Stomach ulcer
| Discussion in 'All Categories' started by Anjay - Jun 12th, 2024 11:59 am. | |
Anjay
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I am suffering from stomach ulcer. What medications will I need to take, and what are their side effects? |
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re: Stomach ulcer
by Dr. B. S. Bhalla -
Jun 12th, 2024
12:04 pm
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Dr. B. S. Bhalla
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For treating a stomach ulcer, commonly known as a peptic ulcer, various medications are used to reduce stomach acid, promote healing, and address the underlying causes such as H. pylori infection. Here are the typical medications prescribed: Proton Pump Inhibitors (PPIs): Medications: Omeprazole, Esomeprazole, Lansoprazole, Pantoprazole Side Effects: Headache, diarrhea, constipation, nausea, abdominal pain, flatulence, rash. Long-term use may increase the risk of fractures, kidney disease, and vitamin B12 deficiency. H2-Receptor Antagonists: Medications: Ranitidine, Famotidine, Cimetidine Side Effects: Headache, dizziness, constipation, diarrhea, nausea. Cimetidine can cause gynecomastia (enlarged breasts in men) and impotence. Antibiotics (for H. pylori infection): Medications: Amoxicillin, Clarithromycin, Metronidazole, Tetracycline Side Effects: Diarrhea, nausea, taste disturbances, allergic reactions. Metronidazole can cause a metallic taste and dark urine. Antacids and Alginates: Medications: Aluminum hydroxide, Magnesium hydroxide, Calcium carbonate, Sodium alginate Side Effects: Constipation (aluminum-based), diarrhea (magnesium-based), alkalosis, electrolyte imbalances. Cytoprotective Agents: Medications: Sucralfate, Misoprostol Side Effects: Constipation (Sucralfate), diarrhea, abdominal pain, menstrual irregularities (Misoprostol). Misoprostol is contraindicated in pregnancy due to its abortifacient properties. Bismuth Subsalicylate: Side Effects: Black stools and tongue, constipation, ringing in the ears, Reye's syndrome (rare but serious condition, primarily in children and teenagers). Lifestyle and Dietary Changes: Avoid NSAIDs (Nonsteroidal anti-inflammatory drugs) like aspirin and ibuprofen. Limit alcohol and caffeine intake. Stop smoking. Eat smaller, more frequent meals. Avoid spicy and acidic foods. |
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re: Stomach ulcer
by Manoj -
Nov 5th, 2024
5:22 am
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Manoj
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I am suffering from stomach ulcer. What treatment options are available for my stomach ulcer? How long will I need to be on medication for my ulcer? |
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re: Stomach ulcer
by Dr. Vishal -
Nov 5th, 2024
5:27 am
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Dr. Vishal
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The treatment options for stomach ulcers (gastric ulcers) typically include: 1. Medications Proton Pump Inhibitors (PPIs): These reduce stomach acid production. Common options include omeprazole, lansoprazole, and pantoprazole. H2-Receptor Antagonists: These also decrease acid production. Examples include ranitidine and famotidine. Antacids: These can help neutralize stomach acid and provide quick relief. Antibiotics: If your ulcer is caused by Helicobacter pylori (H. pylori) infection, your doctor may prescribe antibiotics to eliminate the bacteria. Common combinations include amoxicillin, clarithromycin, and metronidazole. Cytoprotective Agents: Medications like sucralfate can help protect the lining of the stomach. 2. Lifestyle Changes Dietary Modifications: Avoid spicy foods, caffeine, alcohol, and smoking, which can irritate the stomach lining. Stress Management: Practices such as yoga, meditation, and regular exercise can help reduce stress, which may exacerbate ulcer symptoms. 3. Surgery In severe cases where medication and lifestyle changes do not help or if there are complications (like bleeding or perforation), surgery may be necessary to remove the ulcer or part of the stomach. Duration of Medication The duration of treatment can vary based on the severity of the ulcer and the underlying cause: For most patients, treatment with PPIs or H2-receptor antagonists typically lasts 4 to 8 weeks. If H. pylori infection is present, the antibiotic treatment course usually lasts 10 to 14 days, followed by continuing PPI treatment for several weeks to ensure healing. Follow-up Regular follow-ups with your healthcare provider are important to monitor your condition and adjust treatment as necessary. Always consult with your doctor to discuss your specific situation and develop a treatment plan tailored to your needs. |