Other Causes And Factors
Other causes are rare. For example, some viral infections can cause a stomach ulcer. Crohn’s disease may cause a stomach ulcer in addition to other problems of the gut.
Stomach cancer may at first look similar to an ulcer. Stomach cancer is uncommon but may need to be ‘ruled out’ if you are found to have a stomach ulcer.
When Should You Call Or See A Doctor
If you think you have a stomach ulcer, call your doctor. Together you can discuss your symptoms and treatment options. If you dont already have a physician, you can use the Healthline FindCare tool to find a provider near you.
Its important to get a stomach ulcer taken care of because without treatment, ulcers and H. pylori can cause:
- bleeding from the ulcer site that can become life-threatening
- penetration, which occurs when the ulcer goes through the wall of the digestive tract and into another organ, such as the pancreas
- perforation, which occurs when the ulcer creates a hole in the wall of the digestive tract
- obstruction in the digestive tract, which is due to swelling of inflamed tissues
- stomach cancer, specifically
Symptoms of these complications can include those listed below. If you have any of these symptoms, be sure to call you doctor right away:
Could I Have An Ulcer And Not Know It
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Around 25 million people will have a stomach ulcer in their lifetime, according to the Centers for Disease Control and Prevention. Despite their prevalence, the symptoms of an ulcer can frequently be mistaken for other conditions, like heartburnand some people may not show any signs at all. Its also unlikely that stress or your diet is the culprit. If youre concerned that your stomach pain could be something more serious, read on to find out the causes, proper treatment and prevention methods for peptic ulcers.
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What Are The Symptoms Of Any Complications
Stomach ulcers can cause various complications but these are much less common now because of more effective treatments. However, complications can be very serious and include:
Bleeding from the ulcer
- This can range from a ‘trickle’ to a life-threatening bleed.
- If there is sudden heavy bleeding then this will cause you to vomit blood and make you feel very faint.
- Less sudden bleeding may cause you to vomit and the vomit looks coffee-coloured because the stomach acid has partly broken down the blood.
- A more gradual trickle of blood will pass through your gut and cause your stools to look very dark in colour or even black .
PerforationThis is the term used to describe the ulcer having gone all the way through the wall of the stomach. Food and acid in the stomach then leak out of the stomach. This usually causes severe pain and makes you very unwell. Stomach perforation is a medical emergency and needs hospital treatment as soon as possible.
Stomach blockageThis is now rare. An ulcer at the end of the stomach can cause the outlet of the stomach to narrow and cause an obstruction. This can cause frequent severe vomiting.
What Is The Treatment For Peptic Ulcers
The choice of treatment depends on whether or not the ulcer is caused by infection with H pylori. Correct diagnosis is key to whether a treatment works or not. If the bacteria are the cause, treatment focuses on killing the infection. Regardless of whether the bacteria are the cause, reducing acid in the stomach is another important focus of treatment.
The following treatments are recommended for ulcers:
- Lifestyle changes: Quit smoking, avoid alcohol, aspirin, and NSAIDs
- Acid-blocking medications
- Medications that protect the lining of the stomach and duodenum
- “Triple-therapy” or “dual-therapy” regimens for ulcers caused by H pylori
No single medication works to get rid of H pylori infection. Two combinations have been found that work well in most people.
These treatments are generally given for two weeks.
Once H pylori bacteria are eradicated from a person’s digestive tract, usually it will not come back. The ulcers usually heal completely and do not return.
Treatment for bleeding ulcers depends on the severity of blood loss and includes:
It is important to remember that treatment may not work if the diagnosis is not correct. If the doctor diagnoses an ulcer, it is important to determine whether the ulcer is caused by infection with H pylori.
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What Causes A Peptic Ulcer
Causes of peptic ulcers include
- long-term use of nonsteroidal anti-inflammatory drugs , such as aspirin and ibuprofen
- an infection with the bacteria Helicobacter pylori
- rare cancerous and noncancerous tumors in the stomach, duodenum, or pancreasknown as Zollinger-Ellison syndrome
Sometimes peptic ulcers are caused by both NSAIDs and H. pylori.
How Are Ulcers Diagnosed
Your healthcare provider may be able to make the diagnosis just by talking with you about your symptoms. If you develop an ulcer and youre not taking NSAIDs, the cause is likely an H. pylori infection. To confirm the diagnosis, youll need one of these tests:
If you have severe symptoms, your provider may recommend an upper endoscopy to determine if you have an ulcer. In this procedure, the doctor inserts an endoscope through your throat and into your stomach to look for abnormalities.
H. Pylori tests
Tests for H. pylori are now widely used and your provider will tailor treatment to reduce your symptoms and kill the bacteria. A breath test is the easiest way to discover H. pylori. Your provider can also look for it with a blood or stool test, or by taking a sample during an upper endoscopy.
