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Ulcers Facts: Causes, Symptoms, Risk Factors

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.vn-container{-webkit-box-align:center;-ms-flex-align:center;align-items:center;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:justify;-ms-flex-pack:justify;justify-content:space-between;height:3rem;margin:0 auto;max-width:77.5rem;z-index:1}@media(min-width:64rem){.vn-wrapper .vn-container{height:4.6875rem}}.vn-wrapper .vn-container.lite{max-width:100%}@media(min-width:64rem){.vn-wrapper .vn-container.lite{height:3.5rem}}.vn-wrapper .vn-menu-btn{-webkit-box-align:center;-ms-flex-align:center;align-items:center;background:none;border:0;color:#fff;cursor:pointer;display:-webkit-box;display:-ms-flexbox;display:flex;height:100%;line-height:1;padding:0}.vn-wrapper .vn-menu-btn:not(.lite){margin-right:1.166875rem}@media(min-width:64rem){.vn-wrapper .vn-menu-btn:not(.lite){margin-right:0}}.vn-wrapper .vn-menu-btn i{font-size:2.25rem;width:2.25rem;overflow:hidden}.vn-wrapper .vn-menu-btn svg{fill:currentColor;pointer-events:none}.vn-wrapper .vn-menu-btn.vn-search 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.vn-logo-container .vn-logo img:not(.lite){width:7.25rem}}.vn-wrapper .vn-logo-container.with-program .vn-logo img{height:.875rem}@media(min-width:64rem){.vn-wrapper .vn-logo-container.with-program .vn-logo img{height:1.4375rem}}.vn-wrapper .vn-logo-container.with-program .vn-prog-logo img{height:.9375rem}@media(min-width:64rem){.vn-wrapper .vn-logo-container.with-program .vn-prog-logo img{height:1.5625rem}}.vn-wrapper .vn-links{background:#f9f9fc;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-orient:vertical;-webkit-box-direction:normal;-ms-flex-direction:column;flex-direction:column;height:calc(100vh - 3rem);left:-140vw;overflow:auto;padding:.5rem;position:fixed;top:3rem;-webkit-transition:left .5s ease;transition:left .5s ease;width:100%;z-index:100}@media(min-width:37.5rem){.vn-wrapper .vn-links{max-width:25rem}}@media(min-width:64rem){.vn-wrapper .vn-links.lite{height:calc(100vh - 3.5rem);top:3.5rem}}@media(min-width:64rem){.vn-wrapper 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.vn-menu-section{left:0;opacity:1;visibility:visible}}@media(min-width:81.25rem){.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:not(:nth-child(7)){margin-right:1rem}}.vn-wrapper .vn-links .vn-menu-section{background:#f9f9fc;height:calc(100vh - 3rem);right:-140vw;overflow:auto;padding:0 1.5rem 6.25rem 1.5rem;position:fixed;top:3rem;-webkit-transition:all .5s ease;transition:all .5s ease;width:100%;z-index:10}.vn-wrapper .vn-links .vn-menu-section.lite{height:calc(100vh - 3.5rem);top:3.5rem}@media(min-width:37.5rem){.vn-wrapper .vn-links .vn-menu-section{max-width:25rem;left:-140vw;right:auto}.vn-wrapper .vn-links .vn-menu-section.open{left:0;right:auto}}.vn-wrapper .vn-links .vn-menu-section.open{right:0}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header{-webkit-box-align:center;-ms-flex-align:center;align-items:center;border-bottom:1px solid #c6cedb;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:justify;-ms-flex-pack:justify;justify-content:space-between;padding:.75rem 0}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header h3{color:#1b1b1b;font-size:1.25rem;line-height:1;margin:0}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header a{color:#3557ff;font-weight:400;text-decoration:none}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header a img{margin-right:.5rem;width:.8125rem}.vn-wrapper .vn-links .vn-menu-section ul{margin:.75rem 0;list-style:none;padding:0}.vn-wrapper .vn-links .vn-menu-section ul li{font-size:1.125rem;font-weight:400}.vn-wrapper .vn-links .vn-menu-section ul li a{color:#1b1b1b;display:block;padding:.75rem 0;text-decoration:none}.vn-wrapper .vn-links .vn-menu-section ul li a:hover{color:#3557ff}.vn-wrapper .vn-links .vn-menu-section ul li hr{border:1px solid #c6cedb}@media(min-width:64rem){.vn-wrapper .vn-links .vn-menu-section:not(.lite){background:#fff;border-radius:0 0 5px 5px;border-top:0;left:-20px;margin-left:-3.75rem;max-width:none;height:auto;opacity:0;padding:1.875rem 2.875rem;position:absolute;top:4.6875rem;width:18.75rem;visibility:hidden}.vn-wrapper .vn-links .vn-menu-section:not(.lite) hr{display:none}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul{margin:0}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li{border-bottom:1px solid #c6cedb}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li:last-of-type{border-bottom:0}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li.vn-see-all a{-webkit-box-align:baseline;-ms-flex-align:baseline;align-items:baseline;color:#3557ff;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:start;-ms-flex-pack:start;justify-content:flex-start}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li.vn-see-all a img{height:.75rem;margin-right:.5rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1{width:60.875rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul{-webkit-columns:4;-moz-columns:4;columns:4;-webkit-column-gap:2.875rem;-moz-column-gap:2.875rem;column-gap:2.875rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul li:nth-child(7),.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul li:nth-child(14),.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul li:nth-child(21){border-bottom:0}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3{width:35rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3 ul{-webkit-columns:2;-moz-columns:2;columns:2;-webkit-column-gap:2.875rem;-moz-column-gap:2.875rem;column-gap:2.875rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3 ul li:nth-child(8),.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3 ul li:nth-child(16){border-bottom:0}}@media(min-width:64rem)and (max-width:81.25rem){.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1{margin-left:-8.75rem}}.vn-wrapper .vn-links .vn-back{-webkit-box-align:center;-ms-flex-align:center;align-items:center;background:none;border:0;color:#3557ff;cursor:pointer;display:-webkit-box;display:-ms-flexbox;display:flex;padding:1rem 0}.vn-wrapper .vn-links .vn-back i{font-size:.75rem;margin-right:.3125rem}.vn-wrapper .vn-links .vn-actions{margin-top:1rem}@media(min-width:64rem){.vn-wrapper .vn-links .vn-actions:not(.lite){-webkit-box-align:center;-ms-flex-align:center;align-items:center;border-left:1px solid #cccce7;display:-webkit-box;display:-ms-flexbox;display:flex;margin:1.1875rem 0;padding-left:1.25rem}}@media(min-width:64rem){.vn-wrapper .vn-links .vn-actions:not(.lite).no-subscribe{border-left:none}}.vn-wrapper .vn-links .vn-actions:not(.lite).no-subscribe .vn-signin{padding-left:.9375rem}@media(min-width:64rem){.vn-wrapper .vn-links .vn-actions:not(.lite).no-subscribe .vn-signin{padding-left:0}}.vn-wrapper .vn-links .vn-actions .vn-signin{color:#3557ff;font-weight:600;padding:0 1.5rem;text-decoration:none}@media(min-width:64rem){.vn-wrapper .vn-links .vn-actions .vn-signin:not(.lite){-webkit-box-align:center;-ms-flex-align:center;align-items:center;color:#fff;display:-webkit-box;display:-ms-flexbox;display:flex;font-size:1.0625rem;padding:0;margin:0 .9375rem;-webkit-transition:all .3s ease;transition:all .3s ease}}.vn-wrapper .vn-links .vn-actions .vn-loggedin{background:none;border:0;color:#3557ff;font-weight:600;height:3rem;padding:0 1.5rem;text-decoration:none}@media(min-width:64rem){.vn-wrapper .vn-links .vn-actions .vn-loggedin:not(.lite){-webkit-box-align:center;-ms-flex-align:center;align-items:center;color:#fff;display:-webkit-box;display:-ms-flexbox;display:flex;font-size:0;padding:0;margin:0 1.25rem}.vn-wrapper .vn-links .vn-actions .vn-loggedin:not(.lite):before{background:url(//img.lb.wbmdstatic.com/webmd_static_vue/091e9c5e81e4870f/client/img/person.59072d56.svg) 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tabindex="-1"><article class="article medref" data-chronicle="091e9c5e81e48710" data-e2e="dart-medref" data-page="1" data-module-type="dynamic-article" data-artid="091e9c5e800089b7" style=""><script type="application/ld+json">{"@context":"https://schema.org/","@type":"VideoObject","name":"The Basics: Stomach Ulcers","description":"You probably know the symptoms of stomach ulcers, but the causes might surprise you.","uploadDate":"07/14/2016 08:00:00 PM","duration":"PT57S","contentUrl":"https://webmd-a.akamaihd.net/delivery/delivery/0b/88/0b884a6c-722a-41d1-9817-f38d1a5ac820/basics-stomach-ulcers_1000k.mp4","thumbnailUrl":"https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/article_thumbnails/video/basics_stomach_ulcers_video/650x350_basics_stomach_ulcers_video.jpg","inLanguage":"en","transcript":"[MUSIC PLAYING]"}</script><script type="application/ld+json">{"@context":"https://schema.org/","@type":"MedicalWebPage","mainEntityOfPage":"https://www.webmd.com/digestive-disorders/understanding-ulcers-basic-information","lastReviewed":"01/29/2024 20:00:00","reviewedBy":{"@type":"Person","name":"Zilpah Sheikh, MD"},"about":"Digestive Problems","datePublished":"05/30/2003 20:00:00","headline":"Understanding Ulcers","author":{"@type":"Person","name":"Alicia Garceau"},"dateModified":"01/29/2024 20:00:00","publisher":{"@type":"Organization","name":"WebMD","logo":{"@type":"ImageObject","url":"https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/logos/webmd/web/webmd_logo_53x12.gif"}}}</script><div class="inner-article-container"><!--[--><!----><!----><header><!----><!