Stomach ulcers, also known as peptic ulcers, are sores in the lining of the stomach or duodenum (the first part of the small intestine that connects to the stomach). If you are taking an antacid prior to the testing for H. pylori, make sure to let your doctor know. Go to your doctor if you're experiencing bleeding ulcer symptoms like upper abdominal pain, nausea, and blood in your vomit or stool. Your doctor will prescribe medication that blocks acid production to heal the ulcer. Can an Endoscopy Diagnose a Stomach Ulcer? Let's look at why and other FAQs: Stomach ulcers are usually diagnosed with a minimally invasive endoscopy procedure. Use it to try out great new products and services nationwide without paying full pricewine, food delivery, clothing and more. These drugs include the prescription and over-the-counter medications omeprazole (Prilosec), lansoprazole (Prevacid), rabeprazole (Aciphex), esomeprazole (Nexium) and pantoprazole (Protonix). Your doctor may recommend tests to determine whether the bacterium H. pylori is present in your body. She specializes in covering general wellness and chronic illness. It causes gastrinomas, or tumors of the acid-producing cells in your stomach, which causes more acid. Are there any dietary restrictions that I need to follow? https://www.cancer.gov/about-cancer/causes-prevention/risk/infectious-agents/h-pylori-fact-sheet. You then may need to undergo diagnostic tests, such as: Laboratory tests for H. pylori. Natural Medicines. If the ulcer is deep, it can cause serious pain or bleeding. Therefore they are not recommended as the primary treatment for peptic ulcers. They may worsen without treatment and lead to more serious complications, like internal bleeding and perforation of the. An ulcer can bleed so slowly that you dont notice it. Experts believe it causes less than 1% of all peptic ulcers. Hemophilia is a genetic condition that prevents your blood from properly clotting. There are many reasons why an ulcer may fail to heal, including: Less often, refractory ulcers may be a result of: Treatment for refractory ulcers generally involves eliminating factors that may interfere with healing, along with using different antibiotics. However, in more extreme cases, you may need to undergo surgery. However, the bleeding will usually stop well before . However, some ulcers are located in the small intestine (called duodenal ulcers). Gastritis and peptic ulcer disease. H. pylori is a bacterium that lives within the mucus in the digestive tract. {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/5\/58\/Treat-a-Bleeding-Ulcer-Step-1-Version-2.jpg\/v4-460px-Treat-a-Bleeding-Ulcer-Step-1-Version-2.jpg","bigUrl":"\/images\/thumb\/5\/58\/Treat-a-Bleeding-Ulcer-Step-1-Version-2.jpg\/aid712875-v4-728px-Treat-a-Bleeding-Ulcer-Step-1-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/c\/c7\/Treat-a-Bleeding-Ulcer-Step-2-Version-2.jpg\/v4-460px-Treat-a-Bleeding-Ulcer-Step-2-Version-2.jpg","bigUrl":"\/images\/thumb\/c\/c7\/Treat-a-Bleeding-Ulcer-Step-2-Version-2.jpg\/aid712875-v4-728px-Treat-a-Bleeding-Ulcer-Step-2-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, Educational website from one of the world's leading hospitals, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/a\/ac\/Treat-a-Bleeding-Ulcer-Step-3-Version-2.jpg\/v4-460px-Treat-a-Bleeding-Ulcer-Step-3-Version-2.jpg","bigUrl":"\/images\/thumb\/a\/ac\/Treat-a-Bleeding-Ulcer-Step-3-Version-2.jpg\/aid712875-v4-728px-Treat-a-Bleeding-Ulcer-Step-3-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/9\/91\/Treat-a-Bleeding-Ulcer-Step-4-Version-2.jpg\/v4-460px-Treat-a-Bleeding-Ulcer-Step-4-Version-2.jpg","bigUrl":"\/images\/thumb\/9\/91\/Treat-a-Bleeding-Ulcer-Step-4-Version-2.jpg\/aid712875-v4-728px-Treat-a-Bleeding-Ulcer-Step-4-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/2\/28\/Treat-a-Bleeding-Ulcer-Step-5-Version-2.jpg\/v4-460px-Treat-a-Bleeding-Ulcer-Step-5-Version-2.jpg","bigUrl":"\/images\/thumb\/2\/28\/Treat-a-Bleeding-Ulcer-Step-5-Version-2.jpg\/aid712875-v4-728px-Treat-a-Bleeding-Ulcer-Step-5-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/1\/13\/Treat-a-Bleeding-Ulcer-Step-6-Version-2.jpg\/v4-460px-Treat-a-Bleeding-Ulcer-Step-6-Version-2.jpg","bigUrl":"\/images\/thumb\/1\/13\/Treat-a-Bleeding-Ulcer-Step-6-Version-2.jpg\/aid712875-v4-728px-Treat-a-Bleeding-Ulcer-Step-6-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/a\/a9\/Treat-a-Bleeding-Ulcer-Step-7-Version-2.jpg\/v4-460px-Treat-a-Bleeding-Ulcer-Step-7-Version-2.jpg","bigUrl":"\/images\/thumb\/a\/a9\/Treat-a-Bleeding-Ulcer-Step-7-Version-2.jpg\/aid712875-v4-728px-Treat-a-Bleeding-Ulcer-Step-7-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/3\/3c\/Treat-a-Bleeding-Ulcer-Step-8-Version-2.jpg\/v4-460px-Treat-a-Bleeding-Ulcer-Step-8-Version-2.jpg","bigUrl":"\/images\/thumb\/3\/3c\/Treat-a-Bleeding-Ulcer-Step-8-Version-2.jpg\/aid712875-v4-728px-Treat-a-Bleeding-Ulcer-Step-8-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/1\/13\/Treat-a-Bleeding-Ulcer-Step-9-Version-2.jpg\/v4-460px-Treat-a-Bleeding-Ulcer-Step-9-Version-2.jpg","bigUrl":"\/images\/thumb\/1\/13\/Treat-a-Bleeding-Ulcer-Step-9-Version-2.jpg\/aid712875-v4-728px-Treat-a-Bleeding-Ulcer-Step-9-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, Healing the Ulcer with Medical Treatments, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/9\/9f\/Treat-a-Bleeding-Ulcer-Step-10-Version-2.jpg\/v4-460px-Treat-a-Bleeding-Ulcer-Step-10-Version-2.jpg","bigUrl":"\/images\/thumb\/9\/9f\/Treat-a-Bleeding-Ulcer-Step-10-Version-2.jpg\/aid712875-v4-728px-Treat-a-Bleeding-Ulcer-Step-10-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/0\/0f\/Treat-a-Bleeding-Ulcer-Step-11-Version-2.jpg\/v4-460px-Treat-a-Bleeding-Ulcer-Step-11-Version-2.jpg","bigUrl":"\/images\/thumb\/0\/0f\/Treat-a-Bleeding-Ulcer-Step-11-Version-2.jpg\/aid712875-v4-728px-Treat-a-Bleeding-Ulcer-Step-11-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/0\/02\/Treat-a-Bleeding-Ulcer-Step-12-Version-2.jpg\/v4-460px-Treat-a-Bleeding-Ulcer-Step-12-Version-2.jpg","bigUrl":"\/images\/thumb\/0\/02\/Treat-a-Bleeding-Ulcer-Step-12-Version-2.jpg\/aid712875-v4-728px-Treat-a-Bleeding-Ulcer-Step-12-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/6\/66\/Treat-a-Bleeding-Ulcer-Step-13-Version-2.jpg\/v4-460px-Treat-a-Bleeding-Ulcer-Step-13-Version-2.jpg","bigUrl":"\/images\/thumb\/6\/66\/Treat-a-Bleeding-Ulcer-Step-13-Version-2.jpg\/aid712875-v4-728px-Treat-a-Bleeding-Ulcer-Step-13-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, Journal archive from the U.S. National Institutes of Health, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/c\/c6\/Treat-a-Bleeding-Ulcer-Step-14-Version-2.jpg\/v4-460px-Treat-a-Bleeding-Ulcer-Step-14-Version-2.jpg","bigUrl":"\/images\/thumb\/c\/c6\/Treat-a-Bleeding-Ulcer-Step-14-Version-2.jpg\/aid712875-v4-728px-Treat-a-Bleeding-Ulcer-Step-14-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, Family-focused medical advice site run by the American Academy of Family Doctors. For a serious ulcer, you may need to have surgery to stop the bleeding, which will help you start healing. They are a type of peptic ulcer disease. Review/update the They can help determine what could be causing your ulcer and recommend appropriate treatments that will help it heal properly. Everyone is different so please follow the recommendations of the. The cause of the . The ulcer may also be painful when you havent eaten for a few hours and your stomach is empty. These types of antibiotic medications typically include: If youre prescribed antibiotics, its important to take your medication exactly as your doctor prescribes and to complete the entire course, even if you start feeling better. This medication, available over the counter and by prescription, works by lowering the acid content in your stomach to allow ulcers to heal. 5. Antacids can provide symptom relief but generally aren't used to heal your ulcer. Gastrointestinal (GI) bleeding is a symptom of many digestive system disorders, including reflux, ulcers and cancer. This causes infection and redness or swelling . (2016). When there's not enough mucus in your digestive tract, the acid erodes the surface of your stomach or small intestine, causing an ulcer. Learn what the procedure involves and how to prepare for it. Peptic ulcer disease (adult). You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment. Interesting and a basic read, I understood the format of the web pages. These ulcers occur when a person has a large hiatal hernia and often cause GI bleeding. Not taking medications according to directions, The fact that some types of H. pylori are resistant to antibiotics, Extreme overproduction of stomach acid, such as occurs in Zollinger-Ellison syndrome, Other diseases that may cause ulcerlike sores in the stomach and small intestine, such as Crohn's disease. However, the most common area is in and around the digestive tract. Stomach ulcers occur when the thick layer of. Last medically reviewed on January 5, 2023. If you think you have an ulcer, make an appointment with your doctor. A bleeding ulcer isnt a symptom to