Definition & Facts for Peptic Ulcers (Stomach Ulcers)
What is a peptic ulcer?
A peptic ulcer is a sore on the lining of your stomach or duodenum. Rarely, a peptic ulcer may develop just above your stomach in your esophagus. Doctors call this type of peptic ulcer an esophageal ulcer.
Causes of peptic ulcers include
- long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen
- an infection with the bacteria Helicobacter pylori (H. pylori)
- rare cancerous and noncancerous tumors in the stomach, duodenum, or pancreas—known as Zollinger-Ellison syndrome (ZES)
Who is more likely to develop peptic ulcers caused by NSAIDs?
People of any age who take NSAIDs every day or multiple times per week are more likely to develop a peptic ulcer than people who do not take them regularly. NSAIDs are a class of pain killers, such as aspirin and ibuprofen. Long-term use of NSAIDs can cause peptic ulcer disease.
Your chance of having a peptic ulcer caused by NSAIDs, also called an NSAID-induced peptic ulcer, is increased if you
- are age 70 or older
- are female
- are taking more than two types of NSAIDs or have taken NSAIDs regularly for a long time
- have had a peptic ulcer before
- have two or more medical conditions or diseases
- are taking other medicines, such as corticosteroids and medicines to increase your bone mass
- drink alcohol or smoke
Who is more likely to develop peptic ulcers caused by H. pylori?
About 30 to 40 percent of people in the United States get an H. pylori infection.1 In most cases, the infection remains dormant, or quiet without signs or symptoms, for years. Most people get an H. pylori infection as a child.2
Adults who have an H. pylori infection may get a peptic ulcer, also called an H. pylori-induced peptic ulcer. However, most people with an H. pylori infection never develop a peptic ulcer. Peptic ulcers caused by H. pylori are uncommon in children.2
H. pylori are spiral-shaped bacteria that can damage the lining of your stomach and duodenum and cause peptic ulcer disease. Researchers are not certain how H. pylori spread. They think the bacteria may spread through
- unclean food
- unclean water
- unclean eating utensils
- contact with an infected person’s saliva and other bodily fluids, including kissing
Researchers have found H. pylori in the saliva of some infected people, which means an H. pylori infection could spread through direct contact with saliva or other bodily fluids.3
Who develops peptic ulcers caused by tumors?
People who have Zollinger-Ellison syndrome (ZES) develop peptic ulcers caused by tumors. Anyone can have ZES, yet it is rare and only occurs in about one in every 1 million people.4 However, ZES is more common among men 30 to 50 years old. A child who has a parent with multiple endocrine neoplasia type 1 is also more likely to have Zollinger-Ellison syndrome.5
What other problems can a peptic ulcer cause?
A peptic ulcer can cause other problems, including
- bleeding from a broken blood vessel in your stomach or small intestine
- perforation of your stomach or small intestine
- a blockage that can stop food from moving from your stomach into your duodenum
You may need surgery to treat these problems.
This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health. The NIDDK translates and disseminates research findings through its clearinghouses and education programs to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by the NIDDK is carefully reviewed by NIDDK scientists and other experts.