What causes an Ulcer?

Introduction: Why Ulcers Need a Functional Medicine Perspective

Ulcers are more than just painful sores in the stomach—they’re often a sign of deeper imbalances in gut health, stress hormones, and even microbial infections. At Patients Medical in New York City, our integrative and functional medicine team treats ulcers by uncovering and resolving root causes rather than masking symptoms with acid blockers alone.

We focus on healing from the inside out.

What Is an Ulcer?

An ulcer is an open sore that forms in the lining of the stomach, small intestine, or esophagus, often due to excess acid, infection, or weakened mucosal defenses. The most common types include:

  • Gastric Ulcers: Occur in the stomach lining
  • Duodenal Ulcers: Found in the upper part of the small intestine
  • Esophageal Ulcers: Located in the esophagus, often linked to acid reflux

Left untreated, ulcers can lead to bleeding, perforation, and long-term digestive problems.

Symptoms of Ulcers

Ulcers may begin silently or with vague symptoms, but common signs include:

If you have chronic digestive discomfort, testing for ulcers and underlying issues is crucial.

Root Causes: Why Did You Develop an Ulcer?

In functional medicine, we ask: Why is the gut lining compromised? Here are the top contributors:

  • H. pylori infection: A common bacterium that damages protective mucosa
  • NSAID use: Medications like ibuprofen weaken the stomach lining
  • Chronic stress: Elevates cortisol, reduces digestive protection
  • Poor diet: High sugar, low fiber diets promote inflammation and microbial imbalance
  • Alcohol and smoking: Both irritate the stomach lining and impair healing
  • Low stomach acid (hypochlorhydria): Leads to bacterial overgrowth and poor digestion
  • Food sensitivities: Gluten and dairy often aggravate the gut lining

Diagnostic Testing We Use

Our team uses advanced testing to assess all potential causes of ulcer formation:

H. pylori breath or stool testing

GI MAP stool panel for pathogens and gut flora balance

SIBO breath test to check for bacterial overgrowth

Zonulin and leaky gut markers

Comprehensive hormone testing (cortisol, thyroid)

Food sensitivity panels (IgG and IgA)

Nutrient testing for zinc, B vitamins, and antioxidants critical for mucosal healing

Integrative Treatments for Ulcers

Nutritional Therapy

We design gut-healing nutrition plans that soothe inflammation and promote mucosal repair:

  • Elimination of irritants: gluten, dairy, alcohol, caffeine
  • Healing foods: bone broth, aloe vera, cabbage juice
  • Anti-inflammatory diet rich in vegetables and healthy fats

Herbal and Nutraceutical Support

Based on your test results, we may recommend:

  • Deglycyrrhizinated licorice (DGL) for mucosal protection
  • Zinc carnosine to speed gut lining repair
  • L-glutamine for epithelial healing
  • Berberine and mastic gum for H. pylori eradication
  • Probiotics to restore microbiome balance

Stress & Hormone Balancing

We address cortisol and adrenal imbalances with:

  • Adaptogenic herbs
  • Mind-body therapies like meditation or acupuncture
  • Lifestyle coaching to reduce chronic stressors

IV Nutrient Therapy

Custom IVs with vitamin C, B-complex, and glutathione support immune function and healing from within.

Real Case Study: David’s Ulcer Recovery

David, 43, came to us with chronic heartburn and fatigue. Endoscopy revealed a gastric ulcer and positive H. pylori. He also had low stomach acid and borderline adrenal fatigue.

His customized 10-week plan included:

  • H. pylori herbal protocol
  • Gut-healing nutritional plan
  • L-glutamine and zinc carnosine
  • Cortisol support with adaptogens
  • IV nutrient therapy weekly

At follow-up, his ulcer had healed, energy returned, and symptoms were gone—with no need for long-term acid suppressors.

Testimonials

Frequently Asked Questions

Yes, chronic stress raises cortisol and reduces protective stomach mucus, increasing ulcer risk.

Gut-healing nutrients like L-glutamine, zinc carnosine, and DGL licorice are highly effective.

Yes. With proper diet, lifestyle, and functional medicine care, many ulcers heal naturally.

It’s common but not the only cause. We look at multiple factors like NSAIDs, diet, and stress.

Most patients improve in 4–8 weeks, depending on severity and root causes.

They can deplete nutrients and disrupt gut balance. We aim to minimize long-term use.

Yes. It can lead to poor digestion, infections, and ulcer development.

Yes, if indicated. Identifying trigger foods is key to lasting gut healing.

Yes. We offer age-appropriate integrative care for pediatric ulcer cases.

We are out-of-network but provide superbills. Many tests are partially reimbursed.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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