Tuesday, February 20, 2024

Does Aleve Cause Stomach Ulcers

Must read

Symptoms Of Serious Stomach Issues

Real Questions | Stomach Ulcers

The symptoms of stomach problems after taking non-steroidal anti-inflammatory drugs , such as aspirin, ibuprofen, and naproxen, can vary from person to person. Some symptoms can be signs of something more serious like stomach bleeding or ulcers, so it important to recognise the symptoms of these serious stomach problems yourself:

  • Extreme abdominal pain
  • Vomiting blood or a dark substance

If you experience any of these symptoms, consult with your GP or pharmacist immediately.

Dont Take More Than The Recommended Dosage

NSAID overuse isnt rare: A 2018 study published in the journal Pharmacoepidemiology and Drug Safety revealed that 15 percent of adult users of ibuprofen exceed the maximum recommended dose of ibuprofen or other NSAIDs in a one-week period.

This was typically the result of taking too much of a single NSAID at one time, taking two different NSAIDs simultaneously, or failing to wait long enough before taking another dose. Overuse increases your risk of developing GI side effects from NSAIDs, so be sure to follow your doctors directions to the letter.

How Do Doctors Determine Who Can Get By With An Otc Nsaid And Who Needs A Prescription One

Because the risk of developing side effects from NSAIDs is dose dependent, your doctor will likely start you on a conservative dose and see how you fare. OTC versions are also cheaper than prescription NSAIDs, so its more cost-effective to try those first.

Whether a patient ultimately needs a prescription-strength NSAID is determined on a case-by-case basis. But because theres very little inflammation involved in OA, those patients typically require lower doses of an NSAID than those with a form of inflammatory disease such as rheumatoid arthritis or lupus.

In general, more OA patients may be able to rely on OTC NSAIDs such as Advil and Aleve to manage their pain, while those with inflammatory arthritis may need prescription-strength NSAIDs to get relief, Dr. Bhatt says.

Read Also: What Is Best Medicine For Ulcer

How To Take Naproxen

Use Naproxen exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Use exactly as directed on the label, or as prescribed by your doctor. Use the lowest dose that is effective in treating your condition.

Shake the oral suspension before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device .

Take this medicine with food or milk if it upsets your stomach.

Always follow directions on the medicine label about giving this medicine to a child. Naproxen doses are based on weight in children. Your child’s dose needs may change if the child gains or loses weight.

If you use naproxen long-term, you may need frequent medical tests.

This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using naproxen.

Store at room temperature away from moisture, heat, and light. Keep the bottle tightly closed when not in use.

Since naproxen is used when needed, you may not be on a dosing schedule. Skip any missed dose if it’s almost time for your next dose. Do not use two doses at one time.

Are Nsaids Safe To Take If You Have Kidney Disease

60 Days Natural Solution For Ulcers

NSAIDs are usually safe for occasional use when taken as directed. However, if your doctor has told you that you have low kidney function, NSAIDs might not be right for you. These medications should only be used under a doctors care by patients with kidney disease. Also, they might not be the best choice for people with heart disease, high blood pressure or liver disease. Some of these drugs affect blood pressure control. High doses over a long period of time can also lead to chronic kidney disease and even progress to kidney failure.

For people without kidney disease, the recommended dose of aspirin can be safe if you read the label and follow the directions. When taken as directed, regular use of aspirin does not seem to increase the risk of kidney disease in people who have normal kidney function. However, taking doses that are too large may temporarily and possibly permanently reduce kidney function. In people with kidney disease, aspirin may increase the tendency to bleed.

Don’t Miss: Ulcerative Colitis Versus Crohn’s Disease

What Medications Should You Avoid With Gastritis

Sometimes a person cannot avoid certain substances that cause gastritis.

  • The health care professional may have a good reason to recommend aspirin, iron, potassium, or some other medication that causes gastritis.
  • If the person develops minor gastritis symptoms, it may be best to continue the recommended medication and treat the gastritis symptoms.
  • Consult a health care professional before stopping any medication.

