The goal of ulcer treatment is to relieve pain and prevent ulcer complications such as bleeding, obstruction, and perforation. The first step in treatment involves the reduction of risk factors (NSAIDs and cigarettes). The next step is medication.
Antacids neutralize existing acid in the stomach. Antacids such as Maalox, Mylanta, and are safe and effective treatments. However, neutralizing the action of these drugs is of short duration, and frequent doses are needed.
Antacids containing magnesium, such as Maalox and Mylanta, can cause diarrhea, while agents such as aluminum can cause constipation. These ulcers frequently return when antacids were discontinued.
Some studies have shown that protein histamine in the stomach stimulates secretion of gastric acid. Histamine antagonists (H2 blockers) are drugs designed to block the action of histamine on stomach cells, thus reducing acid production.
Examples of H2 blockers are ranitidine. (Zantac), (While H2 blockers are effective in ulcer healing, they have a limited role in eradicating H. pylori infection without antibiotics. Therefore, ulcers frequently return when H2 blockers are stopped. Generally, these drugs are well tolerated and have few side effects, even with long-term use.
In rare cases, patients report headaches, confusion, lethargy, or hallucinations. Chronic use of May rarely causes impotence or breast swelling. Both and ranitidine may interfere with the body’s ability to handle alcohol.
Patients treated with these drugs who drink alcohol may have elevated levels of blood alcohol. These drugs may interfere with the management of the liver to other drugs such as Coumadin, and. frequent monitoring and adjustment of the dosages of these medications may be needed.
More potent than H2 blockers in the suppression of acid secretion. Different proton pump inhibitors are very similar in action and there is no evidence that one is more effective than another in the healing of ulcers.
Although proton pump inhibitors to H2 blockers are comparable in efficacy in the treatment of gastric and duodenal ulcers, is greater than H2 blockers in the treatment of esophageal ulcers. Esophageal ulcers are more susceptible to gastric and duodenal ulcers with small amounts of acid.
Therefore, more complete acid suppression achieved by proton pump inhibitors are important for the healing of esophageal ulcers. Proton pump inhibitors are well tolerated. Side effects are rare, they include headaches, diarrhea, constipation, nausea and skin rashes.
Interestingly, proton pump inhibitors have no effect on a person’s ability to digest and absorb nutrients. Proton pump inhibitors have also been found to be safe in the long term without serious adverse health effects reported.
Agents that strengthen the lining of the digestive juices from the attacks of acids. Carfare coats the surface of the ulcer and promoting healing. The drug has very few side effects. The most common side effect is constipation and interference with the absorption of other drugs.
Cystic is a prostaglandin-like substance commonly used to counteract the effects of NSAIDs ulcer. Studies suggest that Cystic can protect the stomach from ulcers in people taking NSAIDs chronically. Diarrhea is a common side effect.
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