What Does White Coating on the Surface of a Gastric Ulcer Indicate?

A white coating found on the surface of a gastric ulcer typically consists of dead tissue cells, white blood cells, mucosal remnants, and fragmented metabolic debris. The presence of this white layer often signals that the ulcer is in the process of healing. In the early stages, ulcers commonly appear red or may exhibit signs of erosion and active discharge. As the condition progresses into the middle or later stages, the ulcer surface may transition to a white or yellow coating, indicating gradual healing.

It's important not to panic upon discovering a white substance on the ulcer surface. This is generally a natural part of the healing process. However, depending on individual circumstances—especially if Helicobacter pylori (H. pylori) infection is present—it is crucial to follow professional medical advice. Combining anti-ulcer therapy with targeted antibiotic treatment for H. pylori can significantly improve healing outcomes.

Furthermore, regular follow-up through endoscopic examinations is highly recommended. Monitoring the ulcer's progression helps ensure proper healing and reduces the risk of complications such as bleeding or perforation. Lifestyle adjustments, including a healthy diet and stress management, also play a supportive role in recovery.

Always consult with a gastroenterologist to create a personalized treatment plan and ensure long-term digestive health.