A peptic ulcer is a sore in the lining of your stomach or your duodenum, the first part of your small intestine. A burning stomach pain is the most common symptom. The pain:

• Starts between meals or during the night
• Briefly stops if you eat or take antacids
• Lasts for minutes to hours
• Comes and goes for several days or weeks

Peptic ulcers happen when the acids that help you digest food damage the walls of the stomach or duodenum. The most common cause is infection with a bacterium called Helicobacter pylori. Another cause is the long-term use of nonsteroidal anti-inflammatory medicines (NSAIDs) such as aspirin and ibuprofen. Stress and spicy foods do not cause ulcers, but can make them worse.

To see if you have an H. pylori infection, your doctor will test your blood, breath, or stool. Your doctor also may look inside your stomach and duodenum by doing an endoscopy or x-ray.

Peptic ulcers will get worse if not treated. Treatment may include medicines to reduce stomach acids or antibiotics to kill H. pylori. Antacids and milk can't heal peptic ulcers. Not smoking and avoiding alcohol can help. You may need surgery if your ulcers don't heal.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

Your peritoneum is the tissue that lines your abdominal wall and covers most of the organs in your abdomen. A liquid, peritoneal fluid, lubricates the surface of this tissue.

Disorders of the peritoneum are not common. They include:

• Peritonitis - an inflammation of the peritoneum
• Cancer
• Complications from peritoneal dialysis

Your doctor may use imaging tests or lab tests to analyze the peritoneal fluid to diagnose the problem. Treatment of peritoneal disorders depends on the cause.

Pets can add fun, companionship and a feeling of safety to your life. Before getting a pet, think carefully about which animal is best for your family. What is each family member looking for in a pet? Who will take care of it? Does anyone have pet allergies? What type of animal suits your lifestyle and budget?

Once you own a pet, keep it healthy. Know the signs of medical problems. Take your pet to the veterinarian if you notice:

• Loss of appetite
• Drinking a lot of water
• Gaining or losing a lot of weight quickly
• Strange behavior
• Being sluggish and tired
• Trouble getting up or down
• Strange lumps

Pneumocystis jirovecii is a fungus that is common throughout the world. Many people have been exposed to it as children. Some people have the fungus in their lungs. If you are healthy, it usually will not make you sick. But it can make you sick if you have a weakened immune system, for example if you:

• Have HIV
• Have an autoimmune disease
• Have cancer
• Have a chronic (long-lasting) lung disease
• Had an organ or bone marrow transplant
• Take medicines which weaken your immune system, such as chemotherapy and steroids

Pneumocystis jirovecii can spread from person to person through the air. You can spread it to others even if it isn't making you sick.

The most common type of infection that Pneumocystis jirovecii causes is pneumocystis pneumonia (PCP). Pneumonia is an infection in one or both of the lungs. It causes the air sacs of the lungs to fill up with fluid or pus.

The symptoms of PCP can develop over several days or weeks. They may include:

• Fever
• Cough
• Trouble breathing
• Chest pain
• Chills
• Fatigue

Contact your healthcare provider if you have symptoms that you think are related to PCP. Since PCP can be life-threatening, it's important to get early treatment.

To find out if you have PCP, your provider will take a sample of fluid or tissue from your lungs. You may cough up the sample (called sputum), have fluid collected during a bronchoalveolar lavage, or have tissue taken with a biopsy. They will send the sample to the lab to check for Pneumocystis.

The treatment for PCP is with antibiotics, either by mouth or intravenously (by IV). You need to take them for about 3 weeks. If you have a severe case of PCP, you might need treatment in the hospital.

There is no vaccine to prevent PCP. Some people who are at high risk of getting PCP may need to take antibiotics to prevent it.

Centers for Disease Control and Prevention

Some medicines are safe to take during pregnancy, but many are not. If you're pregnant, check with your health care provider before taking any medicine. Some medicines can harm your developing fetus. This includes:

• Prescription drugs
• Over-the-counter medicines
• Herbs and supplements

Always talk to your provider before you stop or start any medicine. You may take medicine to treat a health problem you had before pregnancy. Not using the medicine that you need may be more harmful to you and your fetus than using the medicine. For example, many pregnant women take prescription medicines for health problems like diabetes, asthma, seizures, and heartburn. The decision about whether to take a certain medicine should depend on the risks and benefits that go with it. You and your provider should make this choice together.

If you're pregnant, you shouldn't take regular vitamins. They may have too much or too little of the vitamins you need. For example, everyone needs folic acid, a type of B vitamin. But if you're trying to get pregnant, it's really important. Getting enough folic acid before and during pregnancy can prevent birth defects of the brain or spine. During your prenatal care visits, your provider will talk about prenatal vitamins. These are a special kind of vitamin to take during pregnancy.

Food and Drug Administration