Less frequently, imaging tests such as X-rays and CT scans are used to detect ulcers. You have to drink a specific liquid that coats the digestive tract and makes ulcers more visible to the imaging machines.
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Is There A Peptic Ulcer Diet Plan
No particular diet is helpful for people with peptic ulcers. At one time, a bland diet and avoidance of spicy or greasy foods was recommended. Milk and dairy food have been used in the past for ulcer symptoms, but have not been proven to be effective. We now know diet has little effect on ulcers. In some people, however, certain foods seem to aggravate stomach ulcer symptoms. Keep a food diary with your intake and the resulting symptoms and avoid eating any foods that aggravate symptoms.
If Your Ulcer Was Caused By An Anti
If possible, you should stop taking the anti-inflammatory medicine. This allows the ulcer to heal. You will also normally be prescribed an acid-suppressing medicine for several weeks. This stops the stomach from making acid and allows the ulcer to heal. However, in many cases, the anti-inflammatory medicine is needed to ease symptoms of arthritis or other painful conditions, or aspirin is needed to protect against blood clots. In these situations, one option is to take an acid-suppressing medicine each day indefinitely. This reduces the amount of acid made by the stomach and greatly reduces the chance of an ulcer forming again.
Duration Of Peptic Ulcers
Ulcers caused by Helicobacter pylori heal when the bacteria is killed. The typical course of treatment includes two weeks of antibiotics along with acid-suppressing medicine. This is followed by an additional four to eight weeks of the acid-suppressing medicine alone.
Its possible for an ulcer to heal temporarily without antibiotics, but it will likely recur or another one will form nearby if the bacteria is not killed.
Peptic ulcers caused by medication usually heal shortly after you stop taking the medication. Doctors typically recommend taking antacids for two to six weeks to assist with healing and relieve pain.
Your Appetite Went Mia
For many patients with ulcers, the condition can actually result in a loss of appetite. This drop in food intake, combined with occasional vomiting, may lead to unexpected weight loss. Some ulcer patients report eating their normal amount of food, yet still lose weight, so the ulcer itself may cause a drop on the scale, too.
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Burning Pain In Your Abdomen
This may seem like a no-brainer but the most common sign that people experience when they have a stomach ulcer is a persistent burning pain in their abdomen. This sensation occurs when juices in the stomach used for digestion come into contact with the open sore. For the most part, the pain is felt from the breastbone to navel and is often worse at night than during the day. On the other hand, if you are someone who frequently skips meals, you may find that you experience this pain much throughout the daytime.
If Your Ulcer Was Caused By Helicobacter Pylori
Most stomach ulcers are caused by infection with H. pylori. Therefore, a main part of the treatment is to clear this infection. If this infection is not cleared, the ulcer is likely to return once you stop taking acid-suppressing medication. For more information, see the separate leaflet called Helicobacter Pylori.
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What Treatments Are There For Ulcers
Your treatment will depend on the cause of your ulcer. For example, if our tests indicate that an infection caused by helicobacter pylori is what created your ulcer, well give you antibiotics to eliminate the bacteria.
Regardless of the cause, medications that help reduce the level of acid in your stomach can help the ulcer heal. And different lifestyle changes can accelerate healing as well, such as eliminating certain foods, abstaining from alcohol, and practicing stress management.
In severe cases, surgery may be required. Your provider at Prima Medicine will work with you to create a treatment plan for your situation.
If you have a stomach ulcer or want to see if you do, we can help. To learn more, book an appointment online or over the phone with Prima Medicine today.
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What Does A Stomach Ulcer Feels Like
Stomach ulcer pain usually begins in the upper middle part of the abdomen, above the belly button and below the breastbone. The pain may feel like burning or gnawing that may go through to the back. The onset of the pain may occur several hours after a meal when the stomach is empty. Patients have reported paint to be worse at night as opposed to the morning. Pain duration may vary from a few minutes to several hours. Pain may be relieved by foods, antacids or vomiting.
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What Questions Should I Ask My Doctor
If you have stomach ulcers, you may want to ask your doctor:
- What pain reliever can I use instead of an NSAID?
- How will I know if the H. pylori infection is gone?
- How do we find out if the ulcer has healed?
- What can I do relieve symptoms at home during treatment?
A note from Cleveland Clinic
Contrary to commonly held beliefs, ulcers arent caused by stress or foods you eat. Most of time, bacteria causes them. Doctors can treat the bacteria with antibiotics and other medications.
If youve been popping a lot of antacids lately, youre constantly snacking to get rid of a gnawing pain in your stomach or you have any other signs of an ulcer, the best thing you can do for your health is talk to your provider. Treatment can heal an ulcer in a matter of weeks.
