly in terms of symptoms, timing of pain, and typical age of onset.

Symptom Differences

Gastric ulcers typically cause discomfort or pain in the upper abdomen shortly after eating. This type of ulcer is often associated with less severe heartburn and acid reflux, sometimes even none at all. On the other hand, duodenal ulcers are more likely to cause pain when the stomach is empty, commonly referred to as "hunger pain." This discomfort often intensifies in the late evening or at night, especially after 10 PM, and can be relieved by eating food or taking antacids. Acid reflux and heartburn are more pronounced in duodenal ulcers.

Age of Onset

Another notable distinction lies in the age group typically affected. Duodenal ulcers are more commonly diagnosed in younger individuals, often those in their 20s, 30s, and early 40s. In contrast, gastric ulcers tend to occur in people aged 40 to 45 and older. This difference in age distribution highlights the varying risk factors and physiological changes associated with each type of ulcer.

Accurate Diagnosis with Endoscopy

While symptoms can provide clues, the most reliable way to differentiate between a gastric and duodenal ulcer is through an endoscopic examination. During this procedure, a doctor can visually inspect the digestive tract and confirm the exact location and nature of the ulcer. This allows for more targeted and effective treatment planning.