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Definition

By Mayo Clinic staff

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Illustration showing ulcers 
Ulcers

Digestive Health

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Peptic ulcers are open sores that develop on the inside lining of your esophagus, stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is abdominal pain.

Peptic ulcers that occur on the inside of the stomach are called gastric ulcers. Peptic ulcers that occur inside the hollow tube (esophagus) where food travels from your throat to your stomach are called esophageal ulcers. Peptic ulcers that affect the inside of the upper portion of your small intestine (duodenum) are called duodenal ulcers.

It's a myth that spicy foods or a stressful job can cause peptic ulcers. Doctors now know that a bacterial infection or some medications — not stress or diet — cause most peptic ulcers.

References
  1. Vakil N. Peptic ulcer disease. In: Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&isbn=978-1-4160-6189-2&about=true&uniqId=229935664-2192. Accessed Dec. 1, 2010.
  2. Chan FK, et al. Treatment of peptic ulcer disease. In: Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&isbn=978-1-4160-6189-2&about=true&uniqId=229935664-2192. Accessed Dec. 1, 2010.
  3. American College of Gastroenterology guidelines on the management of Helicobacter pylori infection. Bethesda, M.D.: American College of Gastroenterology. http://www.acg.gi.org/physicians/guidelines/ManagementofHpylori.pdf. Accessed Dec. 1, 2010.
  4. Podein R. Peptic ulcer disease. In: Rakel D. Integrative Medicine. 2nd ed. Philadelphia, Pa.: Saunders; 2007. http://www.mdconsult.com/das/book/body/202281144-2/0/1494/0.html. Accessed Dec. 1, 2010.
  5. H. pylori and peptic ulcers. National Institute for Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/hpylori/index.htm. Accessed Dec. 1, 2010.
  6. NSAIDs and peptic ulcers. National Institute for Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/nsaids/index.htm. Accessed Dec. 1, 2010.
  7. Picco MF (expert opinion). Mayo Clinic, Jacksonville, Fla. Dec. 8, 2010.
DS00242 Jan. 6, 2011

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