The duodenum is the first part of the small intestine and can cause pain due to ulcers, obstructions, chemical release, and H pylori bacteria. Persistent pain with vomiting and blood requires immediate medical attention.
The duodenum is the first section of the small intestine. It reaches from the pylorus near the bottom of the stomach to the second part of the small intestine, or jejunum, and is considered part of the upper stomach. There are a few reasons for duodenal pain; however, one of the more common causes is an ulcer in the duodenum, or duodenal ulcer. Peptic ulcers often form in the duodenum and can be the cause of quite severe pain. An ulcer is a sore inside or outside the body that fails to heal.
An obstruction in this part of the stomach can sometimes be the cause of duodenal pain. This can occur when an untreated peptic ulcer scars and narrows the stomach passage. This occurrence is rare, however, because treatment usually heals these stubborn ulcers before they reach that critical condition. When it happens, however, it can potentially block the passage of food out of the stomach. Some of the symptoms of this include indigestion and vomiting.
Part of the way the stomach and duodenum serve to digest food is by releasing a stream of strong chemicals. This can also lead to indigestion and pain problems. Bloating and nausea can accompany this condition. Ulcers are usually the culprit, but sometimes there is no identifiable underlying reason. This is called functional indigestion and can be made worse by alcohol consumption and smoking.
Indigestion and duodenal pain can also be made worse by stress and worry. If the condition is persistent and accompanied by vomiting and blood in the stool or vomit, it is recommended that the patient be examined by a doctor immediately. If you experience pain in your left arm and jaw along with indigestion and pain, as well as shortness of breath and sweating, these could also be symptoms of heart disease and should be seen by a doctor.
Another potential cause of duodenal pain can be Helicobacter pylori or H pylori. This is a bacteria found in the stomach and is sometimes associated with ulcers. Symptoms of H pylori can include a burning sensation in the stomach and duodenal region. Doctors typically treat this condition with a combination of antibiotics, and it can take up to three weeks for symptoms to subside. With both H pylori and peptic ulcer disease, the patient is recommended to avoid coffee, smoking, alcohol, and nonsteroidal drugs such as aspirin.
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