The pain may range from mild to severe. It may cause the individual to awaken in the middle of the night. Other possible symptoms include lower back pain, headaches, a choking sensation, itching, and possibly nau-sea and vomiting. An ulcer results when the lining of the stomach fails to provide adequate protection against the effect of digestive acids, and the acids in effect start to digest the stomach itself. This may be caused by an excess of stomach acid, insufficient production of protective mucus, or both.
Many factors affect the secretion of stomach acid.
Stress and anxiety cause an increase in acid production, which is why ulcers are so closely related to stress levels. Certain drugs and supplements may also increase acid production. Taking aspirin or nonsteroidal anti-inflammatory drugs, especially over a long period of time, can increase stomach acidity and lead to ulcers. Steroids, such as those taken for arthritis, and even vitamin C supplements can contribute to stomach ulcers. Heavy smokers are more prone to developing ulcers, and have greater trouble getting ulcers to heal.