A perforated ulcer, also known as a bleeding ulcer or a perforated peptic ulcer. The term 'peptic ulcer' refers to those that occur in either the stomach or the first part of the small intestine that leads out of the stomach, called the duodenum. Ulcers in the stomach are often called gastric ulcers. Ulcers in the duodenum are called duodenal ulcers. It was once commonly thought that stress, smoking and diet were the principal causes of stomach ulcers. Most peptic ulcers are caused by the bacteria Helicobacter pylori (H pylori) or by using nonsteroidal anti-inflammatory drugs (NSAIDs). A risk factor is something that increases your chance of getting a disease or condition. Risk factors for ulcer from H pylori infection include Lower socio-economic group, Family history of ulcer disease.

It is mostly found in men . Several studies have shown the mean age of such patients to be more than 60 years. A crowded and unsanitary living environment. Type O blood,Cigarette smoking. The H. pylori bacterium also prompts many symptoms of dyspepsia, or indigestion. . pylori directly causes one third of stomach ulcers, and is a contributing factor in around three fifths of cases. Other disorders caused by this infection include inflammation of the stomach (gastritis) and dyspepsia (indigestion). Researchers believe the germ could also play a contributing role in the development of stomach cancers. The infection is more common among poor or institutionalised people. Treatment generally requires immediate surgery. Biopsy - a small tissue sample is taken during an endoscopy and tested in a laboratory.

Perforated Ulcer Treayment and Prevention Tips

1. Changes to existing medications.

2. Drink water from a safe source.

3. Lifestyle modifications - such as quitting cigarettes.

4. Medications to protect stomach against NSAID damage (misoprostol)

5. Avoid NSAIDS, including over-the-counter drugs like aspirin and ibuprofen.

6. Reducing acid - tablets are available to reduce the acid content in the gastric juices.

7. Wash your hands after using the bathroom and before eating or preparing food.

8. Medications including antibiotics, to destroy the H. pylori colony, and drugs to help speed the healing process.