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Erosions of the stomach and 12-rectum - Symptoms
Last reviewed: 06.07.2025
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Patients suffering from erosions of the stomach and duodenum complain of pain in the epigastric region, occurring 1-1.5 hours after eating, heartburn, nausea, belching, and often vomiting. During an objective examination of patients, weight loss can be noted (with long-term existence of erosions), which is caused by a decrease in appetite, sometimes refusal to eat due to fear of pain and vomiting. Palpation of the abdomen can reveal local soreness in the epigastric region. Thus, a characteristic feature of erosions of the gastroduodenal region is ulcer-like clinical symptoms.
Approximately 20% of patients with gastroduodenal erosions (usually acute) have gastric bleeding. This is manifested by black mushy stool (melena), less often by vomiting with blood or "coffee grounds". With severe bleeding, a collapse state may occur and anemia may develop. However, hidden (occult) bleeding is much more common, which is manifested by general weakness, slowly progressing iron deficiency anemia, and the presence of hidden blood in the feces.
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