Three years ago I saw my doctor for stomach discomfort, not a pain, not a burning sensation, but overwhelming hunger pangs that are only subdued by eating. H pylori negative, no blood in the stool, no vomiting, occasional nausea. Protonix gives me 50 -75% relief, the rest of the time I eat like crazy to get rid of the discomfort, so much so that I've gained 20 pounds. The doctor believes it's a duodenal ulcer but I get the feeling the doctors don't take me seriously unless I have blood in my stool or vomit, which I don't. I passed on having the scope exam because of the risk of perforation and signing my rights away with a waiver. They seem to be reluctant to do the safe, oldfashioned upper GI. Anyway, after looking at this site it seems I have seen every symptom of an ulcer represented here EXCEPT the gnawing hunger pangs that I experience. After 3 years, could this be a psychological problem? These gnawing hunger pangs are so powerful that it would make it virtually impossible to go on a diet to shed some of this weight I've gained. Has anyone here experienced this symptom in the absence of any other symptoms that has an ulcer?