Reflux Gastric Ulcer Healing Time and Effective Treatment Approaches

Gastric ulcers caused by acid reflux typically show significant improvement without the use of nonsteroidal anti-inflammatory drugs (NSAIDs). About 60% of patients experience healing within four weeks, while the healing rate increases to between 80% and 90% after eight weeks of proper treatment. However, larger ulcers exceeding 3 cm in size may require more than twelve weeks to fully heal.

The first-line treatment for such ulcers often includes H2 receptor antagonists like ranitidine or cimetidine. These medications help reduce stomach acid production and promote ulcer healing. If these drugs fail to deliver the desired results, proton pump inhibitors (PPIs) are usually prescribed as a more effective alternative.

It's also important to note that approximately one-third of patients experience a recurrence of ulcers within six months after initial improvement. In such cases, repeating the previous treatment plan can be effective. For patients infected with Helicobacter pylori (H. pylori), successful eradication therapy is essential, as untreated H. pylori infection can significantly delay ulcer healing.

Maintaining a healthy lifestyle, avoiding irritants like alcohol and smoking, and following medical advice closely can further support recovery and prevent relapse. Regular follow-up with a healthcare provider ensures the treatment remains on track and adjustments can be made if necessary.