Stomach Ulcers (Peptic Ulcers and Gastritis) 

A stomach ulcer is an open sore that develops in the lining of the stomach. Ulcers can also develop in the first part of the small intestine, where they are known as duodenal ulcers. Stomach and duodenal ulcers are often referred to as peptic ulcer disease. With the right diagnosis and treatment, most ulcers heal successfully.  


Common Causes of Stomach Ulcers

  • Helicobacter pylori (H. pylori) infection (a type of bacteria that can infect the stomach lining) 
  • Long-term use of anti-inflammatory medications (NSAIDs) 
  • Smoking 
  • Excess alcohol consumption 

When to Seek Medical Advice 

  • Ongoing upper abdominal pain 
  • Indigestion that keeps returning 
  • Loss of appetite 
  • Unexplained weight loss 
  • Symptoms that continue despite treatment 

Relevant Diagnostic Tests 

  • Gastroscopy 
  • H. pylori testing 
  • Blood tests 
  • Stool tests 

Understanding Stomach Ulcers: Common Signs

Stomach ulcers can cause a range of digestive symptoms. Some people experience persistent discomfort, while others may have only mild symptoms or no symptoms at all.  

Common symptoms you may experience: 

  • A burning or gnawing pain in the upper abdomen 
  • Pain between meals or during the night 
  • Pain that comes and goes 
  • Discomfort after eating 
  • Feeling unusually full after small meals 
  • Indigestion that keeps returning 
  • Heartburn 
  • Loss of appetite 

Other symptoms you may notice 

Some people also experience: 

  • Bloating 
  • Nausea 
  • Vomiting 
  • Excessive burping 
  • Unexplained weight loss 
  • Fatigue 
  • Feeling full quickly when eating  

What Causes Stomach Ulcers? 

Stomach ulcers develop when the protective lining of the stomach becomes damaged, allowing stomach acid to irritate the tissue underneath.  

Lifestyle & Dietary Triggers 

While lifestyle factors are not usually the main cause of a stomach ulcer, they can sometimes increase your risk or make symptoms worse. 

Potential triggers include: 

  • Smoking 
  • Excess alcohol consumption 
  • High caffeine intake 
  • Stress 
  • Foods that may worsen your symptoms, such as spicy, fatty or acidic foods 

Common Digestive Conditions 

Helicobacter pylori (H. pylori) infection 

This is a type of bacteria that can infect the stomach lining. In some people, it weakens the stomach’s natural protective barriers, making ulcers more likely to develop. H. pylori is one of the most common causes of peptic ulcer disease.  

Gastritis 

Gastritis is inflammation of the stomach lining. It can cause symptoms similar to those of a stomach ulcer, including pain, nausea and indigestion. In some cases, gastritis and ulcers can occur together. 

Less Common or More Serious Conditions 

Less commonly, ulcer symptoms may be associated with: 

  • Crohn’s disease 
  • Rare conditions that increase stomach acid production 
  • Stomach cancer  

When Should You See a Doctor for a Stomach Ulcer? 

Many stomach ulcers respond well to treatment, but it’s important not to ignore persistent symptoms. 

Red Flag Symptoms 

It’s important to speak to a healthcare professional if you experience: 

  • Ongoing or worsening abdominal pain 
  • Difficulty swallowing 
  • Loss of appetite 
  • Feeling full after eating very small amounts 
  • Unexplained weight loss 
  • Persistent vomiting 
  • Unexplained fatigue 
  • A lump in your abdomen 
  • Symptoms that continue despite treatment  

When to Seek Urgent Care 

It’s important to contact NHS 111, seek urgent medical advice, or attend emergency services if you experience: 

  • Vomiting blood 
  • Vomit that looks like coffee grounds 
  • Black, sticky stools 
  • Blood in your stool 
  • Sudden severe abdominal pain 
  • Severe abdominal tenderness 
  • Sudden chest pain  

Diagnosing the Cause of a Stomach Ulcer 

The good news is that stomach ulcers can usually be diagnosed and treated effectively once the underlying cause has been identified. 

Initial consultation 

During your appointment, your gastroenterologist may ask you about: 

  • Your symptoms and when they started 
  • Whether pain occurs before or after eating 
  • Current medications 
  • Anti-inflammatory medication use 
  • Smoking and alcohol consumption 
  • Weight changes 
  • Family history of digestive conditions 

Diagnostic Tests & Procedures 

Gastroscopy 

A gastroscopy uses a thin, flexible camera to examine the oesophagus, stomach and upper part of the small intestine. It can help identify ulcers, inflammation, bleeding and other possible causes of symptoms. 