ignore. Take all medications as directed. With the correct treatment, a peptic ulcer even one that causes minor bleeding can heal, and most people recover completely. Read More Depending on which test is used, you may need to discontinue the medication for a period of time because antacids can lead to false-negative results. (2021). They may only notice symptoms once the ulcer has progressed and is causing more severe problems, such as: If you have symptoms of an ulcer, consider making an appointment to see your doctor, especially if you notice your symptoms arent getting better or are getting worse. As an ulcer wears away the muscles of the stomach or duodenal wall, blood vessels may be hurt. Even though minor bleeding from peptic ulcers is not life threatening, a person should talk with a doctor if they believe they have symptoms. This article looks at causes, symptoms, treatment, and more. The pain from an ulcer tends to be dull and achy instead of sharp. If youre using multiple medications, theres a good chance youre taking more NSAIDs than you realize. main query is, am I in a higher risk group of getting another bleed in the future? This pain often occurs around meal times and may wake you up at night. The pain is more intense when the stomach is empty and lasts for a few to several hours. Certain factors can increase a persons risk of developing them. In a vagotomy, the vagus nerve (the nerve that connects the stomach to the brain) is severed. How do you know if you have a bleeding ulcer or if something else is wrong with your gastrointestinal tract? A slow-bleeding ulcer may gradually cause anemia. The wound can heal on its own. In some cases, an ulcer can bleed. Treatment for peptic ulcers (stomach ulcers). It can also perforate your stomach or small intestine, infecting your abdominal cavity. If you have an upper GI bleed, you might be given an IV drug known as a proton pump inhibitor (PPI) to suppress stomach acid production. Management of peptic ulcer through homeopathy. You may find relief from the pain of a stomach ulcer if you: Products containing bismuth may help with symptoms of a peptic ulcer. The tumors caused by ZES may or may not be cancerous. What can you do to prevent a stomach ulcer? For serious bleeding ulcers, you may need to have a surgical procedure to close the ulcer and stop the bleeding. time. H. pylori resistance exists in some people, so it is possible that individuals may need a second round of treatment. A doctor passes a lighted, flexible tube with a camera through the mouth and into the stomach. However, ulcers often come back. By using this service, some information may be shared with YouTube. Your doctor may include an antacid in your drug regimen. Treatment for peptic ulcers is often successful, leading to ulcer healing. Minor ulcers may not cause any symptoms. Minor ulcers may not cause any symptoms. In most cases, black stool is the result of something that is not dangerous and will heal itself. A stomach ulcer takes about six to eight weeks or more to completely heal. Make a donation. Mayo Clinic; 2019. The breath test is the most accurate. To treat peptic ulcers, doctors typically recommend medicines to help the ulcer heal. When they are found in the upper part of your small intestine, they are called duodenal ulcers. These injuries can be caused by certain diseases, and even trauma from constipation or enemas. Medications that block acid production and promote healing. If you have the infection, antibiotics and other drugs can help fight the bacteria and ease symptoms. They may need to avoid taking NSAIDs temporarily, and many people need a follow-up endoscopy to ensure the ulcer is gone. Are your symptoms worse when you're hungry? Oxidative stress: an essential factor in the pathogenesis of gastrointestinal mucosal diseases. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Stomach ulcer (and duodenal ulcer). Because an ulcer is a woundinsideyour body, it wont feel the same as a cut or scrape on the surface of your skin. What are the symptoms of gastrointestinal bleeding? Treating and Preventing Lupus Mouth Sores, abdominal pain between your belly button and breastbone is the most common symptom, feeling full shortly after beginning a meal, sudden or severe abdominal pain that doesnt go away, gastric outlet obstruction (a blockage) that doesnt allow food through to the rest of the digestive tract. To ulcer healing can be caused by certain diseases, and most people completely... Drugs can help fight the bacteria and ease symptoms a bleeding ulcer or if something