----><h1>Understanding Ulcers</h1><img class="largeTempImg" style="pointer-events:none;position:absolute;top:0;left:0;width:1000px;height:2000px;" src="data:image/svg+xml;base64,PD94bWwgdmVyc2lvbj0iMS4wIiBlbmNvZGluZz0iVVRGLTgiPz48c3ZnIHdpZHRoPSI5OTk5OXB4IiBoZWlnaHQ9Ijk5OTk5cHgiIHZpZXdCb3g9IjAgMCA5OTk5OSA5OTk5OSIgdmVyc2lvbj0iMS4xIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHhtbG5zOnhsaW5rPSJodHRwOi8vd3d3LnczLm9yZy8xOTk5L3hsaW5rIj48ZyBzdHJva2U9Im5vbmUiIGZpbGw9Im5vbmUiIGZpbGwtb3BhY2l0eT0iMCI+PHJlY3QgeD0iMCIgeT0iMCIgd2lkdGg9Ijk5OTk5IiBoZWlnaHQ9Ijk5OTk5Ij48L3JlY3Q+IDwvZz4gPC9zdmc+"><!----><!----></header><div class="med-wrap"><div><div class="asset-med-rev"><div class="reviewer-info" data-chronicle="091e9c5e81e48710" data-e2e="asset-medical-review" data-metrics-module="rvdby-lnk"><span class="reviewer-photo-cont"><figure><img src="https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/articles/biographies/sheikh_zilpah_382x382.jpg?resize=51px:51px&amp;output-quality=75" class="reviewer-photo"></figure></span><span class="reviewer-txt seperatorLine">Medically Reviewed by <a class="person" href="https://www.webmd.com/bio/zilpah-sheikh" data-metrics-link="0">Zilpah Sheikh, MD</a><!----><span class="no-link"></span><span class="revDate"> on January 29, 2024</span></span></div><div class="byline"><span><span class="authors" data-metrics-module="wrtnby-lnk">Written by <!--[--><!--[--><!----><span class="person">Alicia Garceau</span><!----><!--]--><!--]--><!----><!--[--><!--]--></span></span></div></div></div></div><aside class="oncology-article-nav" data-metrics-module="cwnav-art"><ul class="nav-items desktop"><!--[--><li><a href="#091e9c5e800089b7-1-1">What Are Stomach Ulcers?</a><!----></li><li><a href="#091e9c5e800089b7-1-2">Causes of Stomach Ulcers</a><!----></li><li><a href="#091e9c5e800089b7-3-5">Stomach Ulcer Symptoms</a><!----></li><li><a href="#091e9c5e800089b7-3-6">How Are Stomach Ulcers Diagnosed?</a><div class="item-button"><a href="#"></a></div></li><li><a href="#091e9c5e800089b7-4-7">Stomach Ulcer Treatment</a><!----></li><li><a href="#091e9c5e800089b7-5-10">Home Remedies for Stomach Ulcers</a><!----></li><li><a href="#091e9c5e800089b7-5-11">Stomach Ulcer Complications</a><!----></li><li><a href="#091e9c5e800089b7-5-12">Stomach Ulcer Prevention</a><!----></li><li><a href="#091e9c5e800089b7-7-18">Takeaways</a><!----></li><li><a href="#091e9c5e800089b7-7-19">Stomach Ulcer FAQs</a><!----></li><!--]--><li class="item-button"><!----></li></ul></aside><!--]--><div class="reading-wrapper"><div class="readtime"><span>10 min read</span></div><!----><div id="audio-placeholder-091e9c5e800089b7"></div></div><div class="video-wrapper"><div id="video-placeholder" style="background-image:url(https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/article_thumbnails/video/basics_stomach_ulcers_video/650x350_basics_stomach_ulcers_video.jpg?resize=750px:*&amp;output-quality=35);"></div></div><!----><!----><div class="article__body" data-metrics-module="embd-lnk"><div class="article-page active-page" data-page="1"><section><h2 class="jumplink-headers" id="091e9c5e800089b7-1-1">What Are Stomach Ulcers?</h2><p>Stomach ulcers, also known as peptic ulcers, are open sores in the lining of your stomach or the upper part of your small intestine. <span>The ulcer forms when stomach acid eats away at the mucus that protects the lining of your </span><a class="" href="https://www.webmd.com/digestive-disorders/your-digestive-system" id="ceefb7cd-8b5c-4b26-aba0-0832645ce602;medical_reference">digestive tract</a><span>.</span></p><p><img alt='What is a Stomach Ulcer? infographic' src='https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/article_thumbnails/BigBead/understanding_ulcers_infographic_bigbead/650x925_understanding_ulcers_infographic_bigbead.jpg' height="925" width="650" order="hero" /></p><p> </p><p dir="ltr"><span><strong>Types of peptic ulcers</strong></span></p><ul><li dir="ltr" aria-level="1"><span><strong>Gastric ulcer: </strong>It occurs when a sore forms in the lining of your stomach.</span></li><li dir="ltr" aria-level="1"><span><strong>Duodenal ulcer: </strong>This happens when a sore develops in the upper part of your intestine.</span></li><li dir="ltr" aria-level="1"><span><strong>Esophageal ulcer:</strong> This is when a sore forms in the lining of your esophagus, which is the tube that carries food and liquid from your throat to your stomach.</span></li></ul><p><span>About 1 in 10 Americans experience the burning, gnawing </span><a class="" href="https://www.webmd.com/pain-management/abdominal-pain-causes-treatments" id="70da0574-a1f3-47ff-8f10-130dcb14fb9a;medical_reference">abdominal pain</a><span> of a peptic ulcer at some point in life. Duodenal ulcers are more common than stomach ulcers.</span> Esophageal ulcers are more rare and are often a result of certain medications, such as some antibiotics and anti-inflammatories, or alcohol abuse.</p><div id="embed-17" data-embed-chronicle="091e9c5e8143162c" data-embed-type="video" data-embed-count="1"></div><p> </p><p> </p></section><section><h2 class="jumplink-headers" id="091e9c5e800089b7-1-2">Causes of Stomach Ulcers</h2><p>Until the mid-1980s, the conventional wisdom was that ulcers form as a result of stress, being prone to excessive stomach acid secretion because of genetics, and poor lifestyle habits (including overindulging in rich and fatty foods, alcohol, caffeine, and tobacco). It was believed that such factors could lead to a buildup of stomach acids that could erode the protective lining of the stomach, duodenum, or <a class="" href="https://www.webmd.com/digestive-disorders/esophagitis" id="6403a782-b4a1-4bca-86b0-ff6ebd37b965;medical_reference">esophagus</a>.</p></section><section> <p>While too much stomach acid secretion certainly plays a role in the development of ulcers, a relatively recent theory holds that <a class="" href="https://www.webmd.com/a-to-z-guides/bacterial-and-viral-infections" id="d8e7d7a1-121d-4d57-898c-a56efe217620;medical_reference">bacterial infection</a> is the primary cause of peptic ulcers. Research since the mid-1980s has shown that the bacterium <i>Helicobacter pylori</i><a data-crosslink-type="article" id="38d1e495-9a52-4681-8657-847f2f7644d2" href="https://www.webmd.com/digestive-disorders/h-pylori-helicobacter-pylori"><i></i></a>(<i>H. pylori</i>) is present in more than 90% of duodenal ulcers and about 80% of stomach ulcers. However, more recent figures indicate those percentages are declining.</p><p><span>Most people infected with </span><i><span>H. pylori</span></i><span> do not get ulcers. But in others, it can raise the amount of acid, break down the protective mucus layer, and irritate the digestive tract. Experts aren’t sure how an </span><i><span>H. pylori</span></i><span> infection spreads. They think it may pass from person to person through close contact, such as kissing. You may also get it from unclean food and water.</span></p></section></div><div class="article-page " data-page="2"><section> <p>Other factors also seem to contribute to ulcer formation, especially in someone with an <i>H. pylori</i> infection, including:</p><ul><li>Overuse of over-the-counter painkillers (such as aspirin, ibuprofen, and naproxen). <span>If you’ve been taking aspirin often and for a long time, you’re more likely to get a peptic ulcer. The same is true for other nonsteroidal anti-inflammatory drugs (NSAIDs). They include ibuprofen and naproxen. NSAIDs block your body from making a chemical that helps protect the inner walls of your stomach and small intestine from stomach acid. Other types of pain meds, such as acetaminophen, won’t lead to peptic ulcers.</span></li><li>Heavy alcohol use</li><li>Psychological stress</li><li>Smoking</li></ul><p><span>Your risk for peptic ulcers also increases if you:</span></p><ul><li><span><strong>Use steroids and have high calcium levels.</strong> If you use steroids often and have high levels of calcium in your blood, known as </span><a class="" href="https://www.webmd.com/a-to-z-guides/what-is-hypocalcemia" id="a2e08d9a-7f8e-4c6a-831f-d395ca95139c;medical_reference">hypercalcemia</a><span>, you can be more prone to ulcers.</span></li><li><span><strong>Are older.</strong> S</span>tudies show that stomach ulcers are more likely to develop in older people. This may be because arthritis is prevalent in older people, and easing arthritis pain can mean taking daily doses of aspirin or ibuprofen. Also, with advancing age, the pylorus (the valve between the stomach and duodenum) relaxes and allows extra bile (a compound produced in the liver to aid in digestion) to seep up into the stomach and erode the stomach lining.</li><li><strong>Have type A blood.</strong> For an unknown reason, people with type A blood are more likely to develop cancerous stomach ulcers.</li><li><strong>Have type O blood. </strong><span>Duodenal ulcers tend to appear in people with type O blood, possibly because they do not produce the substance on the surface of blood cells that may protect the lining of the duodenum.</span></li><li><span><strong>Have Zollinger-Ellison syndrome.</strong> If you have Zollinger-Ellison syndrome, which is a rare condition where tumors in your pancreas or duodenum (called gastrinomas) cause your stomach to make too much acid, you are at a greater risk of developing peptic ulcers.</span></li></ul></section></div><div class="article-page " data-page="3"><section><h2 class="jumplink-headers" id="091e9c5e800089b7-3-5">Stomach Ulcer Symptoms</h2><p dir="ltr"><span>You’ll most likely feel a burning pain or discomfort between your belly button and breastbone. You might especially notice it on an empty stomach, such as between meals or at night. The pain may stop for a little while if you take an antacid, but it may return. The pain can last a few minutes or a few hours and may come and go for many days or weeks.