Why does peptic ulcer cause abdominal pain?

Pain may feel burning, gnawing or aching in the upper abdomen. It can come and go, and food may change the sensation differently depending on where the ulcer is. Nausea, bloating or early fullness can occur too. Abdominal Pain is a very common presentation of Peptic Ulcer, but abdominal pain alone does not identify the cause; reflux, gallbladder disease, infection and other conditions can produce similar discomfort.

Arrange a medical appointment if upper abdominal pain persists, returns or affects eating. A clinician may ask about pain timing, vomiting, weight change, alcohol use and medicines. Do not start or stop prescribed treatment without advice. Anti-inflammatory pain medicines such as ibuprofen or naproxen can irritate the stomach and may worsen ulcers, so ask a clinician or pharmacist about safer pain relief for you.

Seek urgent medical help for vomiting blood, black tarry stool, sudden severe abdominal pain, a rigid abdomen, fainting, confusion, or severe weakness. These can signal bleeding or another serious abdominal problem. Prompt assessment is also appropriate when pain is worsening, swallowing is difficult, or vomiting prevents fluids from staying down.

Ask whether testing for Helicobacter pylori is appropriate, whether any regular medicines could be irritating your stomach, and how treatment will be monitored. Bring details of all painkillers, aspirin, supplements and medicines you take, including products bought without a prescription.