In the case of aspirin, coated aspirin may not cause the same symptoms because:

  • Coated aspirin does not dissolve in the stomach.
  • Consult the health care professional before stopping any medication you have been prescribed.

The health care professional may recommend that nonsteroidal anti-inflammatory drugs such as ibuprofen be taken with food or with antacids. Doing this may lessen the chance of developing gastritis symptoms.

Switching from aspirin or NSAIDs to another pain reliever may help as well. Acetaminophen is not known to cause gastritis.

  • Talk with a health care professional before switching to acetaminophen.
  • He or she may have recommended aspirin or an NSAID for a specific purpose.

Your Appetite Went Mia

For many patients with ulcers, the condition can actually result in a loss of appetite. This drop in food intake, combined with occasional vomiting, may lead to unexpected weight loss. Some ulcer patients report eating their normal amount of food, yet still lose weight, so the ulcer itself may cause a drop on the scale, too.

Also Check: Is Watermelon Good For Kidney Disease

Also Check: What’s The Difference Between Colitis And Ulcerative Colitis

Other Options For Pain Relief

Painkillers aren’t the only answer for many of life’s aches and pains. Many effective and safe alternatives don’t have any side effects at all.

  • Ice packs, for acute injuries such as a sprained ankle, can keep down swelling and ease pain.
  • Heat with a hot towel or heating pad can be helpful for treating chronic overuse injuries.
  • Physical activity can help reduce some kinds of discomfort, such as arthritis pain.
  • Relaxation with techniques such as yoga or meditation — may reduce pain. Biofeedback may help as well. These approaches are best for pain that’s amplified by stress, such as tension headaches.
  • Nontraditional techniques with low risks — such as acupuncture — benefit some people.

So remember: Pain relief doesn’t only come from a pill bottle.

How Do I Protect My Stomach When Taking Naproxen

What Causes Stomach Ulcers?

If your doctor prescribes you naproxen to take for a long time, or if you are at an increased risk of getting a stomach ulcer, you may also be prescribed a medicine to protect your stomach.

Often, a medication called a proton pump inhibitor is prescribed alongside naproxen. Proton pump inhibitors such as omeprazole are effective at protecting the stomach when taking an NSAID like naproxen. They work to inhibit the production of stomach acid, which significantly reduces the risk of stomach ulcers and other gastric problems.

Proton pump inhibitors are commonly prescribed to treat acid reflux, stomach ulcers and gastro-oesophageal reflux disease .

It is also important that you take naproxen with food or just after eating. This will help to protect your stomach and avoid pain.

Don’t Miss: How To Calm An Ulcer Attack

Heart Attacks Strokes And Heart Failure:

There is growing recognition that NSAIDs can affect the cardiovascular system. Although most people do not understand heart failure very well , the outcomes can be disastrous. NSAIDs increase the risk of heart failure and if people have this condition NSAIDs can make it substantially worse .

An ongoing controversy in the medical community is whether some NSAIDs are more or less likely to cause heart attacks or strokes. Some studies suggest that naproxen may be a little less of a problem than some of the other pain relievers in this class. That said, the FDA has not given naproxen a green light in this matter. A study published in Current Vascular Pharmacology suggested the following:

The best safety profile related to MI was found for naproxen, while the worst safety profile, with excessively increased risk for stroke, MI and major bleeding, was for diclofenac. Naproxen showed higher risk for major bleeding than ibuprofen and the risk for stroke was slightly higher than ibuprofen. Regarding heart failure, ibuprofen presented the highest risk while the highest risk for AF was attributed to current use of diclofenac.

Here are some stories from readers to bring all this into focus. You can read more in the comment section below this article.

Rick was quite athletic and healthy until this happened:

Nana from Houston shared this:

Sherry in Waxhaw, NC points out that it took the FDA a long time to discover that NSAIDs could cause heart problems:

What Other Drugs Will Affect Aleve

Ask your doctor before using Aleve if you take an antidepressant such as citalopram, escitalopram, fluoxetine , fluvoxamine, paroxetine, sertraline , trazodone, or vilazodone. Taking any of these medicines with an NSAID may cause you to bruise or bleed easily.

