Dismiss Modal

Types

Gastritis or Ulcer, No Antibiotic Treatment

Choose a preferred language

Gastritis is irritation and inflammation of the stomach lining. This means the lining is red and swollen. It can cause shallow sores in the stomach lining called erosions. An ulcer is a deeper sore in the lining of the stomach. It may also occur in the first part of the small intestine (duodenum). 

The causes and symptoms of gastritis and ulcers are very similar.

Causes and risk factors for both problems can include:

  • Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen

  • H. pylori bacteria infection

  • Tobacco use

  • Alcohol use

  • Certain other conditions, such as immune disorders, certain medicines such as high-dose iron supplements, and street drugs, such as cocaine

Symptoms for both problems can include:

  • Dull or burning pain in the upper part of the belly

  • Loss of appetite

  • Heartburn or upset stomach

  • Frequent burping

  • Bloated feeling

  • Nausea with or without vomiting

You likely had an assessment to help find the exact cause and extent of your problem. This may have included a health history, exam, and certain tests.

Results showed that your problem is not from  H. pylori infection you may not need antibiotics as part of your treatment.

Whether your problem is gastritis or an ulcer, you will still need to take other medicines. You will also need to follow instructions to help reduce stomach irritation so your stomach can heal. Your healthcare provider may advise you to quit smoking and to stop drinking alcohol If certain medicineshealthcare provider


Home care

  • Take any medicines you’re prescribed exactly as directed. Common medicines used to treat gastritis include:

    • Antacids. These help neutralize the normal acids in your stomach.

    • H2 blockers. These reduce the amount of acid your stomach makes.

    • Proton pump inhibitors. These decrease your stomach acid more effectively than H2 blockers.

    • Bismuth subsalicylate. This helps protect the lining of your stomach from acid.

  • Don't take any NSAIDs during your treatment. If you take NSAID to help treat other health problems, tell your healthcare provider. They may need to adjust your medicine plan or change the dosage.

  • Don’t use tobacco and don’t drink alcohol. These products can increase the amount of acid your stomach makes. This can delay healing. It can also make symptoms worse.

  • Consume plenty of fruits and vegetables and other sources of dietary fiber.


Follow-up care

Follow up with your healthcare provider, or as advised. In some cases, you may need more tests.


When to get medical advice

Call your healthcare provider right away if any of these occur:

  • Fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider

  • Stomach pain that gets worse or moves to the lower right part of belly or towards the back

  • Extreme tiredness (fatigue)

  • Weakness or dizziness

  • Continued weight loss

  • Frequent vomiting, blood in your vomit, or coffee ground like substance in your vomit

  • Black, tarry, or bloody stools

  • Symptoms get worse or you have new symptoms


Call 911

Call 911 if any of these occur:

  • Chest pain appears or gets worse, or spreads to the back, neck, shoulder, or arm

  • Unusually fast heart rate

  • Trouble breathing or swallowing

  • Confusion

  • Extreme drowsiness or trouble waking up

  • Fainting

  • Large amounts of blood present in vomit or stool

© 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Make an Appointment

Make an Appointment

Find a Doctor

Find a Doctor

Find a Location

Find a Location
Related Articles
Read article
Digestive Health
Understanding Hemorrhoids

Hemorrhoid tissues are "cushions" of blood vessels that swell slightly during bowel movements. Too much pressure on the anal canal can make these tissues stay enlarged and cause symptoms. This can happen both inside and outside the anal canal.

Read article
Digestive Health
What Is Irritable Bowel Syndrome (IBS)?

People who have irritable bowel syndrome (IBS) have digestive tracts that react abnormally to certain substances or to stress. This leads to symptoms like cramps, gas, bloating, pain, constipation, and diarrhea.

Read article
Digestive Health
Understanding Shigellosis Food Poisoning

Shigellosis is a digestive illness caused by bacteria. You can get it by eating or drinking contaminated food or water.

Read article
Digestive Health
Understanding H. pylori and Ulcers

Traditionally, ulcers were thought to be caused by too much spicy food, stress, or anxiety. We now know that most ulcers are likely due to infection with bacteria known as Helicobacter pylori (H. pylori).