Peptic ulcer disease, or ulcers in the stomach and duodenum (the first part of the small intestine), is a common source of abdominal pain, says Dr. Alaradi. Pain usually strikes the mid-upper abdominal area and sometimes occurs after meals, he adds. People with duodenal ulcers can wake in the middle of the night due to pain. NSAID medications and Helicobacter pylori (H. pylori) bacteria are major causes. Antibiotics and acid-suppressing drugs are often used to treat ulcers caused by bacteria.
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