There is normally a balance between the amount of acid that you make and the mucous defence barrier. Surgery is now usually only needed if a complication of a duodenal ulcer develops, such as severe bleeding or a hole (perforation). You will also normally be prescribed an acid-suppressing medicine for several weeks (see above). If possible, you should stop the anti-inflammatory medicine. If your ulcer was caused by an anti-inflammatory medicine See the separate leaflet called Helicobacter Pylori for more information. Nearly all duodenal ulcers are caused by infection with H. However, if you find that other medicines haven't helped and you have symptoms which are persisting, you are currently advised to carry on taking your PPI medication until advised otherwise by your doctor. You may find you are able to take PPIs just occasionally rather than daily. As more research needs to be carried out, current advice is that PPIs should be taken at the lowest dose and for the shortest length of time. Note: there have been studies recently questioning whether long-term PPI use may have an association with stomach cancer. See the separate leaflet called Indigestion Medication for more information. The most commonly used medicine is a proton pump inhibitor (PPI). Reduce alcohol consumption to recommended limits.Eat smaller meals and eat your evening meal 3-4 hours before going to bed.Avoid any trigger foods, such as coffee, chocolate, tomatoes, fatty foods or spicy foods.Lifestyle measures can improve symptoms, such as: What are the treatments for a duodenal ulcer? General advice This usually causes severe pain and is a medical emergency. Food and acid in the duodenum then leak into the abdominal cavity. The ulcer goes right through (perforates) the wall of the first part of the small intestine (duodenum). This can range from a trickle to a life-threatening bleed. Complications occur in some cases and can be serious.You may feel particularly full after a meal. Other symptoms which may occur include bloating, retching and feeling sick.It may be eased if you eat food, or take antacid tablets. It may occur most before meals, or when you are hungry. Pain in the upper tummy (abdomen) just below the breastbone (sternum) is the common symptom.What are the symptoms of a duodenal ulcer?

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