Treatment FAQ

which of the following are used in the treatment of gastric ulcers

by Dr. Adela Aufderhar Published 3 years ago Updated 2 years ago
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Omeprazole, pantoprazole and lansoprazole are the PPIs most commonly used to treat stomach ulcers.

Medication

Gastric ulcers that fulfill the criteria to be peptic ulcers (ie, occur in the antrum in the presence of excess luminal acid, with or without a coexisting duodenal ulcer) are best treated with a histamine H2-receptor antagonist.

Procedures

Protectants that coat the ulcer and protect it against acid and enzymes, enhancing healing (like sucralfate) Bismuth (may help protect the lining and kill the bacteria). Rarely, surgery may be needed. If NSAIDs have caused your stomach ulcer, your doctor may advise you to stop taking them, reduce their dosage, or switch to an alternative medicine.

Nutrition

Gastric ulcer is a superficial or deep fissure in stomach mucosa caused by irritation, trauma or inflammation of mucosal membrane.

Which medications are used to treat gastric ulcers?

The rational treatment of gastric ulcer (GU) requires both an understanding of the various causative factors responsible for what is best considered a spectrum of disorders, as well as a familiarity with the newer antisecretory and cytoprotective therapies that are available. Gastric ulcers that ful … Treatment of gastric ulcer.

How do you treat a stomach ulcer?

What is a gastric ulcer?

What is the rational treatment of gastric ulcer (Gu)?

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Which class of drugs are used in the treatment of ulcers?

Proton pump inhibitors (PPIs) PPIs directly suppress gastric acid production by blocking the proton pumps of the gastric parietal cell that is responsible for acid secretion, and thereby promoting the ulcer healing.

Which and which used to treat gastric?

Acid blockers — also called histamine (H-2) blockers — reduce the amount of acid released into your digestive tract, which relieves gastritis pain and encourages healing. Available by prescription or over the counter, acid blockers include famotidine (Pepcid), cimetidine (Tagamet HB) and nizatidine (Axid AR).

What is the best treatment for gastritis?

What is the best medication for gastritis?Best medications for gastritisAmoxicillinAntibioticOralFlagyl (metronidazole)AntibioticOralPrilosec (omeprazole)Proton pump inhibitorOralNexium (esomeprazole)Proton pump inhibitorOral6 more rows•Dec 28, 2020

What are the names of ulcer drugs?

Popular Gastric Ulcer Drugsomeprazole. $12.73.Pepcid. famotidine. $9.00.Prevacid. lansoprazole. $16.44.Nexium. esomeprazole. $149.01.Cytotec. misoprostol. $7.22.cimetidine. $36.88.Zegerid. omeprazole / sodium bicarbonate. $59.18.Axid. nizatidine. $96.36.More items...

What is the best treatment for stomach ulcers?

Proton pump inhibitors to block stomach acid production (such as esomeprazole, lansoprazole, omeprazole, or pantoprazole) Protectants that coat the ulcer and protect it against acid and enzymes, enhancing healing (like sucralfate) Bismuth (may help protect the lining and kill the bacteria). Rarely, surgery may be needed.

How to treat a stomach ulcer?

Treatment for stomach ulcers usually involves a combination of medications which reduce acid secretion, protect the mucosa, and kill H. pylori bacteria ( if present).

What causes a stomach ulcer?

Disruption of this balance can result in a break in this protective layer, causing a stomach ulcer. Disruptions may occur as a result of: 1 Excessive acid production 2 Excessive alcohol consumption (stimulates acid production) 3 Infection, particularly with a common stomach bacterium known as Helicobacter Pylori 4 Medications NSAIDs (eg, aspirin, ibuprofen, diclofenac, ketoprofen) 5 Other conditions, such as liver disease, Crohn’s disease, or Zollinger-Ellison syndrome 6 Physical stress, such as major surgery or burns.

What to ask your doctor about a stomach ulcer?

To help diagnose a stomach ulcer, your doctor will ask you what medications you take or have been taking, and if you have had a peptic ulcer or any other relevant condition in the past. Make sure you mention all the medications you are taking, especially NSAIDs such as aspirin, ibuprofen, diclofenac, or ketorolac.

What is the common stomach bacterium?

Infection, particularly with a common stomach bacterium known as Helicobacter Pylori

How long should I take antibiotics for stomach ulcers?

pylori (usually two or three different antibiotics are taken in combination for one to two weeks)

Where do ulcers form?

