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Lifestyle and home remedies

By Mayo Clinic staff

Before the discovery of H. pylori, doctors often advised people with ulcers to eat a restricted diet and reduce the amount of stress in their lives. Now that food and stress have been eliminated as direct causes of ulcers, these factors are no longer of as much importance.

However, while an ulcer is healing, it's still advisable to watch what you eat and to control stress. Acidic or spicy foods may increase ulcer pain. The same is true for stress because stress may increase acid. If stress is severe, it may delay the healing of an ulcer.

Your doctor may also give you these helpful suggestions:

  • Don't smoke. Smoking may interfere with the protective lining of the stomach, making your stomach more susceptible to the development of an ulcer. Smoking also increases stomach acid.
  • Limit or avoid alcohol. Excessive use of alcohol can irritate and erode the mucous lining in your stomach and intestines, causing inflammation and bleeding.
  • Avoid nonsteroidal anti-inflammatory drugs (NSAIDs). If you use pain relievers regularly, use acetaminophen (Tylenol, others).
  • Control acid reflux. If you have an esophageal ulcer — usually associated with acid reflux — you can take several steps to help manage acid reflux. These include avoiding spicy and fatty foods, avoiding reclining after meals, raising the head of your bed and reducing your weight. Avoiding smoking, alcohol and NSAIDs also may help to control acid reflux.
References
  1. H. pylori and peptic ulcer. National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/hpylori/. Accessed Oct. 16, 2008.
  2. What I need to know about peptic ulcers. National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/pepticulcers_ez/. Accessed Oct. 16, 2008.
  3. Peptic ulcer disease. American Gastroenterological Association. http://www.gastro.org/frame-templates/print_template.cfm. Accessed Oct. 16, 2008.
  4. Soll AH. Peptic ulcer disease: Genetic, environmental, and psychological risk factors and pathogenesis. http://www.uptodate.com/home/index.html. Accessed Oct. 16, 2008.
  5. Soll AH. Overview of peptic ulcer: Epidemiology and major causes. http://www.uptodate.com/home/index.html. Accessed Oct. 16, 2008.
  6. Lau JY. Omeprazole before endoscopy in patients with gastrointestinal bleeding. New England Journal of Medicine. 2007;356(16):1631-1640.
  7. Yang YX. Long-term proton pump inhibitor therapy and risk of hip fracture. Journal of the American Medical Association. 2007;296(24):2947-2953.
  8. Soll AH. Overview of the natural history and treatment of peptic ulcer disease. http://www.uptodate.com/home/index.html. Accessed Oct. 16, 2008.
  9. Soll AH. Treatment of refractory or recurrent peptic ulcer disease. http://www.uptodate.com/home/index.html. Accessed Oct. 16, 2008.
  10. Soll AH. Unusual causes of and diseases associated with peptic ulcer disease. http://www.uptodate.com/home/index.html. Accessed Oct. 16, 2008.
  11. Cryer B, et al. Peptic ulcer disease. In: Feldman M, et al. Sleisenger & Fortran's Gastrointestinal and Liver Disease. 8th ed. Philadelphia, Pa. Saunders Elsevier. http://www.mdconsult.com/das/book/body/113080343-3/781010342/1389/364.html#4-u1.0-B1-4160-0245-6..50055-X--cesec29_2206. Accessed Nov. 3, 2008.

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Jan. 6, 2009

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