A peptic ulcer is a sore in the inner lining of the stomach or upper small intestine.
Ulcers are formed when the intestine or stomach's protective layer is broken down. When this happens, digestive juices-which contain hydrochloric acid and an enzyme called pepsin-can damage the intestine or stomach tissue.
Treatment cures most ulcers and symptoms usually go away quickly. Peptic ulcers that get formed in the stomach are called gastric ulcers. Those ulcers that are formed in the upper small intestine are called duodenal.
What causes peptic ulcers?
The two most common causes of peptic ulcers are:
- Infection with Helicobacter pylori (H. pylori) bacteria.
- Use of non-steroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen, and naproxen.
How are peptic ulcers diagnosed?
Your doctor will ask you questions about your symptoms and your general health, and the doctor will do a physical exam.
If your symptoms are not severe and you are younger than 55, your doctor may do some simple tests (using your blood, breath, or stool) to look for the signs of H. pylori infection.
The only way for you and your doctor to know if you have an ulcer is to do a more complicated test, called an endoscopy, to look for an ulcer and to test for H. pylori infection.
An endoscopy helps the doctor to look inside your esophagus, stomach, and small intestine. An endoscopy is generally performed by a gastroenterologist, a doctor who specializes in digestive diseases.
What are the symptoms of peptic ulcer?
Symptoms of peptic ulcer include:
- A burning, aching, or gnawing pain between the belly button (navel) and the breastbone. Some people also have back pain. The pain can last from a few minutes to a few hours and may come and go for weeks.
- Pain that goes away for a while when you take an antacid or acid reducer.
- Loss of appetite and weight loss.
- Bloating or nausea after eating.
- Passing black stools that look like tar, or stools that contain dark red blood.
Different people have different symptoms, and some people have no symptoms at all.
How are peptic ulcers treated?
To treat peptic ulcers, most people need to take medicines that reduce the amount of acid in the stomach. If you have an H. pylori infection, you will also need to take antibiotics.
You can help in the healing of your ulcer and prevent it from coming back if you quit smoking and limit your consumption of alcohol. Continued use of medicines such as aspirin, ibuprofen, or naproxen may increase the chance of your ulcer coming back.
Ignoring symptoms of an ulcer is not a good idea. This condition needs to be treated. The symptoms of peptic ulcers can go away for a short time but you may still have an ulcer. If it is left untreated, an ulcer can cause life-threatening problems. Even with treatment, some ulcers may come back and may need more treatment.