Ulcer perforation or bleeding

Stomach and duodenal ulcer perforation: If the ulcer has strong erosion force, it can cause acute perforation if it penetrates the serosa layer and reaches the free abdominal cavity. If the ulcer penetrates with adjacent organ tissues, it is called penetrating ulcer or chronic ulcer perforation. When the perforation of the posterior wall or the perforation is small and only causes localized peritonitis, it is called subacute perforation. Acute perforation is the most serious complication of peptic ulcer and can result in death from peritonitis and sepsis. Symptoms include abdominal pain, cold pain or swelling and pain, tingling is fixed, refusal to press on the pain or vomiting, dark stools, dull eyes, purple tongue, pulse stringiness or astringency.