Alcohol and Ulcers: Can Drinking Lead to Stomach Ulcers?
Written by The Recovery Village
& Medically Reviewed by Dr. Kevin Wandler, MD
Medically Reviewed
Last updated: 02/14/2025
Alcohol use does not typically cause ulcers outright. However, drinking can aggravate existing ulcers and significantly hinder the healing process. Below is an overview of how alcohol interacts with ulcers, what symptoms to look for, and why treatment — including professional support — is essential for recovery.
Key Takeaways
- Seek help: If you struggle to stop drinking and have an ulcer, professional treatment can facilitate both alcohol cessation and ulcer healing.
- Alcohol is a risk factor: Although it rarely causes ulcers directly, alcohol use can still exacerbate them.
- Avoid alcohol with ulcers: Consuming beer, wine, or liquor can worsen ulcer pain and prolong healing.
- Delayed healing: Alcohol irritates the stomach lining, possibly causing ulcers to take longer to recover.
How Alcohol Impacts Ulcers
Most ulcers develop in the stomach or small intestine. While alcohol itself is not usually the direct cause, it can still play a major role in making existing ulcers more painful and resistant to treatment. Ulcers may sometimes present with minimal or no discomfort, but many people experience moderate to severe stomach pain, especially when the stomach is empty.
Symptoms of an Ulcer
- Pain in the stomach, often relieved briefly by eating but returning later
- Nausea or vomiting
- Blood in stools or tar-like, dark stools
- Chest pain
- Persistent fatigue or weakness
- Weight loss
- A burning or gnawing sensation in the abdomen
If you have a history of alcohol use and ulcers, it is crucial to understand how alcohol might be contributing to your discomfort. Even a specific type of alcohol like beer can increase ulcer pain because both the alcohol content and the fermentation process can irritate the stomach lining.
Risk Factors for Stomach Ulcer Development
Although the bacterium Helicobacter pylori is believed to be the main cause behind 90% of ulcers, several other factors can heighten the risk:
- Frequent alcohol use
- Regular use of pain relievers such as aspirin, ibuprofen, or naproxen
- Tobacco use
- Severe illness
- High stress levels
- Radiation therapy (e.g., for cancer treatment)
If you already have an ulcer, drinking any amount of alcohol can intensify symptoms. In turn, this can encourage the development of new or more severe side effects.
Recognizing When Alcohol Is Worsening Your Ulcer
If you notice your ulcer symptoms intensify after drinking, it likely means alcohol is aggravating your condition. Watch for:
- Sudden, severe weakness or dizziness
- Shortness of breath
- Sharp or intense abdominal pain
- Vomiting blood
- Coffee ground-like particles in vomit
- Blood in the stool
- Heartburn and acid reflux
- Changes in weight or appetite
Should any of these symptoms arise, whether or not they are directly linked to alcohol use, contact your doctor immediately. Untreated ulcers can lead to serious complications over time.
Is It Safe To Drink With an Ulcer?
Drinking when you have an ulcer is not recommended. Alcohol can prolong or even worsen the ulcer, largely due to heightened stomach acid and the direct irritation of the ulcer site. If you are currently experiencing stomach pain or have a known ulcer, your best course of action is to avoid alcohol until the ulcer is fully healed.
Heavy Drinking and Its Effects on Ulcers
Long-term heavy drinking can cause notable harm to the stomach lining, such as:
- Thinning or atrophy of the stomach lining
- Inflammation and irritation
- Bleeding
- Open wounds in the lining
Chronic alcohol misuse can also impair your stomach’s acid production, which normally helps combat bacteria. Reduced acid can make you more susceptible to infections, including those from H. pylori, the primary bacterium responsible for ulcers.
While stopping or reducing alcohol use can help the stomach begin to repair itself, the damage may not always be fully reversible. If you are concerned about alcohol withdrawal or need assistance ending long-term alcohol use, a professional alcohol detox program at a facility such as The Recovery Village Cherry Hill at Cooper can offer the medical support and monitoring you need.
Light Drinking and Ulcers
Even modest drinking can hurt your stomach. Contrary to common assumptions, beverages with lower alcohol content — like beer and wine — can stimulate acid production more than higher-proof liquors. As a result, these drinks may still exacerbate ulcer pain and slow healing. To protect your stomach and avoid discomfort, it’s wise to refrain from any alcohol until your ulcer is fully healed.
Beer, Fermentation, and Ulcers
Beer, which typically has less than 5% alcohol by volume, can still aggravate ulcers. This is partly due to the release of gastrin, a hormone that signals your stomach to produce more acid. Additionally, the fermentation processes used to brew beer can further irritate an ulcer. To minimize these risks, select non-alcoholic beverages or opt for mocktails to avoid adding extra acid and inflammation to the mix.
Preventing Ulcers Related to Alcohol
The simplest way to prevent alcohol-related ulcers is to eliminate or significantly reduce alcohol use. If you already have an ulcer, it is essential to stop drinking so the affected area can heal. Because any amount of alcohol may worsen the condition, total abstinence is often your best strategy.
If you find it challenging to quit on your own, consider seeking medical support. A detox program at a rehab center like The Recovery Village Cherry Hill at Cooper can provide professional care, helping you navigate withdrawal while offering strategies to promote healthier habits and support ulcer recovery.
Finding Treatment for Alcohol Abuse
One important sign that someone has an alcohol addiction is that they continue to use alcohol even though it is creating negative effects. If you or someone you love is using alcohol even when you have stomach ulcers, it should be an indicator that help is needed.
Located in New Jersey, The Recovery Village at Cherry Hill offers a full continuum of evidence-based care designed to promote lifelong healing and recovery from alcohol addiction. Through our medical detox program, we help patients stay as comfortable and safe as possible during the alcohol withdrawal process. Following detox, our addiction experts provide each client with the strategies, tools and resources needed to stay sober throughout the future. Contact us today to learn more about alcohol addiction treatment programs that can work well for your situation.
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