Peptic ulcers is the most appropriate term to describe a destroyed tissue in the stomach and duodenum by the interaction of acids produced in the stomach and gastric juices, the mucous membrane lining the digestive tract is eroded. The first symptom is a burning pain, and considerable discomfort in the upper abdomen. Peptic ulcer is very common in the US an especially in young people and men, ulcer complications kill people. Gastric ulcers appear especially in old people, luckily enough that we know many thinks about peptic ulcers and its treatment.

The duoden and stomach lining is eroded by the stomach acid and develops stomach and duodenal ulcers also known as peptic ulcer. There are no sufficient proves that intake of coffee and alcohol determines peptic ulcers, dietary restrictions and bland diets may not have the expected result. Ulcers often come and go spontaneously especially in young people without the individual ever knowing, unless a serious complication (like bleeding or perforation) occurs and when that happens patients have a severe anemia and are quite weak so the situation becomes suddenly severe.

Risk factors in producing peptic ulcers are: bacteria Helicobacter pylori that can be found also in the stomach of the healthy people, taking certain medicines regularly such as: ibuprofen, naproxen and diclofenac,  smoking and alcohol in excess, radiation therapy.

H pylori can spread through the feces of a person infected, contaminated food and water due to poor personal hygiene. Studies try to discover why some people infected with H pylori develop ulcers and others do not, although they are infected too with H pylori bacteria.

H pylori affects people of all races, ages and socioeconomic situation. Those infected carry the bacteria through a life time. More common in people living together, sharing everything in lower economic classes in African Americans and Hispanic Americans. The treatment differs in ulcers caused by medications and those caused by the infection with  H pylori.

 Other medical conditions that may determine the apparition of peptic ulcer are: Zollinger-Ellison syndrome which is a tumor of the pancreas???s head that secrets acid and therefore causes peptic ulcers and generalized anxiety disorder in people who worry to much , who suffer from stress  seem to be affected by peptic ulcers.

In many patients there may appear no symptoms at all, while some report pain as a burning indigestion, abdominal discomfort,  but those symptoms are relieved by foods and antiacids. Depending on the type of ulcerus you have the pain may be intense after or before you eat and may wake you up early in the morning. The pain may be in other spots for example in the back.