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Peptic ulcers are open sores that develop on the inside lining of your stomach, upper small intestine or esophagus, as a result of the erosion of the same by the acid in the stomach. The most common symptom of a peptic ulcer is gnawing pain and discomfort. Gastric ulcer is peptic ulcer that occurs in the stomach. Nicotine in tobacco increases the concentration and quantity of the acid, increasing the probability of an ulcer. Generally the hydrochloric acid of the stomach is buffered by the food we eat. The unbuffered acid that enters the duodenum is quickly neutralized by sodium bicarbonate, an alkali produced by the pancreas. Smoking reduces the bicarbonate produced by the pancreas, thereby interfering with the buffering action in the duodenum. Smoking may also slow healing during ulcer treatment.
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Radhika Kartik, Consultant Dietitian
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