Ulcers are sores that are slow to heal or keep returning. They can take many forms and can appear both on the inside and the outside of your body.

They can be found on places of your body you can see, such as a leg ulcer found on the skin, or in places you can’t see, such as a peptic ulcer in the lining of your stomach or upper intestine.

Any of these may be the reason why your ulcer may not be healing check if you are not affected by any of this. if you are affected, it is time to take urgent and drastic steps  

1. Alcohol Intake: Consumption of alcohol can lead to all sorts of difficulties. It is a toxin that can damage almost every organ in the body. In particular, the digestive system can suffer as a consequence of overindulgence. 
One of the problems associated with such abuse is irritation of the stomach lining, which can increase the risk of ulceration. Excessive alcohol intake can also worsen the symptoms of an existing ulcer. Alcohol can irritate the lining of the stomach if people drink excessively. This leads to inflammation and increases the risk of an ulcer developing. 
Drinking alcohol can also interfere with the healing process of ulcers that are already present, thus prolonging and exacerbating the symptoms. 

2. Smoking: Cigarette smoking appears to be a risk factor for the development, maintenance, and recurrence of peptic ulcer disease. 
Smoking has an inconsistent effect on gastric acid secretion, but it does have other effects on upper gastrointestinal function that could contribute to the pathogenesis of peptic ulcer disease. Cigarette smoking is also considered to be one of the major contributors to ulcer diseases. A study revealed that the prevalence of ulcer disease in current and former smokers (11.43 and 11.52%) is almost doubled that of never smokers (6.00%)  It is also clear that the risk of peptic ulcers is associated with the quantity of tobacco use.

According to clinical observations, cigarette smokers are more likely to develop ulcers which are more difficult to heal.The risk of peptic ulcers also increases in smokers who have a large daily intake of tobacco compared with never smokers. However, cigarette smoking is not an independent ulcerogenic. It adversely affects the gastroduodenal mucosal protective mechanisms and increases the risk of H. pylori infection. Cigarette smoking allows the reflux of harmful duodenal contents back into the stomach.

Furthermore, smokers appear to be at higher risk of becoming infected with H. pylori. This increased risk may be due to the adverse effects of smoking on the reduction of antioxidants or the defensive immune system locally present in the gastroduodenal mucosa. All these actions can interfere with the natural defensive mechanisms against H. pylori infection in the stomach and duodenum.

3. Use of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Ulcers were once blamed on stress and spicy foods, but today doctors know that they are most often caused by two things -- a common gut bacteria known as Helicobacter pylori and long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin and Advil

Two studies, published in a recent issue of The Lancet, offer the best evidence yet that H. pylori infection and prolonged NSAID use have a synergistic effect on the development of ulcers. An analysis of 25 major studies found that NSAID takers who also had H. pylori infection were 61 times more likely to develop ulcers than those who were not infected and did not take NSAIDs.

Pain relievers such as aspirin, ibuprofen (Advil, Motrin) and naproxen sodium (Aleve) interfere with the stomach's ability to protect itself from damaging acids. These NSAIDs promote ulcers by disrupting the mucus that coats the stomach lining, and by disturbing other natural defenses against digestive juices. H. pylori's role in promoting ulcers has been known for several decades, but it has been unclear whether the infection increases ulcer risk in NSAID users. Recent researches shows NSAID use increases the risk of bleeding ulcers.

4. Intake of Milk and other Dairy Products: For many years, people with peptic ulcers were told to drink lots of milk, with the belief that it would soothe the stomach and help heal the ulcers. But that's not always true. It might help for a few minutes, but milk also stimulates your stomach to produce hydrochloric acid, which can make ulcers hurt more. Drinking milk definitely won't heal your ulcer, although it may temporarily ease some of the pain if the ulcer hurts worse on an empty stomach. Unfortunately, though, it won't work for long.

5. Acidic Foods, Fruits and Beverages:  Generally, citrus fruits have a low pH, meaning they are acidic. Citrus and other acidic foods may contribute to symptoms in those with upper gastrointestinal issues like an ulcer or reflux.

It’s important to remember that fruit juices are acidic, too. Because of this, you should use a straw when drinking fruit juices. This keeps the fruit juice from coming in direct contact with your teeth. 

Here’s a list of fruits and their pH from Clemson University. They are listed from most acidic to least: 

  • lemon juice (pH: 2.00–2.60)
  • limes (pH: 2.00–2.80)
  • blue plums (pH: 2.80–3.40)
  • grapes (pH: 2.90–3.82)
  • pomegranates (pH: 2.93–3.20)
  • grapefruits (pH: 3.00–3.75)
  • blueberries (pH: 3.12–3.33)
  • pineapples (pH: 3.20–4.00)
  • apples (pH: 3.30–4.00)
  • peaches (pH: 3.30–4.05)
  • oranges (pH: 3.69–4.34)
  • tomatoes (pH: 4.30–4.90)

If fruit doesn’t aggravate upper digestive symptoms, they are a healthy food to eat daily and have been shown to reduce chronic disease risk. Despite their initial acidity, most fruits are alkalizing. 

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