Ask a doctor or pharmacist if it is safe for you to use Aleve if you are also using any of the following drugs:

  • cholestyramine

  • phenytoin or similar seizure medications

  • probenecid

Read Also: How Do Stomach Ulcers Heal

What Should I Know About Storage And Disposal Of This Medication

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture .

It is important to keep all medication out of sight and reach of children as many containers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location â one that is up and away and out of their sight and reach.

Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website for more information if you do not have access to a take-back program.

Are There Any Side Effects When Using Omeprazole And Naproxen Together

Trust Your Gut When it Comes to Stomach Ulcers

Both omeprazole and naproxen can cause side effects, whether they are taken together or individually.

When omeprazole is taken at the same time as naproxen, it may affect the enteric coating of naproxen. This may make naproxen less effective than it should be due to the medicine being released in the body too soon.

You should follow your doctors dosage instructions to ensure that this risk is minimised.

Lear more about the side effects of Naproxen and Omeprazole:

Don’t Miss: Is Alcohol Bad For Ulcerative Colitis

Dont Take Too Many Too Often

To avoid abdominal pain when taking painkillers, you must first make sure that you follow the recommended dosage to the letter. Do not take any more than recommended, and do not double-dose. You should never take more than one NSAID at a time as they are in the same family and side effects will be more severe.

Can I Take Naproxen If Im Pregnant Or Breastfeeding

If you are pregnant, you should not take naproxen unless your doctor tells you to. Taking an NSAID during the last 20 weeks of pregnancy can cause serious heart or kidney problems in the unborn baby and possible complications with your pregnancy.

It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk.

You May Like: Liver Disease Associated With Ulcerative Colitis

Are There Specific Warnings Associated With Nsaid Use

The Food and Drug Administration requires that the labeling of NSAIDs contain these specific warnings:

These warnings are for non-aspirin NSAIDs:

  • Non-aspirin NSAIDs can increase the chance of heart attack or stroke. This risk may be greater if you have heart disease or risk factors for heart disease. However, the risk may also be increased in people who do not have heart disease or those risk factors. This risk can occur early in treatment and may increase with longer use.
  • Heart problems caused by non-aspirin NSAIDs can happen within the first weeks of use and may happen more frequently with higher doses or with long-term use.
  • Non-aspirin NSAIDs should not be used right before or after heart bypass surgery.

This warning is for all NSAIDs including aspirin:

NSAIDs may increase the chance of serious stomach and bowel side effects like ulcers and bleeding. These side effects can occur without warning signs. This risk may be greater in people who:

  • Are older.
  • Are on multiple prescription or over-the-counter NSAIDs.
  • Drink three or more alcoholic beverages per day.

Areyou At Risk For Kidney Disease

How Aspirin,ibuprofen Cause Peptic Ulcers from www metacafe com

Most people with kidneydisease dont have any symptoms until theyre very sick. So unless your doctorhas tested your kidney function, you cant be sure that you dont have kidneyproblems.

A few simple tests will tellyour doctor how well your kidneys are working. He or she will:

  • Check your blood pressure.
  • Take a blood sample and test the levels of blood urea nitrogen and creatinine, which are indicators of how well your kidneys are cleaning your blood.
  • Take a urine sample to check for blood, infection or protein in your urine.

Even slightly higher thannormal blood pressure or cholesterol increases your risk for kidney disease,stresses Dr. Heyka. So keep your blood pressure, cholesterol and weight incheck, as well as your blood sugar if you have diabetes. And, as always, makesure you tell your doctor about every vitamin, herbal remedy and nutritionalsupplement you take.

Recommended Reading: What Foods Can You Eat When You Have An Ulcer

How Can A Ruptured Ulcer All The Way In The Duodenum Cause Kidney Failure

The famous Nobel Prize winning physicist is said to have died because

A ruptured duodenal ulcer caused kidney failure,

leading to his death 12 days later. I understand that the kidney might have needed to do more filtration work due to this rupture, and maybe the ulcer contained some material too hard on the kidney, but how exactly does the contents of the ulcer spewing into the duodenum result lead to kidney failure? What are the steps that would occur that would lead to this outcome?

