Excel Hospital
  • What is Peptic Ulcer?

    • Peptic ulcer disease refers to ulcers in the lining of the stomach or first part of the small intestine (duodenum).

  • Causes and Risk Factors

    • Infected with the H. pylori bacterium
    • Excessive drinking of alcohol
    • Smoking or chewing tobacco
    • Age 50 or older
    • NSAIDs use such as aspirin, ibuprofen, or naproxen
    • Family history of ulcers
    • Radiation treatment to the area
    • Another serious illness such as liver, kidney, or lung disease
    • Excess acid production from gastrinomas, tumors (seen in Zollinger-Ellison syndrome)

  • Symptoms

    • Burning pain in the middle or upper stomach between meals or at night
    • Bloating
    • Heartburn
    • Nausea or vomiting
    • Dark or black stool (due to bleeding)
    • Blood in vomit (that can look like "coffee-grounds")
    • Weight loss

  • Diagnosis

    • OGD (upper GI endoscopy)
    • Barium study
    • USG
    • CT Scan

  • Complication

    • Bleeding
    • Perforation (a hole through the wall of the stomach)
    • Gastric outlet obstruction (from swelling or scarring that blocks the passageway)

  • Treatment

    • Life style modifications
    • Dietary management
    • Medical management – Proton Pump Inhibitors for 4 – 8 weeks , Treatment for H.Pylori infection (if positive)
    • Surgery - generally for complications