CRUCIAL SYMPTOMS OF ULCER:

Ulcers are reported more frequently in those living in south Indian states than in the north. The crucial symptom is a slow, gnawing pain in the uppermost part of the abdomen, near the navel. The pain of a duodenal ulcer gets worse at night and between meals, starting about 30 minutes to two hours after eating. A snack usually brings quick relief.
The pain of a gastric ulcer, on the other hand, is precipitated by eating. Some patients are initially free from pain, but complain, particularly after meals, of vague symptoms such as “indigestion”, “fullness”, “gas”. A chronic backache may be the only clue to an ulcer on the posterior wall of the duodenum, while in children persistent vomiting may indicate an underlying ulcer. Why ulcers are common in south not in north?. The wheat based diet of the north requires thorough chewing; the rice based food of the south, with its watery sauces, tends to be gulped down. Food chewed longer is more thoroughly mixed with saliva, and therefore less irritating to the stomach and duodenal lining. Tea, coffee, chilies and spices, all strong stimulants of gastric acid, are more commonly consumed in the south

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