Duodenal ulcers develop when the mucosa on the exterior of the duodenum is damaged. Peptic ulcer disease, which affects the stomach and initial section of the duodenum, causes these ulcers. The inner lining of the GI tract becomes disrupted in peptic ulcer disease (PUD) as a result of pepsin or gastric acid release. It passes through the muscularis propria layer of the stomach epithelium. Typically, the proximal duodenum and stomach are impacted. The distal duodenum, jejunum, or lower oesophagus could all be impacted. Patients with gastric ulcers typically have epigastric pain 15 to 30 minutes after eating; in contrast, patients with duodenal ulcers typically experience pain 2 to 3 hours after eating. In this article, the aetiology, symptoms, and management of the stomach ulcer disease are reviewed.

Duodenal Ulcers


Due to pepsin or gastric acid secretion, peptic ulcer disease is characterised by discontinuity in the GI tract’s inner lining. It penetrates the stomach epithelium’s muscularis propria layer. Usually, the stomach and proximal duodenum are affected. It might affect the distal duodenum, jejunum, or lower oesophagus. Peptic ulcer disease is a more general disease condition, including duodenal ulcers. When there is a disturbance in the mucosal surface at the level of the stomach or the first part of the small intestine, the duodenum, the condition is referred to as peptic ulcer disease. Anatomically, a defensive system with pre-epithelial, epithelium, and subepithelial components is present on both the gastric and duodenal surfaces. Damage to the mucosal surface that goes beyond the superficial layer leads to ulceration. Although dyspepsia is the primary accompanying symptom of most duodenal ulcers, other more severe symptoms might also exist, such as gastrointestinal bleeding, obstruction of the gastric outlet, perforation, or the formation of a fistula. Therefore, the patient’s appearance at the time of diagnosis or the disease’s course has a significant impact on management.


Duodenal ulcers can have numerous causes, although they are most frequently caused by

H. pylori infection: The stomach epithelial cells contain the gram-negative bacillus H. pylori. Duodenal ulcers are primarily brought on by this bacterium. The infection H. pylori, which is typically acquired during childhood, is more prevalent in lower socioeconomic groups of people. The bacteria can cling to and inflame the stomach mucosa due to a variety of virulence factors.

Nonsteroidal anti-inflammatory drugs (NSAIDS) are the second most common cause of PUD, after H. pylori infection. The stomach mucosa is frequently preserved by prostaglandin production. The production of prostaglandins by the COX-1 enzyme is inhibited by NSAIDs, which lowers the production of gastrointestinal mucus, bicarbonate, and mucosal blood flow.


The signs and symptoms of the stomach ulcer disease might vary depending on where the disease is and how old it is. Depending on when they appear in relation to meals, one can distinguish between gastric and duodenal ulcers. Ulcers in the duodenum frequently induce nighttime pain. People who have experienced gastric outlet obstruction typically talk about having in the past had a bloated or full belly.

Some typical warning signs and symptoms are:

  • Gastrointestinal epigastric pain
  • Bloating
  • The stomach is overstuffed
  • Vomiting and diarrhoea
  • Loss or increase of weight
  • Hematemesis and Melena


  • Esophagogastroduodenoscopy (EGD)
  • Drugs used to treat antisecretory peptic ulcer disease (PUD)


In the Ayurvedic literature, duodenal ulcers are correlated with parinaamshool. The science of life known as ayurveda offers comprehensive methods for curing ailments and fostering wellness. Ayurveda’s core mission statement is “to preserve health and to heal the sick.” In the context of Annavaha Srotas, several illnesses have been described, but Annadravashoola and Parinamashoola are the two that most frequently affect people’s day-to-day functioning. The hallmark symptoms of Annadravashoola include belching, burning in the epigastrium, pain before and during digestion, and relief after vomiting. Whereas parinamashoola happens when food is parinamakaled (digested), the sickness must be adequately treated with various formulations, a change in lifestyle, and some yogic practices because it is closely tied to the Annavaha Srotas (digestive system), which deregulates the dhatu-poshan.


