Dr. Anurag Jindal

Senior Consultant - Medical Gastroenterology

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Reviewed by

Dr. Anurag Jindal

Senior Consultant - Medical Gastroenterology

Manipal Hospitals, Patiala

Understanding Stomach Ulcers: A Guide To Different Types And Treatments

Reviewed by:

Dr. Anurag Jindal

Posted On: May 03, 2024

blogs read 3 Min Read

Stomach Ulcer It's Signs, Symptoms, Causes & Treatment

Stomach ulcers, also known as peptic ulcers, are a common health concern causing discomfort and impacting daily life. These occur when the protective lining of the stomach or the upper part of the small intestine (duodenum) is eroded by digestive juices. While the term "stomach ulcer" is often used generally, there are different types with varying causes and presentations. 

This blog delves into the world of stomach ulcers, exploring the two main types, their causes, symptoms, and treatment options. Our experienced gastroenterologist in Patiala has also added some expert tips to prevent stomach ulcers. Continue reading for medically accurate information about stomach ulcers.


The Two Main Culprits: Gastric vs. Duodenal Ulcers

There are primarily two types of peptic ulcers, categorised based on their location:

  1. Gastric Ulcers: These form within the lining of the stomach itself. They are less common than duodenal ulcers but can be more serious.
  2. Duodenal Ulcers: These develop in the duodenum, the first part of the small intestine just below the stomach. Duodenal ulcers are the most common type of peptic ulcer.

Unveiling the Causes: What Leads to Ulcers?

Several factors can contribute to the formation of stomach ulcers. The two most common culprits are:

  1. H. pylori (Helicobacter pylori) infection: This bacteria can irritate the stomach lining, making it more susceptible to damage by digestive juices.

  2. Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs): There are certain medications, that can weaken the stomach lining's protective barrier.

Other less common causes include:

  1. Zollinger-Ellison syndrome: A rare condition that causes the overproduction of stomach acid.

  2. Certain medical conditions: Crohn's disease or severe stress can also contribute.

Recognising the Signs: Symptoms of Stomach Ulcers

The following symptoms might indicate the presence of a stomach ulcer:

  1. Burning or gnawing pain in the upper abdomen, often between meals or at night
  2. Indigestion
  3. Bloating
  4. Nausea
  5. Vomiting, sometimes bloody
  6. Loss of appetite
  7. Feeling full after eating very little


It's important to note that these symptoms can vary from person to person and can sometimes be mild. If you experience any of these issues persistently, consult our expert gastroenterologist in Patiala for proper diagnosis and treatment.

Taming the Discomfort: Treatment Options for Stomach Ulcers

The good news is that stomach ulcers are treatable. The course of stomach ulcer treatment depends on the type and severity of the ulcer, as well as the underlying cause. Here are some common approaches:


  • Antibiotics to eradicate H. pylori infection, if present.
  • Medications to reduce stomach acid production, such as proton pump inhibitors (PPIs) and H2 receptor antagonists.
  • Medications to protect the stomach lining.

Lifestyle modifications

  • Eat a balanced diet: Focus on fruits, vegetables, and whole grains. These foods provide essential nutrients and promote good gut health.

  • Limit irritating foods: Spicy foods, acidic foods (citrus fruits, tomatoes), and fatty foods can irritate the stomach lining of some people. Pay attention to how your body reacts to these foods and limit them if they cause problems.

  • Moderate alcohol consumption: Excessive alcohol intake can damage the stomach lining and increase the risk of peptic ulcer symptoms.

  • Quit smoking: Smoking weakens the stomach lining's defence against stomach acid, making it more susceptible to ulcers.

  • Manage stress: Chronic stress can worsen stomach ulcers. Practice relaxation techniques like yoga, meditation, or deep breathing to manage stress effectively.

  • Maintain a healthy weight: Obesity can increase your risk of ulcers.

  • Get enough sleep: Adequate sleep is crucial for overall health, including gut health.

  • Practice good hygiene: Wash your hands regularly to prevent H. pylori infection and other illnesses.

Surgery: In rare cases, surgery might be necessary for severe ulcers or complications.

Living Well with Stomach Ulcers

With proper diagnosis and treatment, most stomach ulcers can be effectively managed. Here are some tips for living well with stomach ulcers:

  • Follow your doctor's treatment plan diligently.
  • Maintain a healthy diet.
  • Manage stress effectively.

Don't ignore the stomach ulcer symptoms; reach out to our doctor if you experience any worsening of symptoms.

Remember, early diagnosis and proper management are key to preventing complications and ensuring a comfortable life. You can also explore our official blog page to read the latest blogs written by our doctors.

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