They may also be called gastric ulcers. Ulcers can also form in your duodenum which is the first part of your small intestine, immediately beyond your stomach. A peptic ulcer is a term used to describe either a stomach or duodenal ulcer.

What is the procedure for gastric ulcers?

The procedure involves removal of part of lesser curvature or right side of stomach and stomach antrum. The remaining stomach is connected by anastomosis to jejunum. The surgical procedure thus is also known as gastro-jejunostomy. The surgery helps to improve gastric emptying time and also prevents exposure of stomach as well as duodenal mucosal surface for gastric acid content.

How do antacids help with gastric ulcers?

Antacids are prescribed to neutralize pH in gastric juice by reducing H+ molecule of gastric acid. Antacid prevents further enhancing the penetration of ulcer into mucosa by preventing continuous acid effects on eroded mucosa. Antacid also helps to reduce pain by reducing pH of stomach content. Antacids are taken as chewing pills or liquid. Antacids also covers the most surface of mucosa depending on quantity taken at interval. The presence of antacid neutralizes gastric mucosa and also covers most mucosal layer of stomach resulting in protection from continuous acidic effects of gastric juice over the superficial layer gastric mucosa. Large number of antacids are sold over the counter in pharmacy. The most common antacids used to treat gastric ulcer contains aluminum hydroxide, magnesium hydroxide and calcium carbonate. The product sold on shelf are Maalox, Mylanta, Tums and Rolaids. Antacids are avoided in pregnant patient and children under 12 years of age.

How long does it take for a gastric ulcer to heal?

Mild gastric ulcer which may rapidly heal can be treated with medications such as antacids for 2 to 4 weeks. Multiple repeated gastric ulcers often caused by hyper reaction to stomach acidity may be treated with medication which can neutralize the acidic pH of stomach digestive juice.

What is the purpose of antacids?

Antacids medications acts on acid producing glands of stomach mucosa and reduces acid content of gastric juice. Two different types of antacids are used to reduce secretion of acid and known as H2 inhibitors and proton pump inhibitors.

What is the best way to protect the stomach from acid?

The cyto-protective agents protect the gastric or stomach mucosa from gastric acid. The medications are taken in liquid form. The medications cover the surface of ulcers and protects the ulcer from further effects of acid. The most common agents available as a medication are Carafate and Cytotec.

What is the best treatment for gastritis?

The H. Pylori infection is confirmed by blood test and bacterial culture when patient is suffering with symptoms of gastritis. Earlier initiation of antibiotics prevents severe gastric inflammation and ulcer formation. Most effective antibiotics against H. Pylori are tetracycline, amoxicillin, metronidazole (Flagyl) and levofloxacin (Levaquin).

Is gastric ulcer surgery conservative?

In few cases gastric ulcer may not respond to any conservative treatment and is treated with surgical options. Gastric ulcer resulting in bleeding is considered emergency to prevent life threatening bleeding. Bleeding ulcer is often treated as an emergency. Bleeding is stopped by cauterizing the bleeding vessels. The procedure is performed using gastroscopy. The treatment for gastric ulcer is divided in two section, conservative treatment by medications and invasive treatment by using surgery.

How to treat peptic ulcers?

Peptic Ulcer Disease Treatment: Medication. Several different medication therapies are available to help reduce gastric acid and coat the ulcers: Antacids neutralize gastric acid. The disadvantage is that you need to take a relatively large dose for them to be effective, and they can cause unwanted side effects like diarrhea.

What causes peptic ulcers?

Peptic ulcers are often caused by an overproduction of gastric acid. Many treatment options focus on reducing or suppressing gastric acid production. If your doctor determines that you have an H. pylori infection, you will need treatment for that as well.

What is the term for a bleed that occurs when the stomach wall is swollen?

Hemorrhage (excessive bleeding) Perforation/penetration, due to the ulcer burning through the stomach wall. Gastric outlet obstruction, or pyloric stenosis, occurs when the pylorus narrows. The pylorus is the opening from the stomach into the small intestine.

Do PPIs suppress acid production?

PPIs suppress acid production much more effectively than H2 blockers. PPIs are the gold standard in medication therapy of peptic ulcer disease. Medications to protect and strengthen the mucous lining of the stomach. See animation: mechanism of normal acid production, H2 blockers and proton pump inhibiting drugs.

Drugs used to treat NSAID-Induced Gastric Ulcer

The following list of medications are in some way related to, or used in the treatment of this condition.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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