Prevention of peptic ulcer

Many peptic ulcers can be prevented, or kept from coming back, by tackling the main causes.

Reduce H. pylori risk

• Wash hands with soap before eating and after using the toilet
• Eat well-cooked food and drink clean, safe water
• Treat H. pylori if found, and finish the full antibiotic course

Use pain medicines carefully

• Avoid regular NSAIDs such as ibuprofen, diclofenac, naproxen and long-term aspirin unless a doctor advises them
• Take them with food, at the lowest dose and for the shortest time
• Ask about acetaminophen (paracetamol) as a safer option for pain when suitable
• If you must use NSAIDs long term, ask about a protective PPI

Lifestyle

• Do not smoke or chew tobacco
• Limit or avoid alcohol
• Manage stress through sleep, activity and relaxation, which may reduce symptom flare-ups
• Eat regular meals

Prevent recurrence

• Confirm that H. pylori is cleared after treatment
• Report returning pain early
• Attend follow-up visits, especially for gastric ulcers