A patient is being examined for a suspected peptic ulcer. The nurse knows that what symptom indicates a duodenal ulcer rather than a gastric ulcer?

Pain is relieved by meals.

Explanation

• With duodenal ulcers, pain is relieved during meal time due to the closure of the pyloric sphincter. Pain will manifest about 2-3 hours after a meal, when the pylorus opens and releases gastric contents into the small intestine

• With gastric ulcers, pain is intensified with meals due to the release of gastric acid

• Hematemesis and nausea can occur with both types of ulcers

Visit our website for other NCLEX topics now!