Online Peptic Ulcer Treatment
Get peptic ulcer treatment without a specialist visit. A board-certified doctor can review your symptoms and current medications, check whether H. pylori testing is needed, and recommend the right treatment based on the likely cause. When medically appropriate, your prescription can be sent to the pharmacy you choose.
How to get peptic ulcer treatment online
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Hi Dr. Nicole, I have abdominal pain and burning. Can you help me?
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Our online doctors can help you with your medical issues and give you prescriptions.
Prescription
- Omeprazole 40mg
- Take once a day 1 hr before meals for four weeks
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What are the treatment options for peptic ulcers?
Peptic ulcers are treated to heal the ulcer and address the underlying cause. Treatment may include:
- Acid-blocking medicine: Proton pump inhibitors (PPIs) such as omeprazole or Lansoprazole reduce stomach acid and give the ulcer time to heal.
- H2 blockers: Medicines such as Famotidine can also reduce stomach acid when a PPI is not suitable.
- Sucralfate: This medicine coats the ulcer and protects it while it heals.
- Antibiotics for H. pylori: If the ulcer is caused by H. pylori, treatment usually combines two or more antibiotics with an acid-reducing medicine, sometimes with bismuth.
- Changing NSAID use: If medicines such as Ibuprofen or Naproxen caused the ulcer, treatment may involve stopping them, changing the dose or medicine, or taking an acid blocker alongside them.
- Quitting smoking: Smoking can slow ulcer healing and increase the chance of the ulcer returning.
What peptic ulcer medications can we prescribe online?
The medicine you are prescribed depends on what caused the ulcer, what you have already tried, and the other medicines you take. Most people need an acid-reducing medicine, and antibiotics as well if H. pylori is the cause. Your prescription can be sent to the pharmacy you choose the same day when medically appropriate.
Ulcer coating medicine
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Penicillin antibiotic for H. pylori
Learn More Macrolide antibiotic for H. pylori
Learn More What is a peptic ulcer and what causes it?
A peptic ulcer is a sore in the lining of the stomach or the duodenum, the first part of the small intestine.
Most peptic ulcers are caused by H. pylori infection or regular use of NSAID painkillers, such as Aspirin, Ibuprofen, and Naproxen. These medicines can weaken the stomach’s protective lining and make it easier for an ulcer to form.
Less common causes include certain medicines and health conditions that affect the stomach or increase acid production.
Stress and spicy foods do not cause peptic ulcers, although they may make symptoms feel worse. Left untreated, an ulcer can cause bleeding, a hole in the stomach or intestine, or a blockage.
What are the symptoms of a peptic ulcer?
The main symptom is a burning or aching pain in the upper abdomen, between your belly button and breastbone. It may come and go, happen when your stomach is empty or at night, and sometimes improve or worsen after eating.
Other symptoms can include:
- Feeling full sooner than usual
- Feeling overly full after eating
- Nausea or vomiting
- Bloating
- Frequent belching
Some people with peptic ulcers have no symptoms at all.
When is a bleeding ulcer an emergency?
A bleeding ulcer is a medical emergency and needs in-person care rather than an online consultation. Call 911 or go to an emergency room if you have any of these signs:
- Blood in your stool
- Blood in your vomit
- Sudden severe stomach pain
- Feeling faint
A bleeding ulcer is usually treated in a hospital, sometimes with an upper GI endoscopy or surgery. Once it has been treated, a doctor can help you continue your ulcer medicine or finish a course of antibiotics for H. pylori, and your online prescription can be sent to the pharmacy you choose when medically appropriate.
FAQs About Peptic Ulcers
What's the role of lifestyle changes in stomach ulcer treatment?
Diet is not a treatment for peptic ulcers. Diet and nutrition are not thought to play an important role in causing, preventing, or treating peptic ulcers, and doctors do not recommend a special diet or avoiding particular foods. Two changes can help. Quitting smoking lowers your risk and can help an existing ulcer heal, and reducing NSAID use removes one of the two main causes. If a particular food makes your pain feel worse, it is reasonable to avoid it, although this manages symptoms rather than treating the ulcer.
What's the recommended OTC (over-the-counter) treatment for ulcers?
No over-the-counter medicine can heal a peptic ulcer. Antacids such as Tums, Rolaids, Mylanta, and Milk of Magnesia neutralize acid already in the stomach, so they may ease pain for a short time. Omeprazole and famotidine are also sold over the counter, although at lower strengths and for short courses intended for heartburn rather than ulcer treatment. Healing an ulcer usually requires prescription-strength acid reduction and antibiotics if H. pylori is the cause.
What's the treatment for esophageal ulcers?
Are there specific antibiotics for H. pylori treatment?
Yes, and H. pylori is always treated with a combination of medicines rather than a single antibiotic. Amoxicillin, Clarithromycin, Metronidazole, and tetracycline are the antibiotics used most often, given with an acid-reducing medicine and sometimes with bismuth.
What is the most common treatment for peptic ulcers?
Proton pump inhibitors (PPIs) are the most common treatment. They reduce the amount of acid the stomach makes, which gives the ulcer time to heal. Omeprazole is used most often, and Lansoprazole, Esomeprazole, and Rabeprazole are also used for ulcers or as part of H. pylori treatment. Most duodenal ulcers heal within about four weeks, although a gastric ulcer can take longer. Side effects are usually mild and may include headache, constipation, or diarrhea. If H. pylori caused the ulcer, an acid-reducing medicine alone will not prevent it from returning, so antibiotics are given as well.
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