How to treat or cure peptic ulcer

Most peptic ulcers can be cured with the right treatment and by removing the cause.

Step 1: confirm the diagnosis

A doctor tests for H. pylori and may suggest endoscopy, especially with alarm signs or age over about 45 to 50.

Step 2: treat the cause

• H. pylori: a PPI plus a combination of antibiotics for 10 to 14 days
• NSAID-related: stop or replace the pain tablet, and add a PPI

Step 3: heal the lining

A PPI is usually taken for 4 to 8 weeks. Pain may settle sooner, but finish the course.

Step 4: support recovery

• Stop smoking and avoid alcohol
• Eat regular meals and avoid personal triggers
• Avoid unnecessary pain tablets

A note on timing

Relief of pain does not mean the ulcer has healed. Stopping medicines early is a common reason ulcers return.

Step 5: confirm cure

• Test again for H. pylori at least 4 weeks after antibiotics
• Repeat endoscopy for gastric ulcers or if symptoms persist

If complications occur

• Bleeding: endoscopic treatment, intravenous medicines and sometimes transfusion
• Perforation or blockage: surgery or procedures are sometimes needed

Ayurvedic view (interpretive)

Traditional approaches aim to calm Pitta and strengthen digestion. They may be used as a supportive addition but should not replace modern treatment.

When to get help

Return to a doctor if pain does not improve within 1 to 2 weeks, if pain returns after finishing treatment, if you have trouble swallowing, if you lose weight, or if you notice black stools or vomiting blood. Call 112 or 102 in an emergency.

Remember

Peptic ulcers are curable. Treat the cause, finish the course and confirm healing.