Your stomach may contain bacteria that are harmless as long as they are in your digestive tract, but are potentially lethal if they get into other organs. A ruptured ulcer means that its possible for the stomach contents to leak into the abdominal cavity and possibly the bloodstream. If the bacteria get established in you blood they will be carried to all the other organs creating a massive infection. The immune response to the infection may create a condition called . and frequently leads to kidney failure.

Dont Miss: Does Aleve Hurt Your Kidneys

Research On The Prevention Of Peptic Ulcers

A group of researchers from the an international network of researchers wanted to find out which medications can prevent the development of peptic ulcers. To do so, they looked for studies where NSAIDs were combined with PPIs, H2 blockers or misoprostol. The researchers found 41 suitable studies with a total of more than 21,000 participants.

The people in the studies were mainly men and women who had osteoarthritis or a rheumatic disease. All of them took one or several NSAIDs for at least three weeks and had a fairly high risk of getting a peptic ulcer. A number of the studies compared proton pump inhibitors, H2 blockers or misoprostol with a placebo or with each other. The participants were observed for up to one year. Regardless of whether they had symptoms, in almost all of the studies the participants had a gastroscopy to see whether they had an ulcer in their stomach or duodenum.

Recommended Reading: How Does One Get Ulcerative Colitis

Tell Your Doctor About Gi Symptoms That Dont Go Away

Your doctor may want to switch or discontinue the medication, or try to manage the symptoms with medications such as proton pump inhibitors or misoprostal. These are sometimes prescribed with an NSAID when you start taking it to reduce your risk of ulcers and other serious GI complications such as bleeding.

Following her surgery, doctors told Boyd she should have been instructed to take a PPI while on NSAIDs for so many years to protect her stomach.

If you were to tell your doctor that you were experiencing GI symptoms, your doctor might also want to you see a gastroenterologist to screen for conditions such as ulcers, gastritis, and Barretts esophagus, Dr. Hana says.

Reducing The Risks Of Side Effects

Oral and Intestinal Ulcer Disease

Aleve is an over-the-counter drug that carries with it a slight risk of very serious and sometimes fatal side effects. It is very important to understand all of the side effects before beginning treatment.

Patients are encouraged to take the smallest effective dose of Aleve for the shortest amount of time possible in order to reduce the risk of experiencing worsening mild side effects or even potentially life-threatening stomach issues. The most serious side effects can occur at any time and without warning, so patients should know when it is important for them to seek medical help. The only way to completely avoid these effects is by not taking NSAID pain relievers and fever reducers.

You May Like: Over The Counter Mouth Ulcer Treatment

Symptoms Of Kennedy Terminal Ulcer

Onset. These skin wounds can appear and develop over a few hours. The skin may be healthy in the morning. A few hours later, some small spots appear. Around mid-afternoon, these become black blisters that may grow larger. This is why theyâre sometimes known as the â3:30 Syndromeâ.

This is unlike pressure ulcers or bedsores, which usually take several days to develop. Bedsores are caused by limited blood flow to your skin. This usually happens to people who have medical conditions that cause them to spend most of their time in bed or in a chair.

A study found that 62.5% of people in hospice care had pressure ulcers in their last 2 weeks of life. Many of these pressure ulcers may actually be Kennedy terminal ulcers.

âColor. Kennedy terminal ulcers may be red, yellow, or black. They may look like a bruise and may darken quickly. The surrounding skin may be loose or soft beneath the surface.â

Shape. Kennedy ulcers have been described as butterfly-shaped, pear-shaped, or irregularly-shaped.

Location. Kennedy terminal ulcers typically appear on your sacrum. This is the lower end of your spine. They may also appear on your tailbone . The ulcers may also appear in other parts of your body. This includes heels, arms, elbows, and calf muscles.

Unavoidable. Kennedy terminal ulcers are considered unavoidable. That is, these ulcers appear despite preventative measures and the best care that can be given.

More articles

Popular Articles