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1 Use common sense: If it upsets your stomach when you eat it, avoid it. Everyone is different, but spicy foods, citrus fruits, and fatty foods are common irritants.  Stop smoking. Heavy smokers are more likely to develop duodenal ulcers than nonsmokers.
The following are some foods that may worsen ulcer or gastritis symptoms: 1  Beverages: Whole milk and chocolate milk. 2  Spices and seasonings: Black and red pepper. 3  Other foods: Dairy foods made from whole milk or cream.