What an ulcer may feel like
Ulcers may cause upper abdominal pain, nausea or early fullness, but can be silent. Symptoms alone cannot confirm one.
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An ulcer may cause burning or aching in the upper abdomen, nausea, bloating or early fullness. Food can improve pain in some people and worsen it in others. Some ulcers cause no obvious symptoms until complications occur. Symptoms alone cannot confirm an ulcer or its location.
The two common causes
H. pylori and NSAID painkillers are the main causes. Bring a complete medicine list, including occasional medicines.
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The main causes are H. pylori infection and anti-inflammatory painkillers called NSAIDs, such as ibuprofen, naproxen and aspirin. Risk can rise with prolonged use or combining these medicines. Tell your clinician about all prescribed and pharmacy medicines, including products you take only occasionally.
Confirming the ulcer and its cause
Tests check for H. pylori, visible ulcers and complications such as anaemia. Endoscopy can inspect the lining and take samples.
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Assessment includes your symptoms, medicine history and examination. A breath or stool test may check for H. pylori. Endoscopy lets the clinician see an ulcer directly and take samples when needed. Blood tests can help identify anaemia or other consequences if bleeding is suspected.