What does multiple duodenal bulb ulcers in stage A1 mean?

Jun 26, 2024 Source: Cainiu Health
Disease description:

I have recently been experiencing abdominal pain on an empty stomach, accompanied by symptoms such as nausea. After undergoing a full-body examination at the hospital, the doctor diagnosed me with multiple duodenal bulb ulcers, stage A1. What does "multiple duodenal bulb ulcers, stage A1" mean?

Doctor's answer (1)
Dr. Shen Yonghua
Multiple duodenal bulb ulcers in stage A1 refer to the presence of multiple ulcers observed in the duodenal bulb during endoscopic examination, with these ulcers being in the earliest phase of the active stage. Characteristics of A1 stage ulcers include relatively fresh ulcers with surrounding mucosal congestion and swelling, and the ulcer surfaces are often covered with white exudate. This stage may carry a relatively high risk of bleeding and perforation. Patients may experience symptoms such as upper abdominal pain, acid regurgitation, belching, and black tarry stools. Aggressive treatment is required, including medication and dietary adjustments. Patients should also avoid strenuous exercise, maintain healthy lifestyle habits, and undergo regular follow-up examinations.