The phrase “parinamashoola” is self-explanatory; it refers to abdominal colic that occurs during food digestion, or 3–4 hours after ingestion or when food has entered the intestines. Parinamashoola is an “AVARANA JANYA and TRIDOSHAJA VYADHI.”


  • Overwork and late-night working result in less sleep
  • An excessively dry and fat-free diet
  • Irregular eating patterns
  • Severe injuries that cause stress and concern
  • All other vata-aggravating variables are cited as the cause


Vayu is immediately aggravated by the consumption of Ruksha anna (Yava, Sushka Saka, Jangala Mamsa), Vishamasana, and Langhana. Pitta and Kapha are then involved. Vayu is the Tridosha with the strongest strength, and it includes kapha and pitta. Pitta and Kapha are diminished by aggravated vata (due to the Shoshna property). In the pathophysiology of Parinama Shoola, Pitta is the most potent and prominent dosha. Therefore, discomfort is felt when digesting or when pitta is still in the triggered stage.


Doshas– Tridoshaj vyadhi
Dushya– Annarasa
Strotas– Anavaha ( digestive tract)
Ashisthan– Amashaya and grahani (stomach and small intestine)


  • Abdominal pain that develops and worsens during food digestion
  • The epigastric region (kukshi), the right and left hypochondria (jathara-parshva), the umbilical region (nabhi), the hypogastric region (basti), the retrosternal (stanantra), and others are among the common sites of pain.


  • Vataj: Adhman (tympanic inflammation), Atoopa (flatulence), Mal mutra ki apravritti (cessation of urination or the need to urinate), aarti (restlessness), kamp (tremors), and respite from snigdha and ushana meals.
  • Pittaj: Patients experience trishna (polydipsia), dah (burning feelings), restlessness, pain made worse by spicy food, heavy sweating, and relief from cold food items.
  • Kaphaj: Nausea, vomiting, dizziness, and mild abdominal pain that lasts for a long time. Bitter foods are used by patients to provide relief.
  • Tridoshaj: Possess all of the dosha’s symptoms.


  • Vaman (induced vomiting)
  • Virechan (induced purgations)
  • Basti (medicated enema)


A pharmaceutical firm called Planet Ayurveda produces a variety of natural medications. Planet Ayurveda is expanding and will soon be available everywhere. These are only natural products, and they work well. Preservatives or adulterants are not added. The business offers all of the approved products without any negative side effects. A committed herbal enterprise that also offers its advantages to regular people is called Planet Ayurveda. Here are a few of the product lists.

  1. Mahashankh Vati
  2. Heartburn Capsules
  3. Amalaki Rasayan
  4. Acido Plan Syrup
  5. Vara Churna
  6. Arjuna Powder
Herbal Remedies For Duodenal Ulcers By Planet Ayurveda


1. Mahashankh Vati

This is the ultimate formulation by Planet Ayurveda, having ingredients like Shunthi (Zingiber officinalis), Pippali (Piper longum), and many others. It is helpful during various stages of indigestion and acidity. It also cures gastro-intestinal pain, peptic ulcers, dyspepsia, loss of appetite, and dyspepsia. Mahashankh vati balances the vata and pitta doshas in the body.

Dosage: 1-2 pills with lukewarm water twice daily.

2. Heartburn Capsules

This amazing product is formulated by Planet Ayurveda with ingredients like Praval Pishti, Akik Pishti, Jahar Mohra Pishti, Kamdudha Ras, Mukta Pishti, and Giloy Satva. These capsules are best for the management of heartburn and acid indigestion. It is also very beneficial for GERD, which is gastroesophageal reflux disease. These capsules also support a healthy immune system. Eating spicy and fried foods can cause heartburn, which is also effective in increasing acidity. Additionally, it has positive effects on stomach acid reflux, which results in burning.

Dosage: Twice daily, take 1-2 capsules with a glass of water.

