About the same. Regardless of size or location, if you really have an ulcer (found by x-ray or endoscopy) please seek doctor's advice. Even small ulcers can bleed (sometimes massively), perforate, obstruct stomach emptying. Sometimes, an ulcer can form in a cancer so to avoid this possibility it is important to make sure at least gastric ulcer actually heals. Relief of ulcer symptoms doesn't always mean healing.
Relieved by food. Burning epigastric pain 90 min-3 hours after meals relieved by food is probably the most distinguishing symptom of duodenal ulcer. Other symptoms, like weight loss, blood in stool can be seen. Apparently gastric ulcer is made worse by or unrelated to food.
Location. One is in the small intestine and the other in the stomach. Duodenal ulcers are also more likely to be a consequence of hpylori.
36 yr old male w/ pressure in upper abdomen right below the sternum. The ER doc said it could be a peptic ulcer. Taking Prilosec & galviscon. 1 wk later still pressure & feels better lying flat.
Go to see MD. You need to go to see your pmd for eval. You need to get ultrasound of the right upper quadrant of abdomen to see if there is any liver enlargement, and to see if there is any problem with your gallbladder etc. I am concerned perhaps your liver is enlarged that explains the pressure sensation. However, it is impossible to say much without examining you in person. So, go to see your doctor.
See a doctor. It is unclear whether this is gastrointestinal or in some way cardiac related. If your symptoms are persisting they need to be investigated.
Possibly. See a gastroenterologist or your primary care doctor and have it evaluated.
Are extreme bloating and a burning feeling in the center of your abdomen symptoms of a duodenal ulcer?
Yes they could. These can certainly be symptoms of an ulcer. You should have a thorough exam including an endoscopy as soon as possible.
No. Peptic ulcer is in a stomach. Duodenal ulcer is in a duodenum.
So the "books" say pain better with eating=duodenal ulcer, worse with eating=gastric ulcer. What does the "everyday medical practice" say?
The same but... The treatment for both types of ulcers is the same as long as the ulcers aren't bleeding. Serious ulcer can require surgical intervention.
Considering possible complications and treatment-difficulties, is a gastric ulcer more worrisome or a duodenal ulcer?
Yes. Duodenal ulcers have no risk of ever being cancerous. On the other hand there is a small, but real 2-5% risk of gastric ulcers being cancerous. Therefore, all gastric ulcers need verification that they have healed.
Gastric ulcer. Although the wall is thinner in the duodenum, meaning perforation is higher. Gastric ulcers could be cancerous, while duodenal ulcers are never cancerous.