Stomach Ulcers, Causes, Symptoms and Treatment

stomach ulcers

There are a lot of people who feel discomfort in the stomach and pain especially after eating, because of stomach ulcers, and open sores that occur in the lining of the stomach and the upper part of the small intestine, and the most common symptoms of gastric ulcers are the pain of abdominal pain And heartburn after eating.


Is a type of digestive ulcers which include:

Gastric ulcer occurring in the stomach.

The esophagus ulcer occurs inside a hollow tube (esophagus) that moves food from the throat to the stomach.

Twelve ulcers are occurring within the upper part of the small intestine (duodenum).

Spicy foods can cause stomach ulcers, and doctors also know that bacterial infection or some medications can increase the symptoms of stomach ulcers.


Burning pain is the most common symptom of stomach ulcers, as pain occurs and worsens when gastric acid touches the ulcerated area. Pain is characterized by:

The pain is somewhere between the navel and the chest bone.

Be worse when your stomach is empty.

Causes insomnia during sleep at night.

Often the pain can be temporarily relieved by taking certain medications for gastric acid or by taking a medication that reduces the secretion of gastric acid.

Pain may disappear and then return after a few days or weeks.

Other signs and symptoms.

The stomach ulcers may cause severe signs or other symptoms such as:

Blood vomit that may appear red or black.

The appearance of blood in the feces or feces which is black.

Nausea or vomiting.

Unwarranted weight loss.


Time to see a doctor.

Check with your doctor if you have persistent signs or symptoms that concern you, and excessive intake of antacids may act as an acid barrier that may relieve pain, but it may be short, so if your pain persists consult your doctor.

The causes.

The digestive system is enveloped in a mucous layer that usually protects the acid, but if the amount of acid or the amount of mucus decreases, it helps in the formation of the ulcer.

Common causes include:


Helicobacter pylori bacteria usually live in the mucous layer, which covers and protects the tissues lining the stomach and the small intestine. These bacteria do not cause any harm or cause any problems, but they can cause inflammation in the inner layer of the stomach resulting in the ulcer, but this occurs in certain conditions, All people.

Regular use of some painkillers.

Excessive use of painkillers can irritate the stomach or cause inflammation in the lining of the stomach and intestines. These drugs include aspirin, ibuprofen, naproxen, ketoprofen and other analgesics.

Peptic ulcers are more common in older adults who take these medications, and pain is often found in people who take these medications to relieve arthritis pain.

Other drugs.

There are other drugs that can also lead to stomach ulcers and include medications used to treat osteoporosis such as pyphosphonate and potassium supplements.

Risk factors.

There are many factors that increase the risk of peptic ulcers, including:


Smoking may increase the risk of stomach ulcers in people who develop Helicobacter pylori bacteria.

Drink alcohol.

Alcohol can cause irritation and erosion in the mucous lining of the stomach, which increases the amount of stomach acid that is produced.

Complications of stomach ulcers.

If you leave the stomach sore untreated, they can lead to:

Internal bleeding.

Bleeding can occur slowly from blood loss leading to anemia or severe blood loss that may require hospitalization or blood transfusion. Severe blood loss can cause black or bloody vomit or black or bloody stools.


People with gastric ulcers eat a hole in the wall of the stomach or small intestine, causing a serious infection in the abdominal cavity (peritonitis).


Gastric ulcer can cause scars that prevent passage of food through the digestive tract, causing vomiting and weight loss.

Prepare for your appointment with your doctor.

If you have any signs or symptoms of concern, you should make an appointment with your family doctor or GP if you have a stomach ulcer, you may be referred to a gastroenterologist.

It is a good idea to be well prepared for your appointment with your doctor and will show you some information that will help you make your appointment with your doctor very helpful.

What you can do.

Be aware that there are some pre-screening restrictions, such as eating, and there are certain medications that can affect ulcer tests, so your doctor may ask you to stop taking any medication before the test.

Write down any symptoms you experience, even if you do not think it has anything to do with the problem you are experiencing.

Write down key personal information, including any other medical problems, surgery you have done in the past, or any major changes in your life in the recent period.

Make a list of all the medicines you are taking, including vitamins or supplements you are taking.

Write down the questions you want to answer from your doctor.

Setting up a list of questions before your appointment with your doctor can help you make the most of your limited time with your doctor and arrange your list of questions from the most important to the least important. There are some basic questions that you can ask for your doctor include:

What is the most likely cause of symptoms that I have?

