Definition of Ulcer Ulcers are crater-like sores (generally 1/4 inch to 3/4 inch in diameter, but sometimes 1 to 2 inches in diameter) which form in the lining of the stomach (called gastric ulcers), just below the stomach at the beginning of the small intestine in the duodenum (called duodenal ulcers) or less commonly in the esophagus (called esophageal ulcers). In general, ulcers in the stomach and duodenum are referred to as peptic ulcers. Description of Ulcer The stomach is a bag of muscle that crushes and mixes food with the digestive "juices" - hydrochloric acid and pepsin. If the lining of the stomach (or duodenum) is damaged in one place or another, the acid and pepsin go to work on the lining as they would on food, breaking it down as though to digest it. An ulcer is the result of an imbalance between aggressive and defensive factors. On one hand, too much acid and pepsin can damage the stomach lining and cause ulcers. On the other hand (and more commonly),
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