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What is a peptic ulcer?
A peptic ulcer is a sore in the lining of your stomach or duodenum *. The duodenum is the first part of your small intestine. A peptic ulcer in the stomach is called a gastric ulcer. One that is in the duodenum is called a duodenal ulcer. A peptic ulcer also may develop just above your stomach in the esophagus, the tube that connects the mouth to the stomach. But most peptic ulcers develop in the stomach or duodenum.

Many people have peptic ulcers. You can have both gastric and duodenal ulcers at the same time and you also can have more than one ulcer in your lifetime.

Peptic ulcers can be treated successfully. Seeing your doctor is the first step.

What are the symptoms of peptic ulcers?
A dull or burning pain in your stomach is the most common symptom of peptic ulcers. You may feel the pain anywhere between your belly button and breastbone. The pain often

  • starts between meals or during the night

  • briefly stops if you eat or take antacids

  • lasts for minutes to hours

  • comes and goes for several days or weeks

Other symptoms of peptic ulcers may include

  • weight loss

  • poor appetite

  • bloating

  • burping

  • vomiting

  • feeling sick to your stomach

Even if your symptoms are mild, you may have peptic ulcers. You should see your doctor to talk about your symptoms. Peptic ulcers can get worse if they aren’t treated.

Call your doctor right away if you have

  • sudden sharp stomach pain that doesn’t go away

  • black or bloody stools

  • bloody vomit or vomit that looks like coffee grounds

These symptoms could be signs an ulcer has

  • broken a blood vessel

  • gone through, or perforated, your stomach or duodenal wall

  • stopped food from moving from your stomach into the duodenum

These symptoms must be treated quickly. You may need surgery.

How are peptic ulcers treated?

If you have peptic ulcers, they can be cured. Depending on what caused your ulcers, your doctor may prescribe one or more of the following medicines:

  • a proton pump inhibitor (PPI) or histamine receptor blocker (H2 blocker) to reduce stomach acid and protect the lining of your stomach and duodenum
     

  • one or more antibiotics to kill an H. pylori infection
     

  •  a medicine that contains bismuth subsalicylate, such as Pepto-Bismol, to coat the ulcers and protect them from stomach acid

These medicines will stop the pain and help heal the ulcers.
 


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