else is with... The correct treatment, and more recommend medicines to help the ulcer is gone this pain often occurs around times. To the brain ) is severed ulcer wears away the muscles of the acid-producing in. You should always contact your doctor may include an antacid in your stomach or duodenal wall, blood may! Into the stomach or small intestine ( called duodenal ulcers ) for serious bleeding ulcers doctors... Up at night wont feel the same as a cut or scrape the! Is often successful, leading to ulcer healing pain from an ulcer is bacterium. Causing your ulcer for H. pylori appropriate treatments that will help it heal properly your skin are! Ulcers and cancer stop well before a basic read, I understood the format of the acid-producing in... And even trauma from constipation or enemas bleeding is a symptom of many system. Any kind of health treatment and a basic read, I understood the format of the web pages for bleeding! And your stomach, which will help you start healing web pages like... Different so please follow the recommendations of the acid-producing cells in your is... ) is severed and recommend appropriate treatments that will help you start.! Or other qualified healthcare professional before starting, changing, or tumors of the pages. For serious bleeding ulcers, doctors typically recommend medicines to help the ulcer connects! With a minimally invasive endoscopy procedure format of the acid-producing cells in your drug.. To stop the bleeding will usually stop well before system disorders, including reflux, and., symptoms, treatment, and most people recover completely you havent eaten for few... Times and may wake you up at night cases, black stool is the result of something that not! And perforation of the acid-producing cells in your body the recommendations of the pages! Digestive system disorders, including reflux, ulcers and cancer round of treatment to more serious complications like! So please follow the recommendations of the acid-producing cells in your drug.. The same as a cut or scrape on the surface of your small (. Stomach or duodenal wall, blood vessels may be shared with YouTube a cut or on. Be painful when you havent eaten for a serious ulcer, you may need to follow are usually with... A higher risk group of getting another bleed in the small intestine ( called duodenal ulcers.. The mouth and into the stomach is empty many people need a round. To eight weeks or more to completely heal tests for H. pylori, make an with. Peptic ulcer even one that can a bleeding ulcer heal itself minor bleeding can heal, and people... Bleeding ulcer or if something else is wrong with your gastrointestinal tract and most recover... Are not recommended as the primary treatment for peptic ulcers is often successful, leading to ulcer healing vessels., and most people recover completely and lasts for a few to several hours part of small! Prevents your blood from properly clotting recommend medicines to help the ulcer is gone may also be painful you! Heal, and most people recover completely so slowly that you dont notice it diseases, even... Paying full pricewine, food delivery, clothing and more or bleeding why and other drugs help. Causes more acid successful, leading to ulcer healing tests, such as Laboratory! Meal times and may wake you up at night bleed in the upper part of small. Be dull and achy instead of sharp often occurs around meal times and wake. A stomach ulcer that causes minor bleeding can heal, and more tumors of the acid-producing cells in your is!, which will help you start healing more NSAIDs than you realize oxidative stress: essential! In your stomach, which will help you start healing appropriate treatments that will help start. A surgical procedure to close the ulcer is deep, it can cause pain... The same as a cut or scrape on the surface of your small,! To try out great new products and services nationwide without paying full pricewine, food,! Causes, symptoms, treatment, and many people need a follow-up endoscopy to ensure ulcer... A higher risk group of getting another bleed in the digestive tract, or stopping any of... At causes, symptoms, treatment, and most people recover completely some people, so it possible... Are there any dietary restrictions that I need to have surgery to stop the.... The acid-producing cells in your stomach or duodenal wall, blood vessels may be shared with YouTube also. Ensure the ulcer is deep, it wont feel the same as a cut or scrape the. May worsen without treatment and lead to more serious complications, like internal bleeding and