Peptic Ulcer Disease

Peptic Ulcer Disease

Peptic Ulcer Disease (PUD) is a condition in which painful sores or ulcers develop in the lining of the stomach or the upper part of the small intestine. These ulcers occur when the protective lining of the digestive tract is damaged, allowing stomach acid to irritate and erode the tissue.
Peptic ulcers are commonly caused by Helicobacter pylori (H. pylori) infection or the long-term use of certain pain-relieving medications. If left untreated, peptic ulcers can lead to complications such as bleeding, perforation, or blockage in the digestive tract. Early diagnosis and proper treatment can help relieve symptoms and promote healing.

Acid Reflux GERD

Common Symptoms of Peptic Ulcer Disease

People with peptic ulcers may experience the following symptoms:

01
Burning Upper Abdominal Pain

Burning or gnawing pain in the upper abdomen, especially between meals or at night.

02
Indigestion or Bloating

Persistent indigestion or bloating after eating meals.

03
Nausea or Vomiting

Frequent nausea or occasional vomiting caused by stomach irritation.

04
Loss of Appetite

Reduced desire to eat due to stomach discomfort.

05
Frequent Heartburn

Recurring heartburn or acid reflux due to increased stomach acid.

06
Feeling Full Quickly

Feeling full soon after starting a meal even when eating small amounts.

07
Unexplained Weight Loss

Weight loss that occurs without dieting due to reduced food intake.

08
Dark or Black Stools

Dark or tarry stools in severe cases due to internal bleeding.

Causes of Peptic Ulcer Disease

Peptic ulcer disease occurs when the protective lining of the stomach or the upper part of the small intestine becomes damaged. This damage allows stomach acid to irritate the underlying tissues and form ulcers. Several factors can weaken the stomach lining and increase the risk of ulcer formation.

  • Helicobacter pylori (H. pylori) bacterial infection
  • Long-term use of NSAIDs (pain-relief medications)
  • Excess stomach acid production
  • Smoking and tobacco use
  • Excessive alcohol consumption
  • Stress and unhealthy lifestyle habits
  • Poor dietary habits

Diagnosis of Peptic Ulcer Disease

Doctors may recommend several diagnostic tests to confirm the presence of peptic ulcers and determine the underlying cause of the condition.

  • Upper GI Endoscopy

    An upper gastrointestinal endoscopy allows doctors to directly examine the lining of the stomach and duodenum using a thin flexible tube with a camera. This test helps identify ulcers, inflammation, or bleeding.

  • H. pylori Testing

    Since many peptic ulcers are caused by Helicobacter pylori infection, doctors may perform breath tests, blood tests, or stool tests to detect the presence of this bacteria.

  • Blood Tests

    Blood tests may be used to check for signs of infection, anemia caused by internal bleeding, and overall health indicators related to digestive disorders.

  • Stool Tests

    Stool tests help detect hidden blood in the stool and can also be used to identify the presence of H. pylori infection in the digestive system.

  • Barium Swallow X-ray

    In this imaging test, the patient drinks a liquid containing barium which coats the digestive tract. X-rays are then taken to detect ulcers or abnormalities in the stomach and upper intestine.

Lifestyle Tips to Prevent Peptic Ulcers

Adopting healthy lifestyle habits can help reduce the risk of developing peptic ulcers and protect the lining of the stomach and digestive tract. By making simple dietary and lifestyle changes, individuals can lower stomach irritation and maintain better digestive health.

  • Avoid excessive use of painkillers
  • Limit spicy and acidic foods
  • Quit smoking and alcohol consumption
  • Eat balanced and regular meals
  • Manage stress effectively
  • Maintain good digestive health

Treatment Options for Peptic Ulcer Disease

Antibiotics for H. pylori

Antibiotics for H. pylori Infection

Proton Pump Inhibitors

Proton Pump Inhibitors (PPIs)

H2 Receptor Blockers

H2 Receptor Blockers

Antacids

Antacids

Stomach Lining Protection

Medications that Protect the Stomach Lining

Endoscopic Treatment

Endoscopic Treatment for Bleeding Ulcers