Conditions

Peptic Ulcer Disease

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What is Peptic Ulcer Disease?

Peptic ulcer disease (PUD) refers to open sores that develop on the inner lining of the stomach (gastric ulcers) or the upper part of the small intestine (duodenal ulcers). These ulcers occur when the protective mucus layer that shields the lining of the stomach or duodenum becomes weakened, allowing stomach acid to cause damage.

The most common causes are infection with Helicobacter pylori (H. pylori) and long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, diclofenac, and aspirin. Contrary to old beliefs, stress and spicy foods typically do not cause ulcers but can aggravate existing ones.

Peptic Ulcer Disease
Why It Matters

If left untreated, peptic ulcers can lead to complications such as internal bleeding, perforation (a hole in the stomach or intestine), or obstruction of the digestive tract. Timely diagnosis and treatment are essential to prevent these outcomes and promote healing.

Peptic Ulcer Disease

Common Symptoms

  • Burning stomach pain (especially between meals or at night)
  • Nausea or vomiting
  • Bloating
  • Dyspepsia or indigestion
  • Dark or black stools (a sign of bleeding)
  • Fatigue (from blood loss)

Diagnosis

  • History of NSAID (nonsteroidal anti-inflammatory drug) use
  • Testing for H. pylori (urea breath test, stool antigen test, or biopsy during endoscopy)
  • Upper endoscopy (direct visualization and biopsy of the ulcer)

Treatment Options

  • Eradication of H. pylori if present (antibiotics + acid suppression)
  • Proton pump inhibitors (PPIs) or H2 blockers to reduce acid production
  • Discontinuation of NSAIDs and switching to safer pain management options
  • Lifestyle changes: Avoid smoking and limit alcohol
H. Pylori bacteria