Perforated Stomach Ulcer Symptoms


An untreated ulcer tends to eat a hole in the wall of the stomach or duodenum, leading some bacteria and partially digested food to cause inflammation in the sterile abdominal cavity. Once the ulcer causes bleeding, the ulcer becomes a perforated ulcer. The signs and symptoms of perforated ulcer are simply described as the body’s reaction to its worsening ulcer condition. As the ulcer burns the walls of the stomach, it leaves the body vulnerable to the effects of food and digestive juices leeching into the abdominal lining and cavity.

Woman lying in bed
Woman lying in bed (Image: Hemera Technologies/ Images)


An untreated ulcer causes stomach lining and muscles to erode the blood vessels and become damaged. This often results in bleeding. Because of this, a perforated ulcer sufferer may develop anemia. The condition may cause symptoms such as tarry and black blood in the stool, weakness, dizziness, vomiting blood and fainting. Depending on the severity of the blood vessel damage, an endoscopic treatment or surgery may be required. Hematemesis, or vomiting of blood, is commonly associated with a perforated ulcer. Since the condition usually causes frequent or continuing vomiting, it tends to damage the esophagus, which also leads to bleeding.

Checking child's stomach
Checking child's stomach (Image: Keith Brofsky/Photodisc/Getty Images)

Narrowed Passages

A narrowed digestive passage, resulting from perforated ulcer, obstructs the way in which food passes through. Constrictions on the flow of food cause a person to vomit the contents of his stomach.

Man with upset stomach
Man with upset stomach (Image: Matt Cardy/Getty Images News/Getty Images)

Epigastric Pain

An abdominal pain, medically termed as epigastric pain, results from perforated duodenal ulcers. This symptom is usually remedied by food. On the other hand, epigastric pain caused by a worsening gastric ulcer is exacerbated by the passage of food.

Man experiencing stomach cramps
Man experiencing stomach cramps (Image: Stockbyte/Stockbyte/Getty Images)


Waterbrush is described as the rush of saliva after an episode or regurgitation. This is your body’s way of diluting the acid in the esophagus.

Human saliva samples being analysied
Human saliva samples being analysied (Image: Andreas Rentz/Getty Images News/Getty Images)


Melena is the symptoms referring to tarry and foul-smelling feces. The foul odor is brought by the oxidized iron and oxidized hemoglobin in the feces.

Woman holding nose
Woman holding nose (Image: Jupiterimages/ Images)

Loss of Appetite and Weight loss

Due to the discomforts experienced with perforated ulcers, sufferers tend to lose interest in food. In addition, continued vomiting robs the body of its needed food and nutrients, often leading to weakness and tiredness.

Woman refusing food offer
Woman refusing food offer (Image: George Doyle/Stockbyte/Getty Images)

Possible Complications

Familiarizing yourself with the common symptoms of perforated ulcer should make you understand the importance of seeking immediate treatment. Failure to do so may lead to life-threatening complications such as gastrointestinal bleeding, acute peritonitis, pancreatitis and pyloric stenosis. Perforated ulcers can easily be managed with the right treatment, healthy lifestyle changes and medicines such as antibiotics, H2-blockers, acid pump inhibitors and mucosal protective agents.

Healthy man surfing
Healthy man surfing (Image: Thinkstock Images/Comstock/Getty Images)

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