Read Answer of Previous Questions

Peptic Ulcer

Discussion in 'All Categories' started by Vivek - Jun 18th, 2024 9:03 am.
Vivek	I am suffering from peptic ulcer. What are my treatment options? Will I need medication, and if so, for how long? Are there any side effects associated with the medications you’re prescribing?
re: Peptic Ulcer by Dr. B. S. Bhalla - Jun 18th, 2024 9:07 am #1
Dr. B. S. Bhalla	I'm sorry to hear about your peptic ulcer. Treatment for peptic ulcers generally includes medications and lifestyle changes. Here's an overview of your options: Medications: Proton Pump Inhibitors (PPIs): Examples: Omeprazole, Lansoprazole, Esomeprazole. Function: Reduce stomach acid production. Duration: Usually prescribed for 4-8 weeks. Side Effects: Headaches, diarrhea, constipation, nausea, abdominal pain, dizziness. H2-Receptor Antagonists: Examples: Ranitidine, Famotidine, Cimetidine. Function: Decrease acid production. Duration: Typically used for 6-8 weeks. Side Effects: Headaches, dizziness, diarrhea, constipation. Antibiotics: Examples: Amoxicillin, Clarithromycin, Metronidazole. Function: Used if the ulcer is caused by H. pylori infection. Duration: Generally taken for 10-14 days. Side Effects: Nausea, diarrhea, metallic taste in the mouth, allergic reactions. Antacids: Examples: Aluminum hydroxide, Magnesium hydroxide. Function: Neutralize stomach acid. Duration: Used as needed for symptom relief. Side Effects: Constipation (aluminum-based), diarrhea (magnesium-based). Cytoprotective Agents: Examples: Sucralfate, Misoprostol. Function: Protect the stomach lining. Duration: Prescribed based on individual needs. Side Effects: Constipation, diarrhea, abdominal pain. Lifestyle Changes: Diet: Avoid spicy, acidic, and fried foods. Eat smaller, more frequent meals. Avoid NSAIDs: Nonsteroidal anti-inflammatory drugs (e.g., ibuprofen) can worsen ulcers. Quit Smoking: Smoking can delay healing and increase the risk of ulcer recurrence. Limit Alcohol: Alcohol can irritate the stomach lining and exacerbate symptoms. Manage Stress: Stress reduction techniques such as meditation, yoga, or therapy can help. Duration and Monitoring: Medication Duration: Treatment duration varies but typically lasts 4-8 weeks. Antibiotic regimens for H. pylori usually last 10-14 days. Follow-Up: Your doctor may recommend follow-up endoscopy or tests to ensure the ulcer has healed and to check for H. pylori eradication. Potential Side Effects: Each medication has potential side effects. Common side effects for the medications mentioned include gastrointestinal issues (e.g., diarrhea, constipation), headaches, dizziness, and abdominal pain. Always discuss with your doctor the potential side effects and how to manage them.