Are there other possible causes of my symptoms?

What types of tests do I need and how do I prepare for them?

Is my condition temporary or chronic?

What treatment do you recommend?

What do I do if my symptoms do not improve?

Are there any food restrictions to follow?

Is there a prescription I have prescribed?

Are there any publications or printed materials that I can take with me?

What causes this ulcer?

What to expect from your doctor.

You may be asked a number of questions, and you should be prepared to answer them, and your doctor may ask some of the following questions:

When did the symptoms begin?

Are the symptoms persistent or intermittent?

Do the symptoms severe?

Are the symptoms worse when you are hungry?

When do you feel better?

When are your symptoms worse?

Do you take painkillers or aspirin?

Do you feel nauseous or vomiting?

Have you ever vomited blood or black matter?

Have you noticed blood in your stool or black stools?

What you can do in the meantime.

While you are waiting to see your doctor, you should avoid smoking, alcohol, spicy foods and stress.

Tests and diagnosis.

In order to detect an ulcer, you may have to undergo diagnostic tests, such as:

Bacteria tests.

Your doctor may recommend tests to determine if you have a Helicobacter Pylori in your body. This test is done using:

the blood.



Determining the type of test depends on your situation.

For breath testing you will drink or eat something containing radioactive carbon, and if you have bacteria in your stomach, the sample yourself will contain radioactive carbon in the form of carbon dioxide.


During the endoscopy the doctor passes a hollow tube equipped with a lens and enters the stomach through the esophagus, which shows the doctor the presence of the ulcer.

If your doctor has found a sore spot, it is taking tissue samples for examination in the laboratory, and determining the presence of bacteria in the lining of the stomach.

If your patient is elderly, he or she has signs of bleeding, or who have been recently overweight or have trouble swallowing or swallowing.

X ray.

It is sometimes called ingestion of barium, where x-rays are a picture of the esophagus, stomach and intestines. During x-rays, a white liquid (containing barium) that covers the digestive tract and makes the ulcer more visible is swallowed.

Treatments and medicines.

Treatment of peptic ulcer depends on the cause, and can include treatments:

Antibiotics to kill bacteria.

If bacteria are found in the digestive system, your doctor will prescribe antibiotics to kill the bacteria, and you should take antibiotics for two weeks, in addition to medicines that reduce stomach acid.

Drugs that prevent acid secretion.

Proton pump inhibitors reduce gastric acid by inhibiting the action of parts of cells that produce acid. These drugs include omeprazole, lanzoprazole, ribiprazole, isomiprazole and pantoprazole.

Prolonged use of proton pump inhibitors, especially in high doses, may increase the risk of bone fractures, so ask your doctor if you need calcium supplements that may reduce this risk.

Drugs that reduce acid production.

Antihistamines (H-2) reduce the amount of gastric acid produced in the digestive system, which relieves ulcer pain.

You can get it under prescription, including ranitidine (zantac), phamotidine, cimetidine and nizetidine.

Antacids may work to relieve pain quickly, but it may cause some side effects such as constipation or diarrhea.

Medications that protect the lining of the stomach and small intestine.

In some cases, the doctor may prescribe drugs called cytoprotective agents that help protect the lining of the stomach and intestines, including misoprostol.

Follow-up after initial treatment.

Ulcer treatment is often successful, but if your symptoms are severe after taking the treatment, your doctor may recommend laparoscopy to rule out any other possible causes of these symptoms.

Stomach Ulcers that do not heal.

There are many reasons that may prevent ulcers from healing, and may include these reasons:

Do not take medicines according to directions.

The fact that some types of bacteria resistant to antibiotics.

Regular use of tobacco.

Regular use of painkillers that increase the risk of ulcers.

Excessive gastric acid production, such as Ellison’s Zollinger syndrome.

Infection of other bacteria.

stomach cancer.

Other diseases that may cause sores such as ulcers in the stomach and small intestine, such as Crohn’s disease.

Lifestyle and home remedies.

Choosing a healthy diet rich in fruits, vegetables and whole grains, and not eating foods rich in vitamins may make it difficult for your body to treat ulcers.

Painkillers, if you are using painkillers regularly, ask your doctor if acetaminophen is an appropriate option for you.

Control stress because it may worsen the signs and symptoms you have.

Avoid smoking, as smoking may interfere with the protective lining of the stomach, making your stomach more susceptible to ulcers, and smoking increases stomach acid.

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