What are the symptoms of gastric perforation and gastric ulcer?

Gastric perforation and gastric ulcer have their own distinct symptoms, but there is also some overlap. The main manifestations of gastric ulcers include: 1. **Abdominal pain**: Usually occurs in the upper abdomen half an hour to one hour after a meal. The pain may be dull, aching, or distending, and tends to be rhythmic. 2. **Gastrointestinal symptoms**: Such as heartburn, belching, nausea, vomiting, and loss of appetite. 3. **Systemic symptoms**: Long-term gastric ulcers may lead to weight loss and anemia. In contrast, gastric perforation is more severe, with typical symptoms including: 1. **Sudden severe abdominal pain**: Begins in the upper abdomen and rapidly spreads throughout the abdomen, often described as excruciating. 2. **Signs of shock**: As the condition progresses, symptoms such as pallor, cold sweats, rapid and weak pulse, and a drop in blood pressure may occur. 3. **Nausea and vomiting**: May be accompanied by abdominal distension and constipation. 4. **Other symptoms**: Such as fever and an elevated white blood cell count.