3. Amalaki Rasayan

This is one of the most important preparations by Planet Ayurveda, having only Amalaki (Emblica officinalis) as the main ingredient. Amalaki rasayana is a traditional Ayurvedic remedy from India used to treat aging-related illnesses. The fruits of amala, which are frequently used in Ayurveda, are said to strengthen immunity. Amalaki is credited in Ayurvedic literature as being helpful for a number of conditions, including gastric ulcers, cancer, diabetes, liver, and heart ailments. Antioxidant, immunomodulatory, antipyretic, analgesic, cytoprotective, antitussive, and gastroprotective effects are all exhibited by amalaki rasayana. Additionally, it improves memory and lowers blood cholesterol levels.

Dosage: 1-2 capsules with plain water twice a day.

4. Acido Plan Syrup

This product is formulated in the pharmacy of Planet Ayurveda with ingredients like Sajjikhar (Soda-Bi Carb), Pitta Papada (Fumaria indica), and Shatavari (Asparagus racemosus). This syrup helps with the burning that comes with acidity. It works well for dyspepsia, motion sickness, and sour and bitter eructation. Additionally, It helps with mucosal injuries and acute gastritis. This syrup works well for nausea, vomiting, and loss of appetite. The vomiting may be green or yellow in colour. By removing the underlying cause, it relieves stomach ulcers, acid reflux, gas, and indigestion.

Dosage: two capsules with plain water after meals.

5. Vara Churna

An age-old herbal treatment called triphala has antibacterial, anti-inflammatory, and antioxidant properties. It is formulated by Planet Ayurveda with the ingredients Indian gooseberry (Emblica officinalis), Black myrobalan (Terminalia chebula) and Belleric myrobalan (Terminalia bellerica). Triphala may enhance oral and digestive health and promote skin healing, among other potential health advantages. Triphala lessened the severity of these ulcers and assisted in reestablishing healthy stomach enzymes.

Dosage: Taken in the evening, this powder needs to be dissolved in 2 to 3 gms of warm water.

6. Arjuna Powder

Arjun (Terminalia arjuna) is the major ingredient in this wonderful Planet Ayurveda product. It is mostly used for cardiac diseases because of its cardioprotective and cardio-strengthening properties. It restores cardiac muscle strength and normalises (mainly reduces) pulse. Additionally, it has plenty of minerals that promote bone mineral density and guard against osteoporosis. Since it has an ulcer prevention function, it is utilised to treat ulcers and is highly advised for treating peptic ulcers. Due to the fact that it stops bleeding, it is useful in bleeding issues. Because it reduces urination frequency, it is beneficial for polyuria and frequent urination. It is helpful in the treatment of leucorrhea due to its astringent effects.

Dosage: Take 1/2 to 1 teaspoon with a glass of plain water after each meal, twice daily.


For people with duodenal ulcers, early diagnosis and treatment are essential to avoiding complications. A complete history must be taken by the first physician to intervene, including information on the patient’s symptoms and prescription usage patterns. Patients who are receiving treatment for ulcers should be informed about the main factors that contribute to ulcers, behaviors to avoid, such as taking NSAIDs, and the risks of any recommended therapies. Apart from these, Planet Ayurveda provides the best and purest herbal remedies and medications for duodenal ulcers.

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Dr. Vikram Chauhan (MD - Ayurveda) is a Globally Renowned Ayurveda Physician with Expertise of more than 25 Years. He is the CEO & Founder of Planet Ayurveda Private Limited, a leading Ayurveda Brand, Manufacturing, and Export Company with a Chain of Clinics and Branches in the US, Europe, Africa, Southeast Asia, India, and other parts of the World. He is also an Ayurveda Author who has written Books on Ayurveda, translated into Many European Languages. One of his Books is "Ayurveda – God’s Manual for Healing". He is on a Mission to Spread Ayurveda All Over the Planet through all the Possible Mediums. With his Vast Experience in Herbs and their Applied Uses, he is successfully treating Numerous Patients suffering from Various Ailments with the help of the Purest Herbal Supplements, Diet, and Lifestyle, according to the Principles of Ayurveda. For More Details, visit www.PlanetAyurveda.com