</span></p><p dir="ltr"><span>Other symptoms may include:</span></p><ul><li dir="ltr" aria-level="1">Feeling easily full</li><li dir="ltr" aria-level="1">Not wanting to eat because of pain</li><li dir="ltr" aria-level="1">Heartburn</li><li dir="ltr" aria-level="1">Acid reflux</li><li dir="ltr" aria-level="1">Chest pain</li><li dir="ltr" aria-level="1">Fatigue</li><li dir="ltr" aria-level="1"><span>Bloated feeling</span></li><li dir="ltr" aria-level="1"><span>Burping</span></li><li dir="ltr" aria-level="1"><span>Lack of appetite or weight loss</span></li><li dir="ltr" aria-level="1"><a class="" href="https://www.webmd.com/digestive-disorders/digestive-diseases-nausea-vomiting" id="f5174496-59a7-4df1-9003-cb11c8e569ac;medical_reference">Nausea</a></li><li dir="ltr" aria-level="1"><span>Bloody or dark poop</span></li><li dir="ltr" aria-level="1"><span>Vomiting that might contain blood or look like coffee grounds</span></li><li dir="ltr" aria-level="1"><span>Anemia</span></li><li dir="ltr" aria-level="1"><span>Pain that may improve when you eat, drink, or take antacids</span></li></ul><p dir="ltr"><span>Small ulcers may not cause any symptoms. But if you notice any of these signs, talk to your doctor.</span></p></section><section><h2 class="jumplink-headers" id="091e9c5e800089b7-3-6">How Are Stomach Ulcers Diagnosed?</h2><p>If your doctor thinks you might have a peptic ulcer, they’ll probably start with a physical exam and some tests:</p><ul><li>They’ll feel your belly and ask if you’ve had things such as tenderness, pain, or bloating. They might use a stethoscope to listen to any sounds your stomach is making.</li><li>The next step will be tests to look for signs of the <i>H. pylori</i> bacteria. Your doctor may take samples of your blood, stool, or breath for these.</li><li>In some cases, especially if you’re older and your symptoms include things such as weight loss or loss of appetite, they might use a long, flexible tube called an endoscope to look down your throat and into your stomach for <a class="" href="https://www.webmd.com/digestive-disorders/understanding-ulcers-symptoms" id="52c7b714-1044-4324-9fa1-29ab98706d12;medical_reference">signs of an ulcer</a> (you’ll be given medicine to make you sleepy). An endoscope can also take a small sample of tissue from an ulcer that can be tested in a laboratory.</li><li>They might ask you to drink a milky liquid called barium before they take X-rays of your stomach. This drink coats your digestive system and makes problems such as ulcers show up more clearly.</li></ul></section></div><div class="article-page " data-page="4"><section><h2 class="jumplink-headers" id="091e9c5e800089b7-4-7">Stomach Ulcer Treatment</h2><p>If you have a peptic ulcer, your doctor will recommend a treatment plan based on what’s causing it.</p></section><section><pagebreak /> <p>The most common remedy is a combination of antibiotic drugs to kill the <i>H. pylori</i> bacteria and medications to get rid of acid in your stomach. These typically include proton pump inhibitors (PPIs), such as Aciphex or Nexium, and antibiotics. You’ll take PPIs for several weeks. There are other treatment options.</p><ul><li>If your ulcer is caused by over-the-counter painkillers, you’ll need to quit taking them.</li><li>Your doctor may give you a drug called a cytoprotective agent, which coats ulcers to protect them from stomach acid.</li><li><span>Your health care provider may also give you antacids to fight stomach acid or prescribe medicine to lessen the acid your body makes.</span></li><li><span>Histamine receptor blockers, also known as H2 blockers, reduce the amount of acid produced in the stomach.</span></li><li dir="ltr" aria-level="1"><span>Probiotics might help slow the growth of </span><i><span>H. pylori.</span></i><span> </span></li><li dir="ltr" aria-level="1"><span>Bismuth supplements can also slow the growth of </span><i><span>H. pylori</span></i><span>. </span></li></ul><p>Also, lifestyle changes can serve as a treatment for stomach ulcers. You might need to:</p><ul><li>Quit smoking.</li><li>Drink less alcohol or caffeine.</li><li>Stay away from foods that make your symptoms worse.</li></ul></section><section><pagebreak /> <p dir="ltr"><span>If your ulcers don’t improve with medication or lifestyle changes, sometimes surgery is necessary. Depending on your specific case, your doctor might recommend:</span></p><ul><li><strong>Gastrectomy: </strong>It removes part of your stomach.</li><li><strong>Vagotomy:</strong> It cuts the vagus nerve, which causes you to make less acid. </li><li><strong>Antrectomy:</strong> It removes the lower part of the stomach, which produces a hormone that tells the body to make digestive juices.</li><li><strong>Pyloroplasty:</strong> It makes the opening to the <a class="" href="https://www.webmd.com/digestive-disorders/what-is-duodenitis" id="34e33c86-94b0-483c-a14c-d4126b285697;medical_reference">duodenum</a> and small intestine bigger. This helps food pass out of your stomach faster.</li><li><span lang="EN-GB"><strong>Laparoscopic surgery:</strong> In this, the doctor uses a small tube with a camera to look for problems with your esophagus, stomach, and small intestine. Or, the doctor may operate using a very small opening.</span></li></ul><p dir="ltr">After treatment, your doctor may want to keep a close eye on you, depending on the size and location of your ulcer, how well the treatment worked, and if you had any other problems.</p></section></div><div class="article-page " data-page="5"><section><h2 class="jumplink-headers" id="091e9c5e800089b7-5-10">Home Remedies for Stomach Ulcers</h2><p dir="ltr"><span>There are no home remedies for stomach ulcers, but certain foods and supplements may help fight the </span><i><span>H. pylori</span></i><span> bacteria. These include cruciferous vegetables (such as broccoli and cauliflower), leafy greens, fermented foods (such as sauerkraut and yogurt), apples, berries, olive oil, honey, </span><a class="" href="https://www.webmd.com/digestive-disorders/what-are-probiotics" id="14161c82-b15d-4774-ab1e-01749dd701f4;medical_reference">probiotics supplements</a><span>, vitamin C, and glutamine. If you have ulcers, avoiding spicy and acidic foods as well as cigarettes, caffeine, and alcohol may help your symptoms.</span></p></section><section><h2 class="jumplink-headers" id="091e9c5e800089b7-5-11">Stomach Ulcer Complications</h2><p dir="ltr"><span>Some ulcers heal on their own; however, if your ulcer goes untreated or you have recurrent ulcers, you may develop complications such as:</span></p><ul><li dir="ltr" aria-level="1"><span>Bleeding from the ulcer site that can become life-threatening</span></li><li dir="ltr" aria-level="1"><span>Penetration, which happens when the ulcer goes through the wall of your digestive tract into another organ, such as the pancreas</span></li><li dir="ltr" aria-level="1"><span>Perforation, which occurs when the ulcer creates a hole in the wall of your digestive tract</span></li><li dir="ltr" aria-level="1"><a class="" href="https://www.webmd.com/digestive-disorders/what-is-bowel-obstruction" id="f527df19-37b5-406b-bd6d-028d0b6b804d;medical_reference">Obstruction</a><span> (blockage) in your digestive tract, which happens because of swelling of inflamed tissues</span></li><li dir="ltr" aria-level="1"><span>A hole in your stomach, which may need to be fixed with surgery</span></li><li dir="ltr" aria-level="1"><a class="" href="https://www.webmd.com/cancer/stomach-gastric-cancer" id="85e63f08-a0c1-4342-85cc-759ef4741efb;medical_reference">Stomach cancer</a><span>, specifically non-cardia gastric cancer</span></li></ul><p><span>Ulcers can also erode the blood vessel wall in your stomach or small intestine, and eat a hole through the lining, leading to infection. Or they can cause swelling, which may block food from moving from your stomach into your small intestine.</span></p></section><section><h2 class="jumplink-headers" id="091e9c5e800089b7-5-12">Stomach Ulcer Prevention</h2><p dir="ltr"><span>While stress and spicy foods can make symptoms of a peptic ulcer worse, they don’t seem to make you more likely to have one. But a few other things can raise your chances.</span></p></section><section> <p dir="ltr"> </p><p dir="ltr"><span>You're more likely to get an ulcer while taking NSAIDs if you:</span></p><ul><li dir="ltr" aria-level="1"><span>Are over age 65</span></li><li dir="ltr" aria-level="1"><span>Are infected with </span><i><span>H. pylori </span></i><span>bacteria</span></li><li dir="ltr" aria-level="1"><span>Take more than one NSAID at a time</span></li><li dir="ltr" aria-level="1"><span>Have had a peptic ulcer in the past</span></li><li dir="ltr" aria-level="1"><p><span>Also take a steroid drug or selective serotonin reuptake inhibitor (</span><a class="" href="https://www.webmd.com/depression/ssris-myths-and-facts-about-antidepressants" id="d5171ea5-82e0-47b7-9666-f614f18c54a9;medical_reference">SSRI</a><span>)</span></p><p><span>Be careful when you take pain relievers such as aspirin, ibuprofen, and naproxen sodium. Some people who have arthritis or other conditions that cause chronic pain take NSAIDs for weeks or months at a time to ease pain and swelling. These medicines can affect the mucus that protects your stomach against acid and make you more likely to have peptic ulcers.