In short
- The real causes
- Milk makes it worse
- Test, treat, confirm
- Painkillers
- When to worry
The real causes
Over 90% of duodenal ulcers and most gastric ulcers are caused by Helicobacter pylori infection or NSAID painkillers. Spicy food and stress can worsen symptoms but do not create ulcers.
Milk makes it worse
Milk soothes for minutes, then stimulates more acid. It is not an ulcer treatment.
Test, treat, confirm
A urea breath test detects active H. pylori; a 14-day regimen eradicates it; a repeat breath test confirms cure. Skipping the last step is why 'ulcers keep coming back'.
Painkillers
Ibuprofen, diclofenac and aspirin damage the lining directly. If you need them long term, protective therapy is essential.
When to worry
Black stool, vomiting blood, severe sudden pain or weight loss need urgent endoscopy — bleeding ulcers are treated through the scope at PSRI 24×7.
Dr Maneesh Paliwal
MBBS, MD, DM Gastroenterology & Hepatology (SGPGI), SCE (UK). Senior Consultant, PSRI Hospital; founder, Gut Liver Obesity Clinic, Chittaranjan Park. 22+ years; founded Delhi's first luminal GI lab.