Peptic Ulcer Treatment

Fletcher Allen's Gastroenterology and Hepatology Outpatient Clinic is staffed by University of Vermont Medical Group providers, faculty members and fellows. We offer the largest and most comprehensive digestive disease specialty group in Vermont and northeastern New York.

Treatment for a Peptic Ulcer in Burlington, VT

Since a peptic ulcer is commonly caused by the H. pylori bacterium, peptic ulcer treatment typically involves antibiotics and medications to decrease the amount of acid in your digestive system. If your peptic ulcer is not caused by H. pylori, you will not need antibiotics. Your team of doctors will take your evaluation and diagnosis into account with the treatments they recommend.

Peptic ulcer treatment options at Fletcher Allen include:

Antibiotics for Peptic Ulcer

If H. pylori is found in your digestive tract, your gastroenterologist may recommend a combination of antibiotics to kill the bacterium that likely you'll need to take for two weeks. In the United States, typical antibiotics prescribed for treatment of H. pylori include:

  • Amoxicillin
  • Clarithromycin (Biaxin)
  • Metronidazole (Flagyl)
  • Tetracycline

Proton Pump Inhibitors

Proton pump inhibitors are acid-suppressing medications. These drugs are available over-the-counter and/or by prescription. Long-term use of proton pump inhibitors, particularly at high doses, may increase your risk of hip, wrist and spine fracture. Ask your doctor whether a calcium supplement may reduce this risk.

Acid Blockers for Peptic Ulcer

Acid blockers are medications to reduce the amount of acid released into your digestive tract, which eases ulcer pain and speeds healing. They are also called histamine (H-2) blockers. These drugs are available over-the-counter and/or by prescription.

Antacids to Treat Peptic Ulcer

Antacids neutralize existing stomach acid and often provide rapid pain relief. Side effects can include constipation or diarrhea.

Cytoprotective Agents

Cytoprotective agents are medications that protect the lining of your stomach and small intestine. They are also called prostaglandin analogs. These drugs are available mainly by prescription, but one is available over-the-counter. They include:

  • Misoprostol (Cytotec)
  • Sucralfate (Carafate)
  • Bismuth subsalicylate (Pepto-Bismol)

Find a Fletcher Allen physician or call 802-847-8865.