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Peptic Ulcer Disease

Learn more about symptoms, risk factors and treatment options.

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What is it?

A peptic ulcer is a sore on the lining of the stomach or duodenum (the beginning of the small intestine). Less commonly, a peptic ulcer may develop just above the stomach in the esophagus, the tube that connects the mouth to the stomach.

  • A peptic ulcer in the stomach is called a gastric ulcer. 
  • A peptic ulcer that occurs in the duodenum is called a duodenal ulcer. 

 

You can have both gastric and duodenal ulcers at the same time. You also can develop peptic ulcers more than once in your lifetime.

 

Peptic ulcers are common and affect more than 4 million people each year in the U.S.

Symptoms

Symptoms of peptic ulcer disease include:

  • Abdominal pain or discomfort 
  • Bleeding 
  • Indigestion 
  • Nausea or vomiting

When to see a doctor

If you’re worried about your symptoms or they persist, it’s time to see a doctor. You can take medication to relieve your symptoms and help ulcers heal. Effective treatment requires the expertise of a doctor trained in the diagnosis and management of peptic ulcer disease.

Causes and risk factors

Risk factors for developing peptic ulcer disease include:

  • Infection with Helicobacter pylori (H. pylori)
  • Nonsteroidal anti-inflammatory drug (NSAID) use, such as ibuprofen
  • Smoking

Treatment options

Treatment options for individuals with peptic ulcer disease vary and may include:

  • Drug therapy, including antibiotics to eradicate H. pylori bacteria in the stomach or medications to decrease stomach acid.
  • Lifestyle changes, like quitting smoking and stopping use of NSAIDs
  • Surgery is required when the ulcer doesn’t heal with medical therapy

 

Testing

Your doctor can help you determine if you have peptic ulcer disease. They also may recommend an endoscopy. 

Prevention

Avoid taking excessive doses of aspirin or NSAIs. Peptic ulcers that result from other conditions may not be preventable, but most heal with medication and lifestyle changes.

 

Additional conditions

HPV & Anal Cancer

Diarrhea

Gallbladder Disease and Gallstones