A sore or hole in the lining of an organ is known as an ulcer.  A stomach ulcer is known as a gastric ulcer while a duodenal ulcer is an ulcer in the duodenum which is part of the small intestine. Duodenal ulcers occur more frequently in men and usually between the ages of 20-45, while stomach ulcers occur more often than not in people over the age of 50.

The stomach is protected from acid by a lining of mucus but if the lining is damaged then the acid can come into contact with the stomach or intestine wall, causing an ulcer.

Symptoms of an ulcer include abdominal pain, feeling sick after eating, loss of appetite, weight loss, or difficulty swallowing.  More serious symptoms include black or tar like stools, severe stomach pain, or vomiting blood.

Stomach Ulcers

Ulcers can be caused by bacteria known as Helicobacter Pylori and also use of non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin.  Other causes of ulcers are smoking and drinking alcohol and it is also thought to run in some families.  Stress can aggravate an ulcer as it causes the stomach to produce more acid.

Diagnosis of an ulcer is confirmed through a procedure known as an endoscopy.  This is done in a hospital and it involves a thin tube being passed down to the stomach through the mouth and gullet.  This can show the doctor whether an ulcer is present.

Treatment of an ulcer depends on whether the cause was a bacterium or by using NSAIDs. Proton pump inhibitors are prescribed for ulcers which have not been caused by the H pylori bacteria and they work by reducing the amount of acid in the stomach.  For ulcers caused by H pylori bacteria, treatment is usually a combination of proton pump inhibitors and two antibiotics.

Skin Ulcers