•  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.

•  Appetite and weight loss.

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

•  Bloody, black, or tarry stools.

•  Paleness and weakness if anemia is present.

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

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

•  Take medications as prescribed.

•  Eat healthy foods. Include foods high in fiber.

•  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.

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

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

•  Don’t smoke. If you smoke, quit.