Gastritis and gastric ulcer

Inflammation of the stomach lining and an ulcer can cause abdominal pain, burning, nausea, and a risk of bleeding.

Gastritis is inflammation of the stomach lining, while a gastric ulcer is a sore that develops in the lining. The main causes include H. pylori infection and long-term use of certain pain relievers.

When to seek emergency care

If any of the following signs occur, call *3003 immediately — do not wait for a routine appointment:

  • Vomiting blood
  • Black stool
  • Sudden severe abdominal pain
  • Lightheadedness
  • Unexplained weight loss

What is it?

An ulcer can cause complications such as bleeding, perforation, and narrowing. Therefore, persistent symptoms and warning signs require careful assessment.

Symptoms

  • Pain in the stomach area
  • Burning
  • Nausea
  • Early satiety
  • Bloating
  • Night-time pain
  • Signs of anemia

Causes & risk factors

  • H. pylori
  • NSAID pain relievers
  • Smoking
  • Alcohol
  • Stress associated with severe illness
  • History of a previous ulcer

Diagnosis

Diagnosis is not based on a single test alone. Symptoms, risk factors, physical examination findings, and instrumental test results are assessed together.

  • H. pylori testing
  • Blood test
  • Stool test in selected cases
  • Upper endoscopy
  • Assessment of the need for biopsy

Treatment approaches

Treatment is individualized according to disease severity, the patient's overall condition, coexisting conditions, and procedural risk.

  • H. pylori eradication therapy
  • Acid-reducing medications
  • Reassessment of pain reliever use
  • Endoscopic intervention for bleeding
  • Diet and lifestyle changes

How we help

At the center, patients with symptoms of gastritis and ulcer are triaged according to warning signs. When indicated, endoscopy may be used both for diagnosis and for bleeding control.

When a procedure may be needed

Endoscopy and sometimes urgent intervention may be needed in cases of bleeding, anemia, difficulty swallowing, weight loss, or lack of response to medication.

Patient checklist

  • Tell your doctor about any pain relievers you take
  • Seek urgent medical care for black stool or vomiting blood
  • Do not stop H. pylori treatment before completing the course
  • Keep your endoscopy results

FAQ

Can gastritis turn into cancer?

In most cases, no; however, long-standing inflammation, H. pylori, and certain findings may require monitoring.

Can a gastric ulcer heal on its own?

Symptoms may sometimes improve, but if the cause is not treated, the risk of recurrence and bleeding remains.

Last updated:

Related department

Gastroenterology

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