H. pylori testing 

Testing for H. pylori may involve: 

  • A breath test (where you drink a special solution and provide breath samples) 
  • A stool test (which checks for signs of H. pylori infection) 
  • Biopsies (small tissue samples) taken during a gastroscopy 

Blood tests 

Blood tests may be used to check for anaemia, infection, inflammation, or nutritional deficiencies. 

Imaging scans 

Although ulcers are usually diagnosed through gastroscopy, imaging tests may occasionally be used to investigate symptoms further or rule out other conditions. 


How are Stomach Ulcers Treated? 

If you’re looking for stomach ulcer treatment, the right approach depends on what caused the ulcer and whether any complications are present. 

Self-Care & Lifestyle Changes 

Alongside medical treatment, your specialist may recommend: 

  • Stopping smoking 
  • Reducing alcohol intake 
  • Avoiding medications that may irritate the stomach 
  • Eating regular meals 
  • Managing stress levels 
  • Avoiding foods that worsen your symptoms 

Medical & Prescription Treatments 

Treatment may include: 

  • Antibiotics 
  • Proton pump inhibitors (PPIs) (medicines that reduce the amount of acid produced by the stomach) 
  • H2 receptor blockers (medicines that help reduce stomach acid production) 
  • Antacids (medicines that neutralise stomach acid) 

Most ulcers heal successfully once the underlying cause has been treated. 

Surgical & Specialist Interventions 

Surgery is rarely needed, but it may occasionally be recommended if: 

  • An ulcer causes significant bleeding 
  • An ulcer perforates (creates a hole in the stomach or intestinal wall) 
  • Symptoms do not improve despite treatment 
  • There are concerns about complications 

Private Digestive Care at Clarity 

Living with ongoing stomach pain, indigestion, or ulcer symptoms can affect your comfort, confidence and quality of life. At Clarity, our experienced gastroenterologists provide prompt access to investigations and personalised treatment plans to help you find lasting relief. 

Why Choose Us? 

✅ Fast access to consultant gastroenterologists 

✅ Advanced diagnostic testing and endoscopy services 

✅ Comprehensive investigation of digestive symptoms 

✅ Personalised treatment plans tailored to your needs 

✅ Comfortable private facilities and ongoing support 

Clarity Consult is a free consultation

Introducing Clarity Consult:

Your Free Digestive Health Consultation


As the first step in your private digestive health journey, Clarity Consult is an entirely FREE consultation.

This is designed to be a clear, consultant-led private pathway for patients experiencing digestive symptoms, with fast access, transparent costs and flexible appointments.

Book Your Free Consultation Today

Frequently Asked Questions About Stomach Ulcers 

How do I prepare for a private gastroenterology appointment?

Keeping a record of your symptoms, medications, dietary triggers and previous test results can help your consultant gain a clearer understanding of your gastroenterological condition. 

Can stress cause a stomach ulcer?

Stress alone is not usually considered a direct cause of stomach ulcers. But it may worsen symptoms and have an impact on recovery for some people. 

Can a stomach ulcer heal on its own?

Some ulcers may improve temporarily, but most require treatment to address the underlying cause and reduce the risk of complications. If you’re experiencing ongoing symptoms, it’s worth speaking to a healthcare professional. 

What's the difference between a gastric ulcer and a duodenal ulcer?

A gastric ulcer develops in the stomach lining, while a duodenal ulcer develops in the first part of the small intestine. Both are types of peptic ulcer disease and can cause similar symptoms.  

What is the best stomach ulcer treatment?

The best stomach ulcer treatment depends on the underlying cause. Many ulcers are caused by H. pylori infection and are treated with antibiotics and acid-reducing medication. Ulcers linked to anti-inflammatory medications may improve once those medicines are stopped and the stomach lining is allowed to heal. 

Take Control of Your Digestive Health Today 

If you’re experiencing symptoms of a stomach ulcer, gastric ulcer, duodenal ulcer, or peptic ulcer disease, early assessment at Clarity can help identify the cause and get you started on the right treatment plan. 

Speak with one of our specialist consultants for a prompt diagnosis and personalised treatment plan.

Medical Sources 

  • NHS Dorset – Gastric and Duodenal Ulcers Patient Information [uhd.nhs.uk]