</span></p></li></ul></section></div><div class="article-page " data-page="6"><section> <p dir="ltr"><span>To lower your chances for peptic ulcers while you take NSAIDs:</span></p><ul><li dir="ltr" aria-level="1"><span>Use the lowest possible dose to control your symptoms, and stop taking them as soon as you no longer need them. Also, talk to your doctor about using a different pain reliever such as acetaminophen. </span></li><li dir="ltr" aria-level="1"><span>Take your medicine with food.</span></li><li dir="ltr" aria-level="1"><p><span>Don't drink alcohol while you’re taking these medicines.</span></p><p> </p></li></ul></section><section><pagebreak /> <p dir="ltr"><span>While you're on NSAIDs, you can take medicine to lower the amount of acid your stomach makes. Drugs that can do that include:</span></p><ul><li dir="ltr" aria-level="1"><span>Proton pump inhibitors (PPIs) such as esomeprazole (Nexium), omeprazole (Prilosec OTC), and pantoprazole (Protonix)</span></li><li dir="ltr" aria-level="1"><span>H2 blockers such as cimetidine (Tagamet), famotidine (Pepcid), and nizatidine</span></li></ul><p dir="ltr"><span>You can also take the drug misoprostol (Cytotec) to boost the amount of protective mucus your stomach makes. But that can cause side effects including diarrhea and </span><a class="" href="https://www.webmd.com/digestive-disorders/stomach-cramps" id="67f383f9-e5a6-41ba-b8e3-edfc5162d952;medical_reference">stomach cramps</a><span>.</span></p><p dir="ltr">A few changes to your lifestyle can help reduce the risk of complications. Some include:</p><p dir="ltr"><span><strong>Don’t smoke, and limit alcohol. </strong>These two habits make you more likely to get peptic ulcers. Both thin the mucus lining that protects your stomach from acid, leading to more acid. Ask your doctor to recommend a program to help you quit smoking. And talk with them about how much alcohol is safe for you to drink.</span></p><p dir="ltr"><span><strong>Manage stress.</strong> Stress can make the symptoms of a peptic ulcer worse. Figure out what’s causing issues for you and see how you can deal with it better. For example, getting enough sleep can help with that. It also can boost your immune system.</span></p></section><section><pagebreak /> <p dir="ltr"><span><strong>Consider probiotics.</strong> Millions of bacteria normally live in your gut. Some, like </span><i><span>H. pylori,</span></i><span> cause disease. Others are good for you because they help crowd out harmful bacteria. These helpful bacteria are called probiotics.</span></p><p dir="ltr"><span>They’re still being studied, but researchers think they may help with peptic ulcers. You can find them in foods such as:</span></p><ul><li dir="ltr" aria-level="1"><span>Dairy products that have live cultures, such as yogurt, kefir, and aged cheeses</span></li><li dir="ltr" aria-level="1"><span>Sauerkraut</span></li><li dir="ltr" aria-level="1"><span>Kimchi</span></li><li dir="ltr" aria-level="1"><span>Miso</span></li><li dir="ltr" aria-level="1"><span>Tempeh</span></li></ul><p dir="ltr"><span><strong>Prevent </strong></span><i><span><strong>H. pylori</strong></span></i><span><strong> infection.</strong> About two-thirds of people around the world have this type of infection, but most don’t get ulcers because of it. Doctors don’t know how you can avoid </span><i><span>H. pylor</span></i><span>i, but they think it spreads from person to person or through food or water.</span></p></section></div><div class="article-page " data-page="7"><section> <p dir="ltr"><span>You can also do some things to make an </span><a class="" href="https://www.webmd.com/digestive-disorders/h-pylori-helicobacter-pylori" id="38d1e495-9a52-4681-8657-847f2f7644d2;medical_reference">H. pylori infection</a><span> less likely:</span></p><ul><li dir="ltr" aria-level="1"><span>Wash your hands often during the day with warm water and soap so you don't catch or spread</span><i><span> </span></i>H. pylori<span>. Clean your hands before you eat and after you go to the bathroom. If you don't have soap and water close by, use an alcohol-based hand sanitizer.</span></li><li dir="ltr" aria-level="1"><span>Cook meat and other foods all the way through.</span></li><li dir="ltr" aria-level="1"><span>Only drink water that you know is clean.</span></li></ul><p dir="ltr"> </p></section><section><h2 class="jumplink-headers" id="091e9c5e800089b7-7-18">Takeaways</h2><p dir="ltr"><span>Ulcers are very common, and early treatment with medications and lifestyle changes can heal them. Talk with your doctor if you have symptoms of an ulcer. These include heartburn, acid reflux, feeling full even when you don’t eat much, and having pain that goes away when you take antacids. Lifestyle changes can help when you have an ulcer. Quit smoking, drink less caffeine and alcohol, and avoid foods that make your symptoms worse.</span></p></section><section><h2 class="jumplink-headers" id="091e9c5e800089b7-7-19">Stomach Ulcer FAQs</h2><ul><li><p dir="ltr"><span><strong>What are the symptoms of peptic ulcer? </strong>Pain that may or may not improve when you eat, drink, or take antacids, feeling easily full, acid reflux, heartburn, anemia (symptoms can include tiredness, shortness of breath, or paler skin), chest pain, fatigue, and vomit that contains blood or looks like coffee grounds.</span></p></li><li><p dir="ltr"><span><strong>How serious is a peptic ulcer? </strong>Ulcers can lead to serious complications. If you suspect an ulcer, see your doctor.</span></p></li><li><p dir="ltr"><span><strong>Do peptic ulcers ever go away? </strong>Sometimes, ulcers can go away on their own, but it can take a long time and cause you pain. They often recur. See your doctor if you suspect an ulcer.</span></p></li><li><p dir="ltr"><span><strong>How do they fix a peptic ulcer? </strong>A peptic ulcer can be treated with medication, lifestyle changes, and surgery.</span></p></li></ul></section></div></div><div class="related-articles" data-metrics-module="cwnav-art" data-metrics-sel="li"><!----><!----></div><footer><div class="pub-info-and-share-bar"><div class="article__publication-sources"><!--[--><!----><section class="asset-footer"><div class="asset-footer-top"><div class="asset-footer-buttons"><button class="sources-btn">Sources</button><button class="update-history-btn">Update History</button><!----></div><div class="asset-footer-top-share"><div class="module module-social-share-footer" data-e2e="social-sharebar"><div class="socialshare-container" data-metrics-module="fm-shr"><div class="share-footer-container"><div class="share-text">Share</div><div class="icon-sb-footer-svg icon-sb-footer-share"><svg class="icon-sb-footer-svg" 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19.1375 5.8625C19.7125 6.4375 20 7.15 20 8V14H16V18ZM18 12V8C18 7.71667 17.9042 7.47917 17.7125 7.2875C17.5208 7.09583 17.2833 7 17 7H3C2.71667 7 2.47917 7.09583 2.2875 7.2875C2.09583 7.47917 2 7.71667 2 8V12H4V10H16V12H18Z" fill="#3557FF" data-v-00aa1eb2></path></svg></div></div><!----></div><div class="save-container"><div class="auth-overlay-popup-holder" data-v-28242611><!----><div class="bookmark-holder drug-generic-name" data-metrics-module="bkmk" data-v-28242611><!----></div><!----></div></div></div></div><div class="asset-footer-content"><div class="sources-section" style="display:none;"><div class="sources-wrapper" data-metrics-module="src"><p class="credits">SOURCES: </p><p class="credits">National Institute of Diabetes and Digestive and Kidney Disease. </p><p class="credits">American Gastroenterological Association. </p><p class="credits">American Academy of Family Physicians.</p><p dir="ltr"><span>Brigham and Women's Hospital. “Peptic Ulcers.”</span></p><p dir="ltr"><span>Cleveland Clinic. “Peptic Ulcer Disease.” </span></p><p dir="ltr"><i><span>Experimental and Therapeutic Medicine</span></i><span>. “Potential Role of Probiotics in the Management of Gastric Ulcer.”</span></p><p dir="ltr"><span>Malik, T. Gnanapandithan, K. Singh, K. Stat Pearls, Stat Pearls. 2023.</span></p><p dir="ltr"><span>Mayo Clinic. “Peptic Ulcers,” “Hypercalcemia.”</span></p><p dir="ltr"><span>National Institute of Diabetes and Digestive and Kidney Disease. “Zollinger-Ellison Syndrome.”</span></p></div></div><!----><!----></div><div class="asset-footer-bottom"><!----><a href="https://www.webmd.com/about-webmd-policies/about-privacy-policy" class="asset-footer-policy"> View privacy policy, copyright and trust info </a></div><div class="asset-footer-bottom-share"><div class="module module-social-share-footer" data-e2e="social-sharebar"><div class="socialshare-container" data-metrics-module="fm-shr"><div class="share-footer-container"><div class="share-text">Share</div><div class="icon-sb-footer-svg icon-sb-footer-share"><svg class="icon-sb-footer-svg" width="18" height="20" viewbox="0 0 18 20" fill="none" xmlns="https://www.w3.org/2000/svg"><path class="icon-sb-footer-svg" d="M15 20C14.1667 20 13.4583 19.7083 12.875 19.125C12.2917 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All rights reserved."