
Causes that are not primarily responsible for the occurrence of peptic ulcers, but may contribute to its deterioration or harder treatment, are:
• Smoking, in which numerous chemical compounds dissolve in saliva and increase the probability for the occurrence of ulcers and slow the healing process;
• caffeine, which stimulates the secretion of hydrogen chloride acid in the stomach, increasing its concentration and increases the pain of an existing ulcer;
• alcohol in alcoholics causes liver damage and inflammatory processes in it, and the same may be transferred to duodenum, reduced is the function of bile acid secretion, which slows down digestion and, therefore increases the concentration of gastric acid, which strongly affects the mucous membranes of digestive organs and causes pain;
• mental-emotional stress (strain) also is not directly associated with peptic ulcer as a cause, but due to the reduced circulation of blood in the digestive system, stress slows the digestive process of decomposition of food and thereby increases the concentration of gastric acid, which strongly affects the mucous membranes and causes increased pain;
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