Peptic Ulcer Disease
What is a peptic ulcer?
A peptic ulcer is a sore in the inner lining of the stomach or upper small intestine.
Ulcers form 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 go away quickly.
Peptic ulcers that form in the stomach are called gastric ulcers. Those that form in the upper small intestine are called duodenal (say "doo-uh-DEE-nul" or "doo-AW-duh-nul") ulcers.
What causes peptic ulcers?
The two most common causes of peptic ulcers are:
H. pylori and NSAIDs break down the stomach or intestine's protective mucus layer.
What are the symptoms?
Different people have different symptoms, and some people have no symptoms at all.
How are peptic ulcers diagnosed?
Your doctor will ask you questions about your symptoms and your general health, and he or she will do a physical exam.
If your symptoms aren't severe and you are younger than 55, your doctor may do some simple tests (using your blood, breath, or stool) to look for signs of H. pylori infection.
The only way for you and your doctor to know for sure 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 allows the doctor to look inside your esophagus, stomach, and small intestine. An endoscopy is usually done by a gastroenterologist, a doctor who specializes in digestive diseases.
How are they 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 speed the healing of your ulcer and prevent it from coming back if you quit smoking and limit 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. While symptoms can go away for a short time, you may still have an ulcer. Left untreated, an ulcer can cause life-threatening problems. Even with treatment, some ulcers may come back and may need more treatment.
Frequently Asked Questions
eMedicineHealth Medical Reference from Healthwise
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