}},"wbmd_prim_med_revr":{"aspen_id":"5b6afd81-9115-48e7-96d0-dae7231fedf0","wbmd_first_nm":"Zilpah","wbmd_middle_name":"","wbmd_lst_nm":"Sheikh","wbmd_person_prof_ttl":"","wbmd_bio_obj_id":{"directive":"friendlyurl","object_type":"wbmd_cons_article","chronic_id":"64ebef50-6d94-4769-b9f8-48e1695f3e2a","legacy_id":"","link_friendlyurl":"https:\u002F\u002Fwww.webmd.com\u002Fbio\u002Fzilpah-sheikh","content_section":{"cons_bio":{"title":"Zilpah Sheikh, MD","bio_text":{"#cdata-section":"\u003Cp\u003E\u003Cspan lang=\"EN-IN\"\u003EZilpah Sheikh, MD, attended Liaoning Medical University, P.R. China, in 2012, earning her bachelor’s degree in medicine and surgery (MBBS) followed by her master’s degree from the Crimean Federation, Russia, in 2016. She is a competent dermatologist skilled in diagnosing and treating a variety of skin conditions and co-morbidities associated with them. She has been actively involved in the creation of medical content. She is experienced in medical writing, reviewing, and designing content strategies for the general public and doctors. In her spare time, she likes to read, swim, and create colourful artwork while surrounded by a lot of stationary and, more recently, a little human.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E"},"person_photo":{"directive":"imageurl","_chronic_id":"a8982811-cd83-4e4b-b2fd-c16dd4868ce7","path":"\u002Fwebmd\u002Fconsumer_assets\u002Fsite_images\u002Farticles\u002Fbiographies\u002Fsheikh_zilpah_382x382.jpg","object_type":"wbmd_cons_img"},"related_links_header":"","related_links_text":{"#cdata-section":""}}}},"wbmd_person_suffix_group":{"wbmd_person_suffix":{"object_type":"wbmd_lookup","wbmd_lookup_type":"person_suffix","wbmd_storage_val":"48","wbmd_disp_nm":"MD"}},"name":"Zilpah Sheikh, MD","photo":"https:\u002F\u002Fimg.lb.wbmdstatic.com\u002Fvim\u002Flive\u002Fwebmd\u002Fconsumer_assets\u002Fsite_images\u002Farticles\u002Fbiographies\u002Fsheikh_zilpah_382x382.jpg","bioUrl":"https:\u002F\u002Fwww.webmd.com\u002Fbio\u002Fzilpah-sheikh","intro":"","header":""},"wbmd_prim_revw_dt":"01\u002F29\u002F2024 20:00:00","wbmd_orig_pub_dt":"05\u002F30\u002F2003 20:00:00","wbmd_first_live_dt":"11\u002F08\u002F2007 01:00:00","wbmd_c_sec_med_revw_dt":"","wbmd_suppress_infinite":"0"}},"module_data":{"content_section":{"cons_health_ref":{"title":"Understanding Ulcers","section_groups":{"#cdata-section":"\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"1\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"1\" \u002F\u003E\u003Csection_header\u003EWhat Are Stomach Ulcers?\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EStomach ulcers, also known as peptic ulcers, are open sores in the lining of your stomach or the upper part of your small intestine. \u003Cspan\u003EThe ulcer forms when stomach acid eats away at the mucus that protects the lining of your \u003C\u002Fspan\u003E\u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdigestive-disorders\u002Fyour-digestive-system\" id=\"ceefb7cd-8b5c-4b26-aba0-0832645ce602;medical_reference\"\u003Edigestive tract\u003C\u002Fa\u003E\u003Cspan\u003E.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cimg alt=\"What is a Stomach Ulcer? infographic\" data-align=\"left\" data-asset-description=\"THUMBNAIL, What is a Stomach Ulcer? infographic, Understanding Ulcers bigBEAD, \" data-asset-id=\"2ca8ebe7-bacb-4d23-80dd-b51e5e465f1a\" data-asset-title=\"650x925_understanding_ulcers_infographic_bigbead.jpg\" data-asset-url=\"https:\u002F\u002Fimg.webmd.com\u002Fvim\u002Flive\u002Fwebmd\u002Fconsumer_assets\u002Fsite_images\u002Farticle_thumbnails\u002FBigBead\u002Funderstanding_ulcers_infographic_bigbead\u002F650x925_understanding_ulcers_infographic_bigbead.jpg\" data-creditline=\"Iris Johnson\u002FJobson\" data-source=\"Jobson\" src=\"https:\u002F\u002Fimg.webmd.com\u002Fvim\u002Flive\u002Fwebmd\u002Fconsumer_assets\u002Fsite_images\u002Farticle_thumbnails\u002FBigBead\u002Funderstanding_ulcers_infographic_bigbead\u002F650x925_understanding_ulcers_infographic_bigbead.jpg\" path=\"\u002Fwebmd\u002Fconsumer_assets\u002Fsite_images\u002Farticle_thumbnails\u002FBigBead\u002Funderstanding_ulcers_infographic_bigbead\u002F650x925_understanding_ulcers_infographic_bigbead.jpg\" height=\"925\" width=\"650\" order=\"hero\" \u002F\u003E\u003C\u002Fp\u003E\u003Cp\u003E \u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003ETypes of peptic ulcers\u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003E\u003Cstrong\u003EGastric ulcer: \u003C\u002Fstrong\u003EIt occurs when a sore forms in the lining of your stomach.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003E\u003Cstrong\u003EDuodenal ulcer: \u003C\u002Fstrong\u003EThis happens when a sore develops in the upper part of your intestine.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003E\u003Cstrong\u003EEsophageal ulcer:\u003C\u002Fstrong\u003E This is when a sore forms in the lining of your esophagus, which is the tube that carries food and liquid from your throat to your stomach.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003E\u003Cspan\u003EAbout 1 in 10 Americans experience the burning, gnawing \u003C\u002Fspan\u003E\u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fpain-management\u002Fabdominal-pain-causes-treatments\" id=\"70da0574-a1f3-47ff-8f10-130dcb14fb9a;medical_reference\"\u003Eabdominal pain\u003C\u002Fa\u003E\u003Cspan\u003E of a peptic ulcer at some point in life. Duodenal ulcers are more common than stomach ulcers.\u003C\u002Fspan\u003E Esophageal ulcers are more rare and are often a result of certain medications, such as some antibiotics and anti-inflammatories, or alcohol abuse.\u003C\u002Fp\u003E\u003Cembeded_module class=\"wbmdembededmodule cke_widget_inline\" align=\"top\" suppress_from_site=\"false\" suppress_from_fed=\"false\" thumbnail=\"\u002Fwebmd\u002Fconsumer_assets\u002Fsite_images\u002Farticle_thumbnails\u002Fvideo\u002Fbasics_stomach_ulcers_video\u002F650x350_basics_stomach_ulcers_video.jpg\" _chronic_id=\"091e9c5e8143162c\" asset_title=\"The Basics: Stomach Ulcers\" asset_description=\"You probably know the symptoms of stomach ulcers, but the causes might surprise you.\" module_title=\"\" module_description=\"\" type=\"video\" aspen_id=\"266f5d39-af37-4340-ab4f-4858ed8b6641\"\u003E\u003Ctitle\u003EThe Basics: Stomach Ulcers\u003C\u002Ftitle\u003E\u003Cwbmd_desc_meta\u003EYou probably know the symptoms of stomach ulcers, but the causes might surprise you.\u003C\u002Fwbmd_desc_meta\u003E\u003Cwbmd_c_duration\u003E57\u003C\u002Fwbmd_c_duration\u003E\u003Ccontent_section\u003E\u003Ctt xml:lang=\"en\" xmlns=\"https:\u002F\u002Fwww.w3.org\u002F2006\u002F04\u002Fttaf1\" xmlns:tts=\"https:\u002F\u002Fwww.w3.org\u002F2006\u002F04\u002Fttaf1#styling\"\u003E\u003Cbody\u003E\u003Cdiv xml:lang=\"en\"\u003E\u003Cp begin=\"00:00:00.00\" end=\"00:00:03.05\" style=\"1\"\u003E[MUSIC PLAYING]\u003C\u002Fp\u003E\u003Cp begin=\"00:00:03.05\" end=\"00:00:56.00\" style=\"1\" \u002F\u003E\u003C\u002Fdiv\u003E\u003C\u002Fbody\u003E\u003C\u002Ftt\u003E\u003C\u002Fcontent_section\u003E\u003Cwbmd_c_vid_citations\u003EAmerican College of Gastroenterology: “Peptic Ulcer Disease.”; Medical University of South Carolina: “Peptic Ulcers.”; KidsHealth: “Peptic Ulcers.”; Cleveland Clinic: “Peptic Ulcer Disease.”; AudioJungle; ROYALTYSTOCKPHOTO\u002FSCIENCE PHOTO LIBRARY; Olga Miltsova; Antonio_Diaz; Rainer Junker; iStock.\u003C\u002Fwbmd_c_vid_citations\u003E\u003Cwbmd_c_loc_url\u003E\u002Fdelivery\u002F0b\u002F88\u002F0b884a6c-722a-41d1-9817-f38d1a5ac820\u002Fbasics-stomach-ulcers_,2500k,400k,1000k,4500k,750k,.mp4\u003C\u002Fwbmd_c_loc_url\u003E\u003Cwbmd_c_vid_trns directive=\"expandcontent\" _chronic_id=\"091e9c5e8143de3a\" path=\"\u002Fwebmd\u002Fconsumer_assets\u002Fsite_images\u002Ftranscript\u002F6\u002F0\u002F0\u002F60099840-1778-43b4-96e2-dda110178489\u002F60099840-1778-43b4-96e2-dda110178489.wxml\" aspen_id=\"60099840-1778-43b4-96e2-dda110178489\" \u002F\u003E\u003Cwbmd_orig_pub_dt\u003E07\u002F14\u002F2016 08:00:00 PM\u003C\u002Fwbmd_orig_pub_dt\u003E\u003Cwbmd_c_lg_vid_thmbnl directive=\"imageurl\" _chronic_id=\"b301fd23-fbb7-4907-a3df-33337dec7719\" path=\"\u002Fwebmd\u002Fconsumer_assets\u002Fsite_images\u002Farticle_thumbnails\u002Fvideo\u002Fbasics_stomach_ulcers_video\u002F650x350_basics_stomach_ulcers_video.jpg\" object_type=\"wbmd_cons_img\" wbmd_c_alt_tag=\"\" wbmd_c_width=\"650\" wbmd_c_ht=\"350\"\u003E\u003Cwbmd_c_width\u003E650\u003C\u002Fwbmd_c_width\u003E\u003Cwbmd_c_ht\u003E350\u003C\u002Fwbmd_c_ht\u003E\u003Cwbmd_c_alt_tag \u002F\u003E\u003Cimage_path\u003E\u002Fwebmd\u002Fconsumer_assets\u002Fsite_images\u002Farticle_thumbnails\u002Fvideo\u002Fbasics_stomach_ulcers_video\u002F650x350_basics_stomach_ulcers_video.jpg\u003C\u002Fimage_path\u003E\u003C\u002Fwbmd_c_lg_vid_thmbnl\u003E\u003Cwbmd_c_prim_top_id object_type=\"wbmd_lookup\" wbmd_lookup_type=\"consumer_topic_id\" wbmd_storage_val=\"4093\" wbmd_disp_nm=\"Digestive Problems\" \u002F\u003E\u003Ci_chronicle_id\u003E091e9c5e8143162c\u003C\u002Fi_chronicle_id\u003E\u003C\u002Fembeded_module\u003E\u003Cp\u003E \u003C\u002Fp\u003E\u003Cp\u003E \u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003ECauses of Stomach Ulcers\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EUntil the mid-1980s, the conventional wisdom was that ulcers form as a result of stress, being prone to excessive stomach acid secretion because of genetics, and poor lifestyle habits (including overindulging in rich and fatty foods, alcohol, caffeine, and tobacco). It was believed that such factors could lead to a buildup of stomach acids that could erode the protective lining of the stomach, duodenum, or \u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdigestive-disorders\u002Fesophagitis\" id=\"6403a782-b4a1-4bca-86b0-ff6ebd37b965;medical_reference\"\u003Eesophagus\u003C\u002Fa\u003E.