Duodenal Ulcer pain releived after food but not Gastric ucler pain, why?

[SUMAN-SAJAN]

Why is that pain of duodenal ulcer relieved after food but that of gastric ulcer aggravated?

-Suman

[Sanju]

I think in gastric ulcer, increase in pain after meals is because the food comes in contact with the ulcer. And in the duodenal ulcer, the food dilutes the acid in the stomach, so the PH of chyme entering the duodenum increases thereby reducing the pain.

[Sanju]

1. Items most frequently associated with gastric discomfort include the following: black pepper, red or hot pepper, chili powder, caffeine, regular and decaffeinated coffee or tea, alcohol, cocoa, chocolate, cola beverages, citrus fruits and juices, fatty and fried foods, tomato products, and peppermint. These should be eliminated from the diet unless specifically allowed by the physician and/or dietitian. Additional adjustments may be made according to individual tolerances.
2. Chew food thoroughly.
3. Eat in a leisurely manner in a calm, relaxed atmosphere. Chew and swallow food slowly.
4. Reduce or stop cigarette smoking. Smoking delays ulcer healing.
5. Do not eat within two hours of bedtime.
6. Omit any particular food that causes discomfort.
7. If there is an ulcer, do not use aspirin, aspirin-containing combination medicines, or certain arthritis medications (non-steroidal anti-inflammatory drugs or NSAIDS). ibuprofen (Motrin), Advil, and Aleve are NSAIDS. These can cause ulcers and delay or prevent ulcer healing.
8. Use antacids as needed. Keep in mind that magnesium-containing antacids can cause diarrheaPeptic Ulcer Disease and Non Ulcer Dyspepsia Diet