How Long Does It Take to Heal a Stomach Ulcer?

Understanding the typical healing timeline

For most individuals, the standard treatment period for stomach ulcers is around 8 weeks. During this time, the ulcer typically heals sufficiently, and in many cases, there is no need for a follow-up endoscopy. This timeframe works well for patients whose ulcers are caused by common factors such as Helicobacter pylori infection or excessive acid production.

Special considerations for elderly patients

However, not all patients fit this general pattern. Elderly individuals who take nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin, Plavix, or Effient on a regular basis may experience slower healing. These medications are known to cause gastrointestinal side effects, including mucosal erosion and ulcers. For these patients, treatment often extends beyond the standard 8 weeks. Doctors may recommend continuing with a daily or every-other-day dose of a proton pump inhibitor (PPI) or a mucosal protectant to prevent recurrence or promote complete healing.

Impact of steroid use on ulcer recovery

Patients who are on corticosteroids due to underlying immune conditions also face unique challenges. Steroids can contribute to the development of peptic ulcers, and those affected may require an extended treatment plan. After completing the initial 8-week course, they might need ongoing protection with a daily dose of a PPI or similar medication to safeguard the stomach lining and support long-term healing.

In summary, while many stomach ulcers heal within 8 weeks, individual factors such as medication use and overall health can influence the duration of treatment. Following medical advice and maintaining protective therapy when necessary can help ensure optimal outcomes.