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"2\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003ECauses of Stomach Ulcers continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EWhile too much stomach acid secretion certainly plays a role in the development of ulcers, a relatively recent theory holds that \u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fa-to-z-guides\u002Fbacterial-and-viral-infections\" id=\"d8e7d7a1-121d-4d57-898c-a56efe217620;medical_reference\"\u003Ebacterial infection\u003C\u002Fa\u003E is the primary cause of peptic ulcers. Research since the mid-1980s has shown that the bacterium \u003Ci\u003EHelicobacter pylori\u003C\u002Fi\u003E\u003Ca crosslinktype=\"Article\" id=\"38d1e495-9a52-4681-8657-847f2f7644d2\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdigestive-disorders\u002Fh-pylori-helicobacter-pylori\"\u003E\u003Ci\u003E\u003C\u002Fi\u003E\u003C\u002Fa\u003E(\u003Ci\u003EH. pylori\u003C\u002Fi\u003E) is present in more than 90% of duodenal ulcers and about 80% of stomach ulcers. However, more recent figures indicate those percentages are declining.\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan\u003EMost people infected with \u003C\u002Fspan\u003E\u003Ci\u003E\u003Cspan\u003EH. pylori\u003C\u002Fspan\u003E\u003C\u002Fi\u003E\u003Cspan\u003E do not get ulcers. But in others, it can raise the amount of acid, break down the protective mucus layer, and irritate the digestive tract. Experts aren’t sure how an \u003C\u002Fspan\u003E\u003Ci\u003E\u003Cspan\u003EH. pylori\u003C\u002Fspan\u003E\u003C\u002Fi\u003E\u003Cspan\u003E infection spreads. They think it may pass from person to person through close contact, such as kissing. You may also get it from unclean food and water.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"desktop\" order=\"2\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003ECauses of Stomach Ulcers continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EOther factors also seem to contribute to ulcer formation, especially in someone with an \u003Ci\u003EH. pylori\u003C\u002Fi\u003E infection, including:\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003EOveruse of over-the-counter painkillers (such as aspirin, ibuprofen, and naproxen). \u003Cspan\u003EIf you’ve been taking aspirin often and for a long time, you’re more likely to get a peptic ulcer. The same is true for other nonsteroidal anti-inflammatory drugs (NSAIDs). They include ibuprofen and naproxen. NSAIDs block your body from making a chemical that helps protect the inner walls of your stomach and small intestine from stomach acid. Other types of pain meds, such as acetaminophen, won’t lead to peptic ulcers.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003EHeavy alcohol use\u003C\u002Fli\u003E\u003Cli\u003EPsychological stress\u003C\u002Fli\u003E\u003Cli\u003ESmoking\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003E\u003Cspan\u003EYour risk for peptic ulcers also increases if you:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003E\u003Cspan\u003E\u003Cstrong\u003EUse steroids and have high calcium levels.\u003C\u002Fstrong\u003E If you use steroids often and have high levels of calcium in your blood, known as \u003C\u002Fspan\u003E\u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fa-to-z-guides\u002Fwhat-is-hypocalcemia\" id=\"a2e08d9a-7f8e-4c6a-831f-d395ca95139c;medical_reference\"\u003Ehypercalcemia\u003C\u002Fa\u003E\u003Cspan\u003E, you can be more prone to ulcers.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan\u003E\u003Cstrong\u003EAre older.\u003C\u002Fstrong\u003E S\u003C\u002Fspan\u003Etudies show that stomach ulcers are more likely to develop in older people. This may be because arthritis is prevalent in older people, and easing arthritis pain can mean taking daily doses of aspirin or ibuprofen. Also, with advancing age, the pylorus (the valve between the stomach and duodenum) relaxes and allows extra bile (a compound produced in the liver to aid in digestion) to seep up into the stomach and erode the stomach lining.\u003C\u002Fli\u003E\u003Cli\u003E\u003Cstrong\u003EHave type A blood.\u003C\u002Fstrong\u003E For an unknown reason, people with type A blood are more likely to develop cancerous stomach ulcers.\u003C\u002Fli\u003E\u003Cli\u003E\u003Cstrong\u003EHave type O blood. \u003C\u002Fstrong\u003E\u003Cspan\u003EDuodenal ulcers tend to appear in people with type O blood, possibly because they do not produce the substance on the surface of blood cells that may protect the lining of the duodenum.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan\u003E\u003Cstrong\u003EHave Zollinger-Ellison syndrome.\u003C\u002Fstrong\u003E If you have Zollinger-Ellison syndrome, which is a rare condition where tumors in your pancreas or duodenum (called gastrinomas) cause your stomach to make too much acid, you are at a greater risk of developing peptic ulcers.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"3\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"3\" \u002F\u003E\u003Csection_header\u003EStomach Ulcer Symptoms\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EYou’ll most likely feel a burning pain or discomfort between your belly button and breastbone. You might especially notice it on an empty stomach, such as between meals or at night. The pain may stop for a little while if you take an antacid, but it may return. The pain can last a few minutes or a few hours and may come and go for many days or weeks.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EOther symptoms may include:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003EFeeling easily full\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003ENot wanting to eat because of pain\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003EHeartburn\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003EAcid reflux\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003EChest pain\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003EFatigue\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EBloated feeling\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EBurping\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ELack of appetite or weight loss\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdigestive-disorders\u002Fdigestive-diseases-nausea-vomiting\" id=\"f5174496-59a7-4df1-9003-cb11c8e569ac;medical_reference\"\u003ENausea\u003C\u002Fa\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EBloody or dark poop\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EVomiting that might contain blood or look like coffee grounds\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EAnemia\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EPain that may improve when you eat, drink, or take antacids\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003ESmall ulcers may not cause any symptoms. But if you notice any of these signs, talk to your doctor.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"4\" \u002F\u003E\u003Csection_header\u003EHow Are Stomach Ulcers Diagnosed?\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EIf your doctor thinks you might have a peptic ulcer, they’ll probably start with a physical exam and some tests:\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003EThey’ll feel your belly and ask if you’ve had things such as tenderness, pain, or bloating. They might use a stethoscope to listen to any sounds your stomach is making.\u003C\u002Fli\u003E\u003Cli\u003EThe next step will be tests to look for signs of the \u003Ci\u003EH. pylori\u003C\u002Fi\u003E bacteria. Your doctor may take samples of your blood, stool, or breath for these.\u003C\u002Fli\u003E\u003Cli\u003EIn some cases, especially if you’re older and your symptoms include things such as weight loss or loss of appetite, they might use a long, flexible tube called an endoscope to look down your throat and into your stomach for \u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdigestive-disorders\u002Funderstanding-ulcers-symptoms\" id=\"52c7b714-1044-4324-9fa1-29ab98706d12;medical_reference\"\u003Esigns of an ulcer\u003C\u002Fa\u003E (you’ll be given medicine to make you sleepy). An endoscope can also take a small sample of tissue from an ulcer that can be tested in a laboratory.\u003C\u002Fli\u003E\u003Cli\u003EThey might ask you to drink a milky liquid called barium before they take X-rays of your stomach. This drink coats your digestive system and makes problems such as ulcers show up more clearly.\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"desktop\" order=\"4\" \u002F\u003E\u003Csection_header\u003EStomach Ulcer Treatment\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EIf you have a peptic ulcer, your doctor will recommend a treatment plan based on what’s causing it.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"5\" \u002F\u003E\u003Cpagebreak \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EStomach Ulcer Treatment continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EThe most common remedy is a combination of antibiotic drugs to kill the \u003Ci\u003EH. pylori\u003C\u002Fi\u003E bacteria and medications to get rid of acid in your stomach. These typically include proton pump inhibitors (PPIs), such as Aciphex or Nexium, and antibiotics. You’ll take PPIs for several weeks. There are other treatment options.\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003EIf your ulcer is caused by over-the-counter painkillers, you’ll need to quit taking them.