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Health Conditions

Peptic Ulcer Disease

What causes it?

PUD can start when the protective barrier that lines the stomach or intestines is injured, exposing the underlying tissue to stomach acid. A variety of things can harm the protective lining of the stomach or intestines. These include:

  • Infection - H. pylori breaks down the stomach and/or intestinal lining, making them more susceptible to acid, which can lead to ulcers. H. pylori is present in more than 90% of patients who have intestinal ulcers and more than 80% of patients with stomach ulcers.

  • Chronic use of prescription or non-prescription drugs such as nonsteroidal anti-inflammatory drugs (NSAIDs) or aspirin - NSAIDs lower the stomach's resistance to the harmful effects of acid. Ulcers caused by NSAIDs often heal on their own after the medication is discontinued. Examples of common NSAIDs: aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve).

  • Smoking - Smoking can increase the risk of developing an ulcer, prolong the healing of existing ulcers and contribute to ulcer reoccurrence.

  • Physical stress - such as surgery or extreme injury.

  • Alcohol - Ulcers are more common in patients with cirrhosis of the liver, a disease that has been linked to heavy alcohol consumption, but the link between alcohol and ulcers is still vague.

Emotional stress is no longer thought to be a cause of ulcers.

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Note: The above information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist, or other healthcare professional. It is not intended to diagnose a health condition, but it can be used as a guide to help you decide if you should seek professional treatment or to help you learn more about your condition once it has been diagnosed.

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Introduction

What is it?

What causes it?

Who has it?

What are the risk factors?

What are the symptoms?

How is it treated?

What is on the horizon?

References



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