Fast Five Quiz: Review Key Aspects of Peptic Ulcer Disease

Jamie Shalkow, MD


May 11, 2017

NSAID-induced gastritis or ulcers may be silent, especially in elderly patients.

Duodenal ulcer pain often awakens the patient at night. About 50%-80% of patients with duodenal ulcers experience nightly pain, as opposed to only 30%-40% of patients with gastric ulcers and 20%-40% of patients with nonulcer dyspepsia.

Patients who develop gastric outlet obstruction as a result of a chronic, untreated duodenal ulcer usually report a history of fullness and bloating associated with nausea and emesis that occurs several hours after food intake. A common misconception is that adults with gastric outlet obstruction present with nausea and emesis immediately after a meal. Only 20%-25% of patients with symptoms suggestive of peptic ulceration are found on investigation to have a peptic ulcer.

For more on the presentation of PUD, read here.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.