\u003C\u002Fli\u003E\u003Cli\u003EYour doctor may give you a drug called a cytoprotective agent, which coats ulcers to protect them from stomach acid.\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan\u003EYour health care provider may also give you antacids to fight stomach acid or prescribe medicine to lessen the acid your body makes.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan\u003EHistamine receptor blockers, also known as H2 blockers, reduce the amount of acid produced in the stomach.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EProbiotics might help slow the growth of \u003C\u002Fspan\u003E\u003Ci\u003E\u003Cspan\u003EH. pylori.\u003C\u002Fspan\u003E\u003C\u002Fi\u003E\u003Cspan\u003E \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EBismuth supplements can also slow the growth of \u003C\u002Fspan\u003E\u003Ci\u003E\u003Cspan\u003EH. pylori\u003C\u002Fspan\u003E\u003C\u002Fi\u003E\u003Cspan\u003E. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003EAlso, lifestyle changes can serve as a treatment for stomach ulcers. You might need to:\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003EQuit smoking.\u003C\u002Fli\u003E\u003Cli\u003EDrink less alcohol or caffeine.\u003C\u002Fli\u003E\u003Cli\u003EStay away from foods that make your symptoms worse.\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"6\" \u002F\u003E\u003Cpagebreak \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EStomach Ulcer Treatment continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EIf your ulcers don’t improve with medication or lifestyle changes, sometimes surgery is necessary. Depending on your specific case, your doctor might recommend:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003E\u003Cstrong\u003EGastrectomy: \u003C\u002Fstrong\u003EIt removes part of your stomach.\u003C\u002Fli\u003E\u003Cli\u003E\u003Cstrong\u003EVagotomy:\u003C\u002Fstrong\u003E It cuts the vagus nerve, which causes you to make less acid. \u003C\u002Fli\u003E\u003Cli\u003E\u003Cstrong\u003EAntrectomy:\u003C\u002Fstrong\u003E It removes the lower part of the stomach, which produces a hormone that tells the body to make digestive juices.\u003C\u002Fli\u003E\u003Cli\u003E\u003Cstrong\u003EPyloroplasty:\u003C\u002Fstrong\u003E It makes the opening to the \u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdigestive-disorders\u002Fwhat-is-duodenitis\" id=\"34e33c86-94b0-483c-a14c-d4126b285697;medical_reference\"\u003Eduodenum\u003C\u002Fa\u003E and small intestine bigger. This helps food pass out of your stomach faster.\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN-GB\"\u003E\u003Cstrong\u003ELaparoscopic surgery:\u003C\u002Fstrong\u003E In this, the doctor uses a small tube with a camera to look for problems with your esophagus, stomach, and small intestine. Or, the doctor may operate using a very small opening.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003EAfter treatment, your doctor may want to keep a close eye on you, depending on the size and location of your ulcer, how well the treatment worked, and if you had any other problems.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"desktop\" order=\"5\" \u002F\u003E\u003Csection_header\u003EHome Remedies for Stomach Ulcers\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EThere are no home remedies for stomach ulcers, but certain foods and supplements may help fight the \u003C\u002Fspan\u003E\u003Ci\u003E\u003Cspan\u003EH. pylori\u003C\u002Fspan\u003E\u003C\u002Fi\u003E\u003Cspan\u003E bacteria. These include cruciferous vegetables (such as broccoli and cauliflower), leafy greens, fermented foods (such as sauerkraut and yogurt), apples, berries, olive oil, honey, \u003C\u002Fspan\u003E\u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdigestive-disorders\u002Fwhat-are-probiotics\" id=\"14161c82-b15d-4774-ab1e-01749dd701f4;medical_reference\"\u003Eprobiotics supplements\u003C\u002Fa\u003E\u003Cspan\u003E, vitamin C, and glutamine. If you have ulcers, avoiding spicy and acidic foods as well as cigarettes, caffeine, and alcohol may help your symptoms.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"7\" \u002F\u003E\u003Csection_header\u003EStomach Ulcer Complications\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003ESome ulcers heal on their own; however, if your ulcer goes untreated or you have recurrent ulcers, you may develop complications such as:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EBleeding from the ulcer site that can become life-threatening\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EPenetration, which happens when the ulcer goes through the wall of your digestive tract into another organ, such as the pancreas\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EPerforation, which occurs when the ulcer creates a hole in the wall of your digestive tract\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdigestive-disorders\u002Fwhat-is-bowel-obstruction\" id=\"f527df19-37b5-406b-bd6d-028d0b6b804d;medical_reference\"\u003EObstruction\u003C\u002Fa\u003E\u003Cspan\u003E (blockage) in your digestive tract, which happens because of swelling of inflamed tissues\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EA hole in your stomach, which may need to be fixed with surgery\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fcancer\u002Fstomach-gastric-cancer\" id=\"85e63f08-a0c1-4342-85cc-759ef4741efb;medical_reference\"\u003EStomach cancer\u003C\u002Fa\u003E\u003Cspan\u003E, specifically non-cardia gastric cancer\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003E\u003Cspan\u003EUlcers can also erode the blood vessel wall in your stomach or small intestine, and eat a hole through the lining, leading to infection. Or they can cause swelling, which may block food from moving from your stomach into your small intestine.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003EStomach Ulcer Prevention\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EWhile stress and spicy foods can make symptoms of a peptic ulcer worse, they don’t seem to make you more likely to have one. But a few other things can raise your chances.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"8\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EStomach Ulcer Prevention continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E \u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EYou're more likely to get an ulcer while taking NSAIDs if you:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EAre over age 65\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EAre infected with \u003C\u002Fspan\u003E\u003Ci\u003E\u003Cspan\u003EH. pylori \u003C\u002Fspan\u003E\u003C\u002Fi\u003E\u003Cspan\u003Ebacteria\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ETake more than one NSAID at a time\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EHave had a peptic ulcer in the past\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cp\u003E\u003Cspan\u003EAlso take a steroid drug or selective serotonin reuptake inhibitor (\u003C\u002Fspan\u003E\u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdepression\u002Fssris-myths-and-facts-about-antidepressants\" id=\"d5171ea5-82e0-47b7-9666-f614f18c54a9;medical_reference\"\u003ESSRI\u003C\u002Fa\u003E\u003Cspan\u003E)\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan\u003EBe careful when you take pain relievers such as aspirin, ibuprofen, and naproxen sodium. Some people who have arthritis or other conditions that cause chronic pain take NSAIDs for weeks or months at a time to ease pain and swelling. These medicines can affect the mucus that protects your stomach against acid and make you more likely to have peptic ulcers.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"desktop\" order=\"6\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EStomach Ulcer Prevention continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003ETo lower your chances for peptic ulcers while you take NSAIDs:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EUse the lowest possible dose to control your symptoms, and stop taking them as soon as you no longer need them. Also, talk to your doctor about using a different pain reliever such as acetaminophen. \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ETake your medicine with food.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cp\u003E\u003Cspan\u003EDon't drink alcohol while you’re taking these medicines.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E \u003C\u002Fp\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"9\" \u002F\u003E\u003Cpagebreak \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EStomach Ulcer Prevention continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EWhile you're on NSAIDs, you can take medicine to lower the amount of acid your stomach makes. Drugs that can do that include:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EProton pump inhibitors (PPIs) such as esomeprazole (Nexium), omeprazole (Prilosec OTC), and pantoprazole (Protonix)\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EH2 blockers such as cimetidine (Tagamet), famotidine (Pepcid), and nizatidine\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EYou can also take the drug misoprostol (Cytotec) to boost the amount of protective mucus your stomach makes. But that can cause side effects including diarrhea and \u003C\u002Fspan\u003E\u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdigestive-disorders\u002Fstomach-cramps\" id=\"67f383f9-e5a6-41ba-b8e3-edfc5162d952;medical_reference\"\u003Estomach cramps\u003C\u002Fa\u003E\u003Cspan\u003E.