A peptic ulcer is a painful sore that develops in the lining of your stomach, esophagus, or the upper portion of your small intestine (duodenum). While many people believe ulcers are caused by stress or spicy foods, the majority are actually caused by bacterial infection or long-term use of certain pain medications.
At Prima Medicine, board-certified internist Dr. Chethana Rao and her compassionate team provide comprehensive diagnosis and treatment for peptic ulcers at their convenient locations in Fairfax, South Riding, Merrifield, and Tysons, VA. With same-day and weekend appointments available, you can get the prompt care you need to find relief and heal your digestive tract.
What Are Peptic Ulcers?
Peptic ulcers are classified by their location in the digestive system:
- Gastric ulcers form in the stomach lining.
- Duodenal ulcers develop in the duodenum (the first part of the small intestine).
- Esophageal ulcers occur in the esophagus.
Each type can cause similar symptoms but may require slightly different treatment approaches.
What Causes Peptic Ulcers?
The two primary causes of peptic ulcers are infection with Helicobacter pylori (H. pylori) bacteria and long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and aspirin.
The H. pylori bacterium weakens the protective mucus coating of your stomach and small intestine, allowing acid to damage the lining. NSAIDs can have a similar effect.
Other risk factors include smoking, excessive alcohol consumption, and high stress levels, which can worsen existing ulcers.
Recognizing the Symptoms
The most common symptom of a peptic ulcer is a burning or gnawing pain in your abdomen, typically between meals or during the night when your stomach is empty. You may also experience bloating, nausea, heartburn, loss of appetite, or unexplained weight loss.
Some people with ulcers have no symptoms at all. Severe symptoms like vomiting blood, black or tarry stools, or sudden, sharp abdominal pain require immediate medical attention, as they may indicate a bleeding or perforated ulcer.
Diagnosis and Testing
Dr. Rao will perform a thorough evaluation to diagnose your peptic ulcer and determine its cause. This may include testing for H. pylori through blood, breath, or stool tests, as well as an upper endoscopy to directly visualize your digestive tract. During an endoscopy, a tissue sample (biopsy) may be taken to rule out other conditions and confirm the presence of H. pylori.
Effective Treatment Options
Treatment for peptic ulcers depends on the underlying cause.
If H. pylori is present, a combination of antibiotics and acid-reducing medications (called triple therapy) is typically prescribed for two weeks to eliminate the infection.
For ulcers caused by NSAIDs, discontinuing the medication and using acid suppressors or stomach protectors can promote healing.
Lifestyle modifications—including quitting smoking, limiting alcohol, reducing stress, and avoiding foods that trigger symptoms—are important components of treatment. Most ulcers heal completely with proper treatment, though surgery may be necessary in rare cases of complications.
Why Choose Prima Medicine?
When you’re dealing with the discomfort of a peptic ulcer or other digestive conditions, you need a physician who takes the time to listen and develop a personalized treatment plan. Dr. Chethana Rao, recognized as a Washingtonian magazine Top Doc, leads Prima Medicine with a commitment to never rushing patients through appointments. As part of Privia Medical Group, our practice offers coordinated, evidence-based care with access to advanced diagnostic technologies and a network of specialists when needed. With flexible scheduling, including same-day appointments and weekend hours, we make it convenient to get the expert care you deserve.
Get Relief from Peptic Ulcer Symptoms Today
Peptic ulcer pain doesn’t have to continue to interfere with your quality of life. The experienced team at Prima Medicine in Fairfax, South Riding, Merrifield, and Tysons, VA, is ready to help you find lasting relief and prevent complications. Call (703) 870-3750 or book an appointment online today.
