Causes and Symptoms of Peptic Ulcer

Description

Peptic ulcer disease refers to painful sores or ulcers in the lining of the stomach or first part of the small intestine, called the duodenum.

Causes of Ulcer

No single cause has been found for ulcers. However, it is now clear that an ulcer is the end result of an imbalance between digestive fluids in the stomach and duodenum. Most ulcers are caused by an infection with a type of bacteria called Helicobacter pylori (H. pylori).
Factors that can increase your risk for ulcers include:

  • Use of painkillers called nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, naproxen (Aleve, Anaprox, Naprosyn, and others), ibuprofen (Motrin, Advil, some types of Midol, and others), and many others available by prescription; even safety-coated aspirin and aspirin in powered form can frequently cause ulcers.
  • Excess acid production from gastrinomas, tumors of the acid producing cells of the stomach that increases acid output (seen in Zollinger-Ellison syndrome)
  • Excessive drinking of alcohol
  • Smoking or chewing tobacco
  • Serious illness
  • Radiation treatment to the area

General Symptoms of an Ulcer?

An ulcer may or may not have symptoms. When symptoms occur, they may include:
  • A gnawing or burning pain in the middle or upper stomach between meals or at night
  • Bloating
  • Heartburn
  • Nausea or vomiting
Special Symptoms
  • Dark or black stool (due to bleeding)
  • Vomiting blood (that can look like "coffee-grounds")
  • Weight loss
  • Severe pain in the mid to upper abdomen

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