What Is A Stomach Ulcer
A stomach ulcer, also called a gastric ulcer, is an open sore that develops in your stomach lining. You can also get one in your duodenum, the first part of the small intestine that your stomach feeds into. Duodenal ulcers and stomach ulcers are both types of peptic ulcers. Theyre named for pepsin, one of the digestive juices that are found in the stomach and that sometimes leak into the duodenum. These juices are a contributing factor in peptic ulcer disease.
Peptic ulcers occur when the protective mucous lining in your stomach and duodenum has been eroded, allowing gastric acids and digestive enzymes to eat away at your stomach and duodenal walls. This eventually results in open sores that are continually irritated by the acid. If left untreated, they can begin to cause serious complications, such as internal bleeding. Over time, they can even wear a hole all the way through. This is a medical emergency.
What Are The Symptoms Of A Peptic Ulcer Does It Cause Pain
Ulcers do not always cause symptoms. Sometimes, a serious complication such as bleeding or a sudden, bad upper abdominal pain is the first sign of an ulcer.
The most common symptom of peptic ulcers is abdominal pain.
- The pain is usually in the upper middle part of the abdomen, above the belly button and below the breastbone.
- The ulcer pain can feel like burning, or gnawing, and it may go through to the back.
- Pain often comes several hours after a meal when the stomach is empty.
- The pain is often worse at night and early morning.
- It can last anywhere from a few minutes to several hours.
- The ulcer pain may be relieved by food, antacids, or vomiting.
Other symptoms of peptic ulcers include the following:
- Loss of appetite
- Loss of weight
Severe ulcers may cause bleeding in the stomach or duodenum. Bleeding is sometimes the only symptom of an ulcer. This bleeding can be fast or slow. Fast bleeding reveals itself in one of the following ways:
- Vomiting of blood or dark material that looks something like coffee grounds: This is an emergency and warrants an immediate visit to an emergency department.
- Blood in the stool or black, tarry, sticky-looking stools
Slow bleeding is often more difficult to detect, because it has no dramatic symptoms.
- The usual result is low blood cell count .
- The symptoms of anemia are tiredness , lack of energy , weakness, rapid heartbeat , and pale skin .
Living With Ulcerative Colitis
With careful management, most people with UC are able to enjoy life, including work, travel, recreation, sex and having children.
To keep healthy, consider:
- eating a nutritious diet to help with healing and reduce fatigue
- keeping a food diary to check if there are any foods that make your symptoms worse during a flare-up
- asking your doctor about supplements if you think you may be malnourished
- exercising regularly to lift your mood and help relieve stress
- learning some relaxation techniques to help manage stress
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Over The Counter Treatment For Leg Ulcers
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How To Prevent Treat Ulcers
To lower your risk of ulcers, follow the recommended-use instructions on products containing NSAIDs, Abdi said. These typically note that the medication shouldnt be taken for longer than 10 to 14 days. The longer you take it and the higher dose that you take it outside of the labeled use, youre at greater risk for developing complications, she said.
Switching to a lower-risk pain reliever, such as Tylenol, or acetaminophen, may also be helpful, experts said. But although acetaminophen treats pain, it isnt an anti-inflammatory, and taking too much can cause liver damage.
Experts recommended that people who use NSAIDs to help manage chronic pain talk with their health-care provider, rather than self-medicate. Keep in mind that there isnt a specific dosage or use period that is considered universally safe, Stevoff said.
Everybodys different, he said. For some people, they can take massive doses of these things and never have a problem. Other people can take relatively small amounts and get an ulcer right away.
If your treatment requires taking NSAIDs over a long period, your doctor may also prescribe a common acid-reducing medication known as proton pump inhibitors, or PPIs, experts said. Some PPIs, such as Prilosec and Nexium, are over-the-counter medicines.
As I have learned, NSAIDs have side effects and ignoring their potential impact isnt a good idea, she . I am exhibit A.
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Prevention Of Peptic Ulcers
Using alternatives to NSAIDs, like acetaminophen, to relieve pain can help prevent peptic ulcers. If you need to use an NSAID, opt for the lowest dose and take it with a meal.
Peptic ulcers caused by infection with Helicobacter pylori are not usually preventable, but good hygiene such as washing your hands thoroughly before eating and after using the bathroom may help limit the spread.
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 . Do not allow the liquid to freeze. Dispose of unused famotidine liquid after 30 days.
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.
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.
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How Is It Diagnosed
See your doctor if you have persistent signs and symptoms that worry you. Over-the-counter antacids and acid blockers may relieve the gnawing pain, but the relief is short-lived. If the stomach ulcer pain persists, see your doctor.
