6 things to know about peptic ulcer disease

Bruce Springsteen postponed the remainder of his concert performances for 2023 as the 74-year-old singer continues a steady recovery from peptic ulcer disease. He had previously postponed

his September performances.  About 1 in 10 Americans will develop a peptic ulcer at some point in their lives, most commonly in middle age. The open sore or raw spot that forms in the lining

of the stomach or small intestine can cause heartburn, nausea and stomach pain. The good news for sufferers like Springsteen is that the prognosis for recovery from peptic ulcer disease is

excellent after the underlying cause is successfully treated, according to the National Institutes of Health (NIH). It generally takes several weeks of treatment —which can range from an

endoscopy procedure to prescription medications including antibiotics to protein pump inhibitors — for an ulcer to heal. 1. YOU MAY HAVE AN ULCER AND NOT KNOW IT Many older adults with an

ulcer have few or no symptoms. And for adults who do have symptoms, they can vary. The most common symptoms are abdominal pain, heartburn and the sensation of acid backing up into the

throat. Other symptoms can include bloating, a feeling of fullness, hunger and belching. Pain symptoms are often described as a burning or gnawing in the stomach. Ulcers that form in the

small intestine tend to cause more consistent pain, often appearing mid-morning and recurring about two to three hours after a meal. Pain from stomach ulcers often doesn’t follow a

consistent pattern, according to the _Merck Manual_ and the Icahn School of Medicine at Mount Sinai. 2. STRESS ISN’T BEHIND THE DISEASE Stress doesn’t cause peptic ulcers. However, it can

make your symptoms worse, according to the Mayo Clinic. In most cases, peptic ulcers are caused by a bacterial infection from _Helicobacter pylori_ that can sometimes cause inflammation of

the stomach’s inner layer, producing an ulcer. The bacterium causes 90 percent of small intestine ulcers and 70 to 90 percent of stomach ulcers, according to the NIH. The second most common

cause of ulcers is long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), which can lead to a decrease in the gastric mucus that helps protect the inner lining of the stomach and

small intestine. Women and older adults seem to be more susceptible to this, according to Harvard Medical School. 3. SOME ARE MORE AT RISK THAN OTHERS Peptic ulcer disease can occur at any

age, though it is rare in children. Men are more likely than women to develop the disease. The risk of an ulcer in the first segment of the small intestine, or duodenum, is greatest among

those ages 55 to 65.