Peptic Ulcers

A peptic ulcer is a sore in the stomach or first part of the small bowel.



Signs & Symptoms

  1. A gnawing or burning pain is felt in the abdomen between the breastbone and navel. The pain often occurs between meals and in the early hours of the morning. It may last from a few minutes to a few hours and may be relieved with eating or antacids.

  2. Appetite and weight loss.

  3. Nausea or vomiting dark, red blood or material that looks like coffee grounds.

  4. Bloody, black, or tarry stools.

  5. Paleness and weakness if anemia is present.

Causes

  1. An infection with Helicobacter pylori (H. pylori) bacteria. This is the main cause.

  2. The repeated use of aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen.


A small percentage of peptic ulcers are caused by Zollinger-Ellison Syndrome, a rare disorder. Family history, smoking, caffeine, and making excess digestive acids play a role in peptic ulcers. So does stress, especially some types of physical stress (e.g., severe burns and major surgery).



Treatment

Treatment includes medicines to treat the problem and surgery, if needed.

Peptic Ulcers.

Do you have any of these problems?

  1. Sudden, severe pain in the abdomen. It may be felt in the upper left stomach area below the ribs or below the ribs on the right side.

  2. You vomit bright red blood or material that looks like coffee grounds.

  3. Your stools are bloody, black, or tarry and you are very tired, pale, and weak.

Do you still have symptoms after getting treatment? Or, do you still have problems after using self-care?

Self-Care / Prevention

  1. Take medications as prescribed.

  2. Eat healthy foods. Include foods high in fiber.

  3. Don’t have coffee (regular and decaffeinated); tea and soft drinks with caffeine; and fruit juices high in acid like tomato juice. Don’t have alcohol or foods that bother you.

  4. Don’t use aspirin and other NSAIDs. Follow your doctor’s advice for prescribed NSAIDs.

  5. Try over-the-counter antacids or acid controllers (with your doctor’s okay). Use them on a short-term basis. Don’t try to selfmedicate an ulcer.

  6. Don’t smoke. If you smoke, quit.

Questions to Ask

  1. Digestive & Urinary Problems