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Patients with gastric ulcers typically exhibit the following symptoms:

  • Epigastric pain worsens before meals, pain awakening patient from sleep an melena

  • Decreased bowel sounds, rigid abdomen, rebound tenderness, and fever

  • Boring epigastric pain radiating to back and left shoulder, bluish-grey discoloration of periumbilical area and ascites

  • Epigastric pains worsens after eating and weight loss