Strongyloides stercoralis is an intestinal nematode with a complex life cycle capable of a free living cycle, a parasitic cycle and autoinfection. It is usually asymptomatic in a healthy host but causes life threatening hyperinfection involving multiple organs in immunocompromised patients. However, reports of gastric involvement are very rare. This is a report of gastric strongyloidiasis with evidence of hyperinfection in an elderly Omani patient on chronic corticosteroid therapy for chronic obstructive pulmonary disease (COPD) and H-2 blocker for dyspepsia.