With the accelerated pace of life, irregular diet, unhealthy and other reasons, there are more and more patients with stomach diseases. There are two kinds of stomach diseases that are difficult to distinguish – gastric ulcer and gastric erosion. Many people think that they are the same. They treat them in the same way, and the more they treat, the more serious they get. Often have patient consultation, what is the difference between gastric ulcer and gastric erosion? Today, I specially popularize science for you.
Many patients will confuse the two lesions of erosive gastritis and gastric ulcer, resulting in unnecessary misunderstanding. Indeed, the two are sometimes difficult to distinguish in symptoms, but they can be distinguished by gastroscopy. Generally speaking, the manifestation of erosion is that the damage of gastric mucosa is small and shallow; The manifestation of ulcer is that the damage of gastric mucosa is large and deep.
Gastric erosion refers to a shallow ulcer confined to the gastric mucosal layer. Some people think it is the early stage of gastric ulcer, but not all gastric erosion can develop into gastric ulcer.
It is generally said that upper gastrointestinal bleeding caused by gastric erosion is acute erosive gastritis. It is also called hemorrhagic gastritis, or acute gastric mucosal lesions. Sometimes duodenal mucosa can also be eroded to cause bleeding.
Gastric ulcer is a chronic ulcer between cardia and pylorus. It mainly refers to the tissue damage beyond the mucosal muscle layer caused by the digestion of gastric mucosa by gastric digestive juice itself. Its typical clinical manifestations are pain and discomfort during hunger, fullness and belching, pantothenic acid or regular epigastric pain, and even black stool and hematemesis.
The difference between gastric erosion and gastric ulcer:
Gastric ulcer is generally chronic, rhythmic or recurrent, and pain usually occurs half an hour or about an hour after meal; Gastric erosion rarely has the above complications.
Gastric ulcer usually takes a long time to treat. If Helicobacter pylori is infected at the time of ulcer occurrence, it is likely to cause repeated attacks of gastric ulcer.
The symptoms of gastric erosion are epigastric pain, the damage surface is relatively shallow, and there are generally symptoms of indigestion such as fullness and loss of appetite.
Both common causes
The most common causes include Helicobacter pylori infection, non steroidal anti-inflammatory drugs (NSAID) and excessive gastric acid secretion. In addition, it can also be caused by genetic factors and emotional fluctuations, overwork, irregular diet, long-term smoking, alcoholism and other factors.
The two treatments mainly include the following three aspects:
Diet conditioning: no smoking and alcohol, no spicy and stimulating food; Choose a light and digestible diet; Eat less cold, sweet and sour food;
Accurate examination: targeted treatment can only be carried out when we clearly know whether it is gastric ulcer or gastric erosion.
Symptomatic treatment: after clearly distinguishing gastric ulcer and gastric erosion, targeted treatment can be carried out. Symptomatic treatment can be carried out according to different pathology in order to treat the disease faster.