- Helicobacter pylori infection– the bacteria can weaken or damage the lining of the stomach, forming sores and ulcers.
- NSAID use– the use of pain-relieving drugs can damage the lining of the stomach.
- Heartburn
- Smoking– it can worsen the irritation and can increase the stomach acid as well. Smoking can increase the risk of an ulcer by increasing stomach acid production.
- Alcohol– excessive alcohol can erode the stomach lining, thereby forming ulcers.
- Excessive production of stomach acid– it can be due to chronic stress or spicy foods.
- Bloating and belching
- Burning pain in the upper abdomen
- Loss of appetite
- Nausea and vomiting
- Indigestion
- Back pain
- Fatigue
- Changes in mood
- Cramps like a menstrual period
- Changes in hair and skin
- Vomiting blood, which looks like coffee grounds
- Dizziness or fainting
- Difficulty in breathing
- Black, tarry stools
- Severe pain in the abdomen which does not go away
- Physical exam– your healthcare professional would try to determine the root cause of your ulcers. They will enquire about the use of NSAIDs.
- Review of medical history– the doctor would want to know about the medical history of the patient to determine the cause of ulcer development.
- Helicobacter pylori test– this infection test is done with the help of a biopsy through endoscopy. It could also be done through a blood test, breath test or stool test.
- Endoscopy (EGD) – a tiny camera goes inside your stomach via a thin, long tube. While you are under sedation, the tube then goes down your throat, and through that tube, the doctor can pass narrow tools to take a sample for biopsy.
- Antibiotics
- Antacids and mucosal protectants
- H2-receptor antagonists
- Proton pump
- Limiting spicy foods
- Avoiding NSAIDs
- Managing stress
- Eating smaller but more frequent meals
- Stop smoking and alcohol consumption