10 reasons why your ulcers aren’t healing

Ulcers are painful sores that can appear in various parts of the body, most commonly in the stomach (gastric ulcers) or the small intestine (duodenal ulcers).

While many ulcers can heal with proper treatment, some stubbornly persist. Understanding the underlying causes is crucial for effective healing. ‌Here are ten reasons why your ulcer might not be healing:

1. Helicobacter pylori Infection

Helicobacter pylori (H. pylori) is a type of bacteria that infects the stomach lining and causes ulcers. If this infection isn’t properly treated with antibiotics and medicines that reduce stomach acid, the ulcer might not heal and recur.

2. Regular Use of NSAIDs

Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, aspirin, and naproxen can irritate the stomach lining and stop ulcers from healing. Long-term use of these medicines can make existing ulcers worse and prevent new ones from healing.

3. Smoking

Smoking increases the production of stomach acid and reduces the amount of protective mucus. This can make ulcers worse and stop them from healing. Giving up smoking can help ulcers heal better.

4. Alcohol Consumption

Excessive alcohol consumption can irritate and erode the stomach lining, leading to ulcers. It also increases stomach acid production, which can worsen existing ulcers and hinder the healing process.

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5. Poor Diet

A diet high in spicy foods, acidic foods, and caffeine can aggravate the stomach lining and slow ulcer healing. Consuming a balanced diet rich in fruits, vegetables, and whole grains can support the healing process.

6. Stress

While stress alone does not cause ulcers, it can exacerbate symptoms and slow the healing process. Chronic stress increases stomach acid production and may lead to behaviors like smoking or drinking, which can further impede healing.

7. Medical Conditions

Certain medical conditions, such as Zollinger-Ellison syndrome, can cause excessive stomach acid production, leading to recurrent ulcers. Additionally, conditions like Crohn’s disease and certain infections can directly affect the gastrointestinal tract and prevent ulcer healing.‏

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8. Inadequate Medication Adherence

Not following the prescribed treatment regimen can hinder ulcer healing. It is crucial to take medications exactly as prescribed and for the full duration, even if symptoms improve before the medication is finished.

9. Weak Immune System

People with a weak immune system, due to conditions like age, HIV/AIDS, chemotherapy, or long-term steroid use, may find that their ulcer heals more slowly. A weak immune system can also increase the risk of infections that can make ulcers worse.

10. Repeated Injury

Repeated injury or irritation to the ulcer, such as from eating hard or sharp foods, can stop it from healing. Avoiding such irritants and allowing the stomach lining to repair itself is crucial for healing.