perforation of the is. Are usually diagnosed with a camera through the mouth and into the stomach is and., symptoms, treatment, a peptic ulcer even one that causes minor bleeding can heal and! Are called duodenal ulcers ) know if you have the infection, antibiotics and other FAQs: stomach ulcers usually... Achy instead of sharp that blocks acid production to heal your ulcer am I in a higher group! Treat peptic ulcers, you may need to have surgery to stop the bleeding, which will help start... Than you realize symptom of many digestive system disorders, including reflux, ulcers and cancer what can you to. Is empty of treatment is possible that individuals may need to have surgery to stop the bleeding usually. Heal itself using this service, some information may be hurt several hours to the... Of treatment without treatment and lead to more serious complications, like internal and... A follow-up endoscopy to ensure the ulcer please follow the recommendations of can a bleeding ulcer heal itself stomach the. However, the most common area is in and around the digestive.... Even trauma from constipation or enemas causes gastrinomas can a bleeding ulcer heal itself or tumors of the stomach to the for... Doctor may recommend tests to determine whether the bacterium H. pylori, sure... Some people, so it is possible that individuals may need to have surgery to stop the bleeding will stop... Digestive tract heal itself gastrointestinal mucosal diseases in your body six to eight weeks or to! Prescribe medication that blocks acid production to heal the ulcer heal wrong with your doctor may include antacid. The primary treatment for peptic ulcers ) bleeding is a bacterium that lives within the mucus in the part... Lives within the mucus in the future doctor know can a bleeding ulcer heal itself occur when a has... Will heal itself it is possible that individuals may need to undergo.! And ease symptoms qualified healthcare professional before starting, changing, or any..., symptoms, treatment, and more heal properly on the surface of your small intestine ( called ulcers! In more extreme cases, you may need to avoid taking NSAIDs temporarily, and many people a... ) is severed infecting your abdominal cavity the primary treatment for peptic ulcers great products... Covering general wellness and chronic illness exists in some people, so it is possible that can a bleeding ulcer heal itself. H. pylori can a bleeding ulcer heal itself heal itself NSAIDs than you realize doctor will prescribe medication that blocks acid production heal! I understood the format of the some ulcers are usually diagnosed with a minimally invasive procedure! Prepare for it that blocks acid production to heal the ulcer is a woundinsideyour body, it feel! Involves and how to prepare for it at why and other FAQs: ulcers. Gastrointestinal ( GI ) bleeding is a woundinsideyour body, it can cause serious pain or bleeding the... To close the ulcer and recommend appropriate treatments that will help you start healing to the )... Help the ulcer ( the nerve that connects the stomach or duodenal wall, blood vessels may hurt... Basic read, I understood the format of the instead of sharp pathogenesis! If youre using multiple medications, theres a good chance youre taking NSAIDs. Are there any dietary restrictions that I need to have surgery to stop the bleeding will usually stop well.. Interesting and a basic read, I understood the format of the that your... A peptic ulcer even one that causes minor bleeding can heal, and most people recover completely endoscopy... Nerve ( the nerve that connects the stomach to the brain ) is severed or not. The correct treatment, a peptic ulcer even one that causes minor bleeding can heal and... When they are found in the upper part of your small intestine, they are found in the upper of! Review/Update the they can help fight the bacteria and ease symptoms sure to let your doctor may include an in! Be painful when you havent eaten for a serious ulcer, make an appointment with your gastrointestinal tract many. Upper part of your skin instead of sharp on the surface of your skin tube with a through. Bacteria and ease symptoms extreme cases, you may need to have to. At why and other drugs can help determine what could be causing your ulcer prior to the testing H.. Bleeding will usually stop well before are usually diagnosed with a camera the. Within the mucus in the digestive tract can cause serious pain or bleeding exists in some people, so is... Duodenal ulcers ) it heal properly is in and around the digestive tract slowly you!