Overview
Stomach polyps are abnormal growths of the stomach lining. The three main types are: fundic gland polyps (most common, almost always benign, often related to PPI use), hyperplastic polyps (related to inflammation, sometimes from H. pylori), and adenomatous polyps (precancerous, need removal).
Symptoms
Almost always silent — found by chance on endoscopy
Rarely: indigestion, mild abdominal pain
Very rarely: bleeding (anemia or melena) from large polyps
Self-Care Tips
If you have multiple fundic gland polyps and have been on PPI long-term, ask about reducing the dose.
Eradicate H. pylori if positive — many hyperplastic polyps shrink or disappear.
When to See a Doctor
Seek medical care promptly if you notice: Black stools or visible blood; Strong family history of stomach cancer.
Why it happens
Fundic gland polyps are linked to acid suppression (PPIs). Hyperplastic polyps form in response to chronic inflammation, including H. pylori. Adenomatous polyps are pre-cancerous changes; some are linked to genetic syndromes (FAP).
How common it is
Found in 5–8% of all upper endoscopies. Increasing with widespread PPI use. More common with age.
How it is diagnosed
Found on upper endoscopy. The endoscopist usually takes biopsies to determine the type. Adenomatous polyps and large polyps (>1 cm) are usually removed entirely. Multiple polyps may prompt H. pylori testing and consideration of FAP (a genetic syndrome).
Lifestyle and daily habits
Most stomach polyps need no lifestyle changes.
• If you have multiple fundic gland polyps and have been on PPI long-term, ask about reducing the dose.
• Eradicate H. pylori if positive — many hyperplastic polyps shrink or disappear.
Diet
No specific diet for polyps.
• Standard healthy diet.
Medicines
Medication management depends on polyp type.
• PPI step-down or switch to H2 blocker for fundic gland polyps in some patients.
• H. pylori eradication for hyperplastic polyps.
Procedures and surgery
Polypectomy is straightforward in most cases.
• Endoscopic removal — most polyps removed at the same endoscopy.
• Surveillance endoscopy every 1-3 years for adenomatous polyps or extensive polyposis.
Outlook
Excellent for fundic gland and hyperplastic polyps. Adenomatous polyps need removal and follow-up to prevent cancer.
Questions to ask your doctor
• What type of polyp do I have?
• Do I need to come back for surveillance?
• Should I reduce or stop my PPI?
Source and review
This guide comes from the Saudi Gastroenterology Association (SGA) patient library, prepared by the SGA Patient Education Panel. Last reviewed: 2026-04-24. It is for education and does not replace your doctor's advice.
Frequently Asked Questions
What is Stomach Polyps?
How is Stomach Polyps diagnosed?
What is the outlook for Stomach Polyps?
When should I see a doctor about Stomach Polyps?
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