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003EA few changes to your lifestyle can help reduce the risk of complications. Some include:\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EDon’t smoke, and limit alcohol. \u003C\u002Fstrong\u003EThese two habits make you more likely to get peptic ulcers. Both thin the mucus lining that protects your stomach from acid, leading to more acid. Ask your doctor to recommend a program to help you quit smoking. And talk with them about how much alcohol is safe for you to drink.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EManage stress.\u003C\u002Fstrong\u003E Stress can make the symptoms of a peptic ulcer worse. Figure out what’s causing issues for you and see how you can deal with it better. For example, getting enough sleep can help with that. It also can boost your immune system.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"10\" \u002F\u003E\u003Cpagebreak \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EStomach Ulcer Prevention continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EConsider probiotics.\u003C\u002Fstrong\u003E Millions of bacteria normally live in your gut. Some, like \u003C\u002Fspan\u003E\u003Ci\u003E\u003Cspan\u003EH. pylori,\u003C\u002Fspan\u003E\u003C\u002Fi\u003E\u003Cspan\u003E cause disease. Others are good for you because they help crowd out harmful bacteria. These helpful bacteria are called probiotics.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EThey’re still being studied, but researchers think they may help with peptic ulcers. You can find them in foods such as:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EDairy products that have live cultures, such as yogurt, kefir, and aged cheeses\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ESauerkraut\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EKimchi\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EMiso\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ETempeh\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EPrevent \u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003Ci\u003E\u003Cspan\u003E\u003Cstrong\u003EH. pylori\u003C\u002Fstrong\u003E\u003C\u002Fspan\u003E\u003C\u002Fi\u003E\u003Cspan\u003E\u003Cstrong\u003E infection.\u003C\u002Fstrong\u003E About two-thirds of people around the world have this type of infection, but most don’t get ulcers because of it. Doctors don’t know how you can avoid \u003C\u002Fspan\u003E\u003Ci\u003E\u003Cspan\u003EH. pylor\u003C\u002Fspan\u003E\u003C\u002Fi\u003E\u003Cspan\u003Ei, but they think it spreads from person to person or through food or water.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"desktop\" order=\"7\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EStomach Ulcer Prevention continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EYou can also do some things to make an \u003C\u002Fspan\u003E\u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdigestive-disorders\u002Fh-pylori-helicobacter-pylori\" id=\"38d1e495-9a52-4681-8657-847f2f7644d2;medical_reference\"\u003EH. pylori infection\u003C\u002Fa\u003E\u003Cspan\u003E less likely:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EWash your hands often during the day with warm water and soap so you don't catch or spread\u003C\u002Fspan\u003E\u003Ci\u003E\u003Cspan\u003E \u003C\u002Fspan\u003E\u003C\u002Fi\u003EH. pylori\u003Cspan\u003E. Clean your hands before you eat and after you go to the bathroom. If you don't have soap and water close by, use an alcohol-based hand sanitizer.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003ECook meat and other foods all the way through.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli dir=\"ltr\" aria-level=\"1\"\u003E\u003Cspan\u003EOnly drink water that you know is clean.\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp dir=\"ltr\"\u003E \u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"11\" \u002F\u003E\u003Csection_header\u003ETakeaways\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EUlcers are very common, and early treatment with medications and lifestyle changes can heal them. Talk with your doctor if you have symptoms of an ulcer. These include heartburn, acid reflux, feeling full even when you don’t eat much, and having pain that goes away when you take antacids. Lifestyle changes can help when you have an ulcer. Quit smoking, drink less caffeine and alcohol, and avoid foods that make your symptoms worse.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003EStomach Ulcer FAQs\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cul\u003E\u003Cli\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EWhat are the symptoms of peptic ulcer? \u003C\u002Fstrong\u003EPain that may or may not improve when you eat, drink, or take antacids, feeling easily full, acid reflux, heartburn, anemia (symptoms can include tiredness, shortness of breath, or paler skin), chest pain, fatigue, and vomit that contains blood or looks like coffee grounds.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EHow serious is a peptic ulcer? \u003C\u002Fstrong\u003EUlcers can lead to serious complications. If you suspect an ulcer, see your doctor.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EDo peptic ulcers ever go away? \u003C\u002Fstrong\u003ESometimes, ulcers can go away on their own, but it can take a long time and cause you pain. They often recur. See your doctor if you suspect an ulcer.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003E\u003Cstrong\u003EHow do they fix a peptic ulcer? \u003C\u002Fstrong\u003EA peptic ulcer can be treated with medication, lifestyle changes, and surgery.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E"},"citations":{"#cdata-section":"\u003Cp class=\"credits\"\u003ESOURCES: \u003C\u002Fp\u003E\u003Cp class=\"credits\"\u003ENational Institute of Diabetes and Digestive and Kidney Disease. \u003C\u002Fp\u003E\u003Cp class=\"credits\"\u003EAmerican Gastroenterological Association. \u003C\u002Fp\u003E\u003Cp class=\"credits\"\u003EAmerican Academy of Family Physicians.\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EBrigham and Women's Hospital. “Peptic Ulcers.”\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003ECleveland Clinic. “Peptic Ulcer Disease.” \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Ci\u003E\u003Cspan\u003EExperimental and Therapeutic Medicine\u003C\u002Fspan\u003E\u003C\u002Fi\u003E\u003Cspan\u003E. “Potential Role of Probiotics in the Management of Gastric Ulcer.”\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EMalik, T. Gnanapandithan, K. Singh, K. Stat Pearls, Stat Pearls. 2023.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003EMayo Clinic. “Peptic Ulcers,” “Hypercalcemia.”\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan\u003ENational Institute of Diabetes and Digestive and Kidney Disease. “Zollinger-Ellison Syndrome.”\u003C\u002Fspan\u003E\u003C\u002Fp\u003E"},"related_links_header":"","related_links_text":{"#cdata-section":""}}}}}},"staticPublicPath":"\u002Fstatic_vue\u002F091e9c5e81e4870f\u002Fclient\u002F","isInteractivePage":false},"flow":{"flowInfo":false},"quiz":{"rmq":{}}}</script> <script>window.__INITIAL_STATE__.route.hash = window.location.hash; window.__INITIAL_STATE__.route.fullPath = window.location.pathname; window.__INITIAL_STATE__.route.path = window.location.pathname; if(window.location.search !== ""){ var search = window.location.search.substring(1); window.__INITIAL_STATE__.route.query=JSON.parse('{"' + search.replace(/&/g, '","').replace(/=/g,'":"') + '"}', function(key, value) { return key===""?value:decodeURIComponent(value) }) } else {window.__INITIAL_STATE__.route.query={};}</script><script>try{var _comscore=_comscore||[];_comscore.push({c1:'2',c2:'6035829',options:{enableFirstPartyCookie:!0}}),function(){var e=document.createElement('script'),o=document.getElementsByTagName('script')[0];e.async=!0,e.src='https://sb.scorecardresearch.com/cs/6035829/beacon.js',o.parentNode.insertBefore(e,o),window.__INITIAL_STATE__?window.document.addEventListener('before_pv',function(){window.document.addEventListener('onAdobeOmniBeforePv',function(){window.biConsumerIsReady&&self.COMSCORE&&COMSCORE.beacon({c1:'2',c2:'6035829',options:{enableFirstPartyCookie:!0}})})},{once:!0}):window.document.addEventListener('onAdobeOmniBeforePv',function(){self.COMSCORE&&COMSCORE.beacon({c1:'2',c2:'6035829',options:{enableFirstPartyCookie:!0}})})}()}catch(e){}</script><noscript><img src='https://sb.scorecardresearch.com/p?c1=2&c2=6035829&cv=3.9.1&cj=1'></noscript><!--$$NGINX_TARGET$$--> <!--$$CLOUDFLARE_TARGET$$--><!-- webmd-ccm-Non-EU gdpr phase 2 --> <script id="cookieConsentScriptNonEU" async="async" src="https://img.lb.wbmdstatic.com/webmd_static_vue/file-explorer/webmd/consumer_assets/site_images/webmd-ccm/webmd-ccm-lite.min.js"></script><script type="text/javascript" async="async" importance="high" src="https://securepubads.g.doubleclick.net/tag/js/gpt.js" id="GPT_JS"></script><script>window.webmd.googleloaded = true; window.googleloaded = true; </script> <script>window.performance.mark('page-end');</script> <link rel="stylesheet" href="//img.lb.wbmdstatic.com/webmd_static_vue/091e9c5e81e4870f/client/css/non-critical-1732570847611.f64d91a6.css"> <link rel="stylesheet" href="//img.lb.wbmdstatic.com/webmd_static_vue/091e9c5e81e4870f/client/css/pagetype-oncology-1732570847611.b84c3554.css"> </body> </html>

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