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Ulcer causes H. pylori infection: These bacteria damage the protective mucus layer in the stomach and small intestine, leading to inflammation and ulcers. NSAIDs: Regular, long-term use of pain relievers like ibuprofen and aspirin can irritate the stomach lining and cause ulcers. Other causes: Less common causes include smoking, excessive alcohol intake, stress. Acid reflux causes Lifestyle and diet: Foods and drinks: Spicy, fatty, or acidic foods, chocolate, mint, caffeine, and alcohol can trigger acid reflux. Eating habits: Eating large meals or lying down too soon after eating can increase symptoms. Smoking: Smoking weakens the lower esophageal sphincter. Obesity: Excess weight, particularly around the abdomen, can put pressure on the stomach. Other causes: Pregnancy: Hormonal changes and pressure from the growing fetus Delayed stomach emptying: Conditions that slow down how quickly the stomach empties can increase the risk of reflux. *For appointment and consultation* *0710714700* and *0783692715*