What Are The Signs & Symptoms Of Peptic Ulcers
Stomach pain is the most common sign of an ulcer. It usually feels like sharp aches between the breastbone and the belly button. This pain often comes a few hours after eating. It can also happen during the night or early in the morning, when the stomach is empty. Eating something or taking acid suppressor medicine sometimes eases the pain.
Other symptoms of ulcers can include:
- loss of appetite
- burping or hiccupping a lot
- weight loss
- bloody or blackish bowel movements
Anyone who thinks they might have an ulcer needs to see a doctor. An ulcer thats not treated can grow larger and deeper. This can lead to other problems, such as bleeding in the digestive system or a hole in the wall of the stomach or duodenum, which can make someone very sick.
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Signs And Symptoms Of Peptic Ulcers
Many people with peptic ulcers don’t have any signs, but upper abdominal pain is the most common symptom.
- Extend from your navel up to your breastbone
- Feel worse when your stomach is empty
- Feel better temporarily when you eat certain foods or take an antacid
- Get worse at night
- Come and go for days or weeks
Other symptoms of peptic ulcers may include:
- Vomiting of red or dark blood
- Feeling bloated or full
- Bloody, black, or tar-like stools
- Unexplained weight loss
- Changes in your appetite
Can Peptic Ulcers Be Prevented
Doctors arent sure how H. pylori bacteria spread from person to person. The bacteria have been found in saliva , so kissing may be one way. They also may spread through food, water, or contact with vomit thats infected with the bacteria.
Regular use of NSAIDs can cause gastrointestinal problems and bleeding in some people. Acetaminophen does not cause stomach ulcers and is a good alternative to NSAIDs.
As with many infections, washing your hands well and often is an important part of ulcer prevention. This is extra important after you use the bathroom and before you eat. And take good care of your body by exercising regularly and not smoking or drinking.
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How Do H Pylori Cause A Peptic Ulcer And Peptic Ulcer Disease
H. pylori are spiral-shaped bacteria that can cause peptic ulcer disease by damaging the mucous coating that protects the lining of the stomach and duodenum. Once H. pylori have damaged the mucous coating, powerful stomach acid can get through to the sensitive lining. Together, the stomach acid and H. pylori irritate the lining of the stomach or duodenum and cause a peptic ulcer.
What Are Some Ulcer Symptoms
Some people with ulcers dont experience any symptoms. But signs of an ulcer can include:
- Gnawing or burning pain in your middle or upper stomach between meals or at night.
- Pain that temporarily disappears if you eat something or take an antacid.
In severe cases, symptoms can include:
- Dark or black stool .
- Severe pain in your mid- to upper abdomen.
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Is Ulcer An Emergency
Peptic ulcers may lead to emergency situations. Severe abdominal pain with or without evidence of bleeding may indicate a perforation of the ulcer through the stomach or duodenum. Vomiting of a substance that resembles coffee grounds, or the presence of black tarry stools, may indicate serious bleeding.
How Are Peptic Ulcers Treated
Treatment will depend on the type of ulcer you have. Your healthcare provider will create a care plan for you based on what is causing your ulcer.
Treatment can include making lifestyle changes, taking medicines, or in some cases having surgery.
Lifestyle changes may include:
- Not eating certain foods. Avoid any foods that make your symptoms worse.
- Quitting smoking. Smoking can keep your ulcer from healing. It is also linked to ulcers coming back after treatment.
- Limiting alcohol and caffeine. They can make your symptoms worse.
- Not using NSAIDs . These include aspirin and ibuprofen.
Medicines to treat ulcers may include:
- Antibiotics. These bacteria-fighting medicines are used to kill the H. pylori bacteria. Often a mix of antibiotics and other medicines is used to cure the ulcer and get rid of the infection.
- H2-blockers . These reduce the amount of acid your stomach makes by blocking the hormone histamine. Histamine helps to make acid.
- Proton pump inhibitors or PPIs. These lower stomach acid levels and protect the lining of your stomach and duodenum.
- Mucosal protective agents. These medicines protect the stomach’s mucus lining from acid damage so that it can heal.
- Antacids. These quickly weaken or neutralize stomach acid to ease your symptoms.
In most cases, medicines can heal ulcers quickly. Once the H. pylori bacteria is removed, most ulcers do not come back.
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What Natural Home Remedies Help Peptic Ulcer Pain
Home care for peptic ulcers often centers on neutralizing the stomach acid.
- Don’t smoke, and avoid coffee and alcohol. These habits increase gastric acid production and weaken the mucosal barrier of the GI tract promoting ulcer formation and slowing ulcer healing.
- Don’t take aspirin or nonsteroidal anti-inflammatory medications. Acetaminophen is a good substitute for some conditions. If acetaminophen doesn’t help, talk to your health-care professional about alternatives.
- If your symptoms are mild, try an over-the-counter antacid or nonprescription histamine blocker to neutralize stomach acid. Usually stronger prescription medications are needed.
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