Peptic Ulcer Disease (PUD) occurs when stomach acid erodes the lining of your stomach or the upper part of your small intestine (duodenum), leading to painful sores. If left untreated, these ulcers can cause bleeding and other complications.
You may notice one or more of the following:
Several factors can contribute to peptic ulcers:
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Physicians use several methods to diagnose peptic ulcers, including endoscopy (a camera inspection of your upper GI tract), breath tests for H. pylori, blood antibody tests, and stool antigen tests.
The most commonly used code is K25.9 for a gastric ulcer without hemorrhage or perforation. Other codes (K26-K28) specify ulcer location and presence of bleeding or perforation.
Yes. A gentle, balanced diet can help soothe the stomach lining and promote healing. Focus on lean proteins, non-acidic fruits and vegetables, whole grains, and low-fat dairy, while avoiding known irritants.
The ulcer itself isn't contagious, but the H. pylori bacterium can spread through close contact, contaminated food, or water, so good hygiene and safe food handling are important.
With appropriate treatment-such as antibiotics (if H. pylori is present) and acid-reducing medications-most ulcers heal within 4 to 8 weeks, though follow-up testing may be needed.
Proton pump inhibitors (PPIs) and H2-receptor blockers are the preferred pain-relieving medications for ulcers. Avoid NSAIDs (like ibuprofen or aspirin) unless your doctor specifically approves them.
Supportive measures-such as probiotics, noncaffeinated teas (chamomile or ginger), and small frequent meals-may ease symptoms, but they should not replace medical treatment.
Stress alone doesn't cause ulcers, but it can increase stomach acid and worsen pain or slow healing. Stress management techniques can aid your overall treatment plan.
Avoid spicy dishes, caffeine, alcohol, citrus fruits, tomato-based products, and highly fatty or fried foods, as these can irritate the ulcer site and delay healing.
Seek medical attention if you experience severe abdominal pain, persistent nausea or vomiting, black or tarry stools, unexplained weight loss, or any signs of bleeding.