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PEPTIC ULCER

What Are Peptic Ulcers? Symptoms, Causes, Diagnosis, Treatment, and Prevention

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By Ashley WelchMedically Reviewed by Kareem Sassi, MD

Reviewed: December 4, 2020

Medically Reviewed

A peptic ulcer is a type of sore that develops in the digestive system.

These sores occur when the acids that help you digest food damage the walls of the stomach or duodenum, the first part of the small intestine immediately beyond the stomach.

Types of Peptic Ulcers

The most common kinds of peptic ulcers are:

Gastric ulcers A common type of ulcer, these occur on the inside of the stomach.

Duodenal ulcers These are located at the beginning of the small intestine (called the small bowel or duodenum).

Esophageal ulcers These occur inside the esophagus (the tube that carries food from your throat to your stomach).

You can have more than one kind of peptic ulcer at the same time.



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.

This abdominal pain may:

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:

Nausea

Vomiting of red or dark blood

Feeling bloated or full

Bloody, black, or tar-like stools

Unexplained weight loss

Changes in your appetite

Causes and Risk Factors of Peptic Ulcers

For a long time, it was believed that spicy foods or stress led to peptic ulcers — but doctors now know that this isn't the case.

In fact, the most common causes of ulcers are:

Helicobacter pylori, a type of bacteria that can infect your stomach

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Stomach ulcers, also known as gastric ulcers, are sores that develop on the lining of the stomach.

You can also get ulcers in part of the intestine just beyond the stomach, which are called duodenal ulcers.

Stomach ulcers and duodenal ulcers (sometimes called peptic ulcers) cause the same symptoms and treatment for both is the same.

Signs and symptoms

The most common symptom of a stomach ulcer is a burning or gnawing pain in the centre of the tummy (abdomen).

But stomach ulcers aren't always painful and some people may experience other symptoms, such as indigestion, heartburn and acid reflux and feeling sick.