A peptic ulcer is a wound that can form in the lining of the stomach or duodenum (the upper part of the small intestine) and may be caused by a bacterial infection. Helicobacter pyloriusing anti-inflammatory medications without medical indication or due to bad habits (such as excessive consumption of spicy foods and/or alcoholic beverages).
If you have a peptic ulcer, you may notice symptoms such as a burning sensation in your stomach, nausea, vomiting, bloating, and abdominal pain, which tend to be more intense after meals.
If an ulcer is suspected, it is important to consult a gastroenterologist so that he can confirm the diagnosis, find out the cause and indicate the most appropriate treatment, usually through the use of medications and changes in dietary habits.
The main symptoms of peptic ulcer are:
In some cases, peptic ulcers cause only a general feeling of discomfort or may not cause signs or symptoms but are discovered during a routine checkup. However, when symptoms occur, they are usually worse after eating, so it is important to consult a gastroenterologist. Find out more about peptic ulcer symptoms.
The diagnosis of peptic ulcer should be made by a gastroenterologist first based on an evaluation of the patient’s presenting signs and symptoms. However, because symptoms may indicate a variety of digestive system changes, your doctor should recommend specific tests, especially an endoscopy.
During an endoscopy, doctors can look into the esophagus, stomach, and the beginning of the intestines to identify and verify the characteristics of ulcers. Learn how an endoscopy is performed.
Additionally, your doctor may recommend other tests, such as blood tests, stool tests, and/or respiratory tests, to investigate the cause of your peptic ulcer.
The main causes of peptic ulcers are:
Additionally, some research suggests that regularly consuming spicy foods may increase your risk of developing peptic ulcers.
Treatment of peptic ulcers should be directed by a gastroenterologist and is designed to relieve symptoms and prevent ulcer expansion.
Therefore, your doctor may recommend changing your eating habits to eat more easily digestible, low-fat foods and reduce your intake of spicy foods. Learn what you should eat when you have a peptic ulcer.
Medications that suppress the production of stomach acid or neutralize the acid produced in the stomach may also be needed, which can help relieve symptoms and prevent peptic ulcers from getting worse.
Complications of peptic ulcer may be:
These complications are usually uncommon, but when they occur, they can be serious.
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National Health Service. Complications of gastric ulcer. URL:
NHS Notices. gastric ulcer. URL:.Access date: July 6, 2023
National Health Service. Overview – Gastric Ulcer. URL:
Star shaped pearl. gastric ulcer. 2023. Accessible:
Paul FS Bittencourt et al. Gastroduodenal peptic ulcer and Helicobacter pylori infection in children and adolescents. . J. Pediatrics. (Leo J.). v. 82. No. 5p. 325-334, 2006. Accessed: March 18, 2020. URL:.
AMB and CFM. peptic ulcer. Director Project. URL: https://diretrizes.amb.org.br/_BibliotecaAntiga/ulcera-peptica.pdf. Accessed: March 18, 2020.
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