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Duodenal Ulcer
At GastroDoxs in Houston, Dr. Scott specializes in diagnosing and treating duodenal ulcers-open sores in the first portion of the small intestine. Using advanced endoscopy, tailored care plans, and proven expertise, he delivers rapid relief, complete healing, and comforting support.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Burning or gnawing pain in the upper abdomen, often between meals or at night
Bloating, frequent burping, or heartburn
Nausea or episodes of vomiting
Poor appetite and unintended weight loss
Black, tarry stools (a sign of bleeding ulcer)
How Dr. Scott Diagnoses This Condition?
Dr. Scott uses a step-by-step approach:
Medical History and Symptom Review
He discusses your epigastric pain pattern (timing, triggers, relief), NSAID use, alcohol intake, family history, and other risk factors.
Physical Exam
He gently palpates your upper abdomen to check for localized tenderness or guarding in the duodenal region.
H. pylori Testing
An accurate diagnosis often involves a breath test or blood test to detect Helicobacter pylori infection.
Endoscopy (EGD)
A thin, flexible scope is passed through your mouth to directly visualize the duodenum, confirm the ulcer, assess its size, and take biopsies if needed.
Imaging Studies (Optional)
CT scan or abdominal X-ray may be ordered if bleeding, perforation, or other complications are suspected.
Advanced Testing (If Needed)
In rare cases, tissue biopsy during endoscopy confirms the ulcer's cause or rules out malignancy.
Treatment
Our Team offers a full range of care for duodenal ulcers.
1. Lifestyle and Diet Tips
Eat smaller meals more often
Avoid spicy food, alcohol, and caffeine
Quit smoking
Use relaxation techniques or therapy to reduce stress
Drink plenty of water
2. Medications
Proton pump inhibitors (PPIs) to lower acid production
H2 blockers to reduce stomach acid
Antibiotics if H. pylori infection is present
Antacids for quick, temporary relief
3. Minimally Invasive or Advanced Procedures
Endoscopic treatment to stop bleeding or remove problematic tissue
Capsule endoscopy for detailed small-intestine imaging in select cases
Surgical referral only if ulcer fails to heal or complications arise
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
How do I know if I have a duodenal or gastric ulcer?
Dr. Scott will review your symptoms, perform tests for H. pylori, and may use endoscopy to determine the exact ulcer location.
Can stress cause duodenal ulcers?
Stress doesn't directly create ulcers, but it can worsen symptoms and slow down the healing process.
How long does treatment take?
With the right medications and dietary changes, most duodenal ulcers heal within 4 to 8 weeks.
Are ulcers dangerous if ignored?
Yes. Untreated ulcers can bleed, perforate the intestinal wall, or lead to scarring and obstruction.
Is an endoscopy painful?
No. You'll receive light sedation, so you'll feel relaxed and usually won't remember the procedure.
Can I treat the ulcer with diet alone?
A healthy diet supports healing, but you'll need medications like PPIs or antibiotics to fully resolve the ulcer.
When should I go to the ER?
If you vomit blood, pass black or tarry stools, or experience sudden, severe abdominal pain, seek emergency care immediately.
