Quick read
Key points
- 1
A stomach ulcer is an open sore that develops on the lining of the stomach, most often caused by infection with Helicobacter pylori bacteria or long-term use of anti-inflammatory medications such as ibuprofen or aspirin.
- 2
Topic-specific prevention and risk reduction will be added during the article-specific evidence audit.
- 3
You have persistent burning or gnawing pain in the upper abdomen
01 · Know
What is Stomach ulcer?
A stomach ulcer is an open sore that develops on the lining of the stomach, most often caused by infection with Helicobacter pylori bacteria or long-term use of anti-inflammatory medications such as ibuprofen or aspirin.
The main symptom is a burning or gnawing pain in the upper abdomen, often worse when the stomach is empty or at night, and sometimes relieved temporarily by eating or antacids. Left untreated, ulcers can lead to complications such as bleeding.
02 · Understand
Clinical context
Self-care advice
See your GP if you have persistent burning stomach pain, so testing for H. pylori and appropriate treatment can be arranged.
03 · Act
When to see a doctor
- 1You have persistent burning or gnawing pain in the upper abdomen
- 2You notice black, tarry stools or vomit that looks like coffee grounds
- 3You experience sudden, severe abdominal pain
- 4You have unexplained weight loss alongside stomach pain
- 5Pain isn't improving despite over-the-counter antacids
04 · Prevent & manage
Practical steps
Take these self-care steps
These measures can help ease symptoms, support recovery, and reduce the chance of things worsening — but they don't replace medical advice if symptoms are severe or persistent.
- 1Take prescribed treatment fully.If H. pylori infection is found, completing the full course of antibiotics and acid-reducing medication is essential to clear it properly.
- 2Avoid triggers where possible.Reducing or stopping anti-inflammatory painkillers, alcohol, and smoking can help the ulcer heal and prevent recurrence.
- 3Eat smaller, more frequent meals.This can help reduce discomfort by avoiding a very empty or very full stomach.
- 4Manage stress.While stress doesn't cause ulcers directly, it can worsen symptoms for some people.
- 5Attend follow-up testing if advised.Confirming the ulcer has healed and any infection has cleared is an important part of treatment.
Evidence
References
BarnMD Health Intelligence uses authoritative and clinically relevant sources appropriate to the topic. References are shown so readers can inspect the evidence directly.
- HSE: Stomach ulcer ↗
Medical information notice
Health education, not individual medical advice
BarnMD Health Library provides general health education for public health literacy. Reading this article does not establish a doctor-patient relationship and this information is not a diagnosis, prescription, or personalised treatment plan. If you have symptoms or concerns about your health, seek appropriate advice from a qualified healthcare professional. If you develop emergency warning signs, seek urgent or emergency medical attention.
BarnMD Bottom Line
Stomach ulcers are very treatable once the underlying cause, often H. pylori infection, is identified and properly treated.
Signs of bleeding, such as black stools or vomit resembling coffee grounds, need emergency medical attention.