Ulcers
Synopsis
Ulcers are open sores that develop in the lining of the stomach, small intestine, or esophagus, most commonly due to an imbalance between digestive acids and the protective mucosal lining. These sores can cause burning abdominal pain, indigestion, bloating, nausea, and in some cases, bleeding. The most frequent causes are infection with Helicobacter pylori (H. pylori) bacteria and long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs). Lifestyle factors such as stress, smoking, and poor diet can worsen symptoms but are not direct causes. With proper care, most ulcers can heal, though untreated ulcers may lead to perforation or gastrointestinal bleeding.
Types:
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Gastric ulcers: Occur in the stomach lining
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Duodenal ulcers: Occur in the upper part of the small intestine
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Esophageal ulcers: Occur in the lower esophagus, often related to acid reflux
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Stress ulcers: Develop in critically ill patients or those under severe physical stress
Common Causes:
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H. pylori bacterial infection
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Long-term NSAID use (e.g., ibuprofen, aspirin)
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Excess stomach acid (hyperacidity)
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Smoking and alcohol consumption
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Chronic stress or poor dietary habits
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Zollinger-Ellison syndrome (rare acid-producing tumor)
Severity Causes:
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Continued NSAID or alcohol use
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Untreated H. pylori infection
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Delay in diagnosis or treatment
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Coexisting conditions like GERD or gastritis
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Poor nutrition and low mucosal defense
When to See a Doctor:
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Persistent or severe abdominal pain
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Black or bloody stools (indicates bleeding ulcer)
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Vomiting blood or coffee-ground material
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Loss of appetite and unexplained weight loss
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Pain that worsens at night or between meals
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Symptoms that do not improve with antacids or lifestyle changes
Natural Remedies
Aloe vera: Soothes the gastrointestinal lining and may promote healing of mucosal tissue, reducing discomfort and inflammation.
Probiotics: Help restore gut microbial balance, especially important during or after H. pylori treatment. May support mucosal protection.
Magnesium: Neutralizes stomach acid and supports relaxation of smooth muscles in the digestive tract.
Vitamin C: Supports immune function and helps heal mucosal tissues. Also shown to inhibit H. pylori growth in some studies.
Zinc: Promotes tissue repair and mucosal healing. Zinc-carnosine formulations are often used in ulcer support protocols.
Slippery elm or licorice root (if included in blends): Coat the stomach lining and protect against acid damage.
Avoid trigger foods: Reduce intake of spicy, acidic, or fried foods that aggravate the ulcer site.
Eat smaller, more frequent meals: Helps manage acid production and reduce irritation to the stomach lining.