Your doctor will ask you about your symptoms, medical history and give you a physical examination.
To be sure of a stomach ulcer diagnosis, you will need to undergo diagnostic tests, such as:
- Tests for H. pylori: These tests include your blood, stool and breath
- An endoscopy: A scope is used to examine your upper digestive system. Your doctor passes a hollow tube equipped with a lens down your throat and into your oesophagus, stomach and small intestine. If an ulcer is detected, small tissue samples may be removed for examination in a lab.
- X-ray of your upper digestive system: Sometimes called a barium swallow or upper gastrointestinal series, this series of X-rays creates images of your oesophagus, stomach and small intestine.
Peptic Ulcer Healing Drugs
1.AntibioticsFor ulcers caused by H. pylori infection, you will be asked to take two or three antibiotics together with a PPI. There is good evidence that such eradication therapy has benefits both in healing ulcers and preventing recurrence, especially for duodenal ulcer. Commonly used antibiotics are amoxicillin, clarithromycin, metronidazole and tetracycline. They are prescription-only medicines and are available in many dosage forms such as tablets and capsules.
2.Proton pump inhibitors 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. Their effect on suppressing gastric acid production is stronger than that of Histamine-2 receptor antagonists. These include the pharmacy only medicine omeprazole, and the pharmacy only medicines lansoprazole, rabeprazole, esomeprazole, pantoprazole and aripiprazole. They are available in various dosage forms such as tablets, capsules and injections.
3.Histamine-2 receptor antagonistsHistamine-2 receptor antagonists suppress the secretion of gastric acid by blocking the actions of histamine, a protein produced by the body that stimulates gastric acid secretion. Examples include cimetidine, famotidine and ranitidine. They are over-the-counter medicines and are available in forms of tablets, capsules, syrups or injections.
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What Over The Counter Medicine Is Best For Stomach Pain
Video answer: How to choose the right over-the-counter pain medication for you
9 other answers
Best OTC Products for Digestive Problems. Prilosec OTC, TUMS, Emetrol and MiraLAX are recommended by many pharmacists for a range of digestive issues. By Ruben Castaneda.
There are two main types of OTC medications used to treat nausea and vomiting: Bismuth subsalicylate, the active ingredient in OTC medications like Kaopectate® and Pepto-Bismol, protects your stomach lining. Bismuth subsalicylate is also used to treat ulcers, upset stomach and diarrhea.
Considered by most users as the best medicine for bloating, Imodium Multi-Symptom Relief Caplets target not just flatulence, but also all other symptoms of stomach disturbance. This includes cramps, pressure, and diarrhea. Imodium is one of the most popular brands for gastrointestinal relief, which is why it has developed a wide base of consumers.
Best for Stomach Aches: Pepto Bismol LiquiCaps at Amazon Effective in remedying excessive gas experienced in conjunction with an upset stomach. Best Gummy: Alka-Seltzer Heartburn + Gas Relief Chews at Amazon For folks who struggle with swallowing pills, a tasty gummy that helps relieve excessive gas, heartburn, acid indigestion, and more.
Over-the-Counter Medications For gas pain, medicine that has the ingredient simethicone can help get rid of it. For heartburn from gastroesophageal reflux disease , try an
For Nausea and Vomiting
Otc Medications For Mouth Ulcer
1. Orajel Antiseptic Mouth Sores Rinse
This mouth wash has actually been ranked 5 stars by Google users. In addition to promoting the recovery of mouth sores, a few swishes of this rinse will help in eliminating bacteria and decrease gum inflammation inside the mouth. Its sold at your local drug store, usually for $7 or less.
2. CankerMelts Canker Sore Treatment
Among the most prominent dental research centers in the nation, Washingtons School of Dentistry, has deemed this to be the most reliable over-the-counter medication to treat mouth ulcers. Each package comes with 24 discs and is proven to heal sores within 1 to 5 days. It costs about $14.99.
3. Releev Cold Sore Treatment
If youre not responsive to tablets or mouthwash, this may be the best solution for you. Applying this paste to the affected area 3 to 4 times daily will reduce the pain and irritation of mouth ulcers. This medication can be used as an antibacterial to help dry cold sores and can be used inside the lips too. Its a little costlier than the previously discussed medications, but nonetheless reliable. This medication normally sold at $21.99.
If you have additional questions concerning mouth sores or ways to prevent/treat them, contact your dental expert, who will be your best resource for the essential precautions you need to take.
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How Is Proctitis Diagnosed
To diagnose proctitis, a health care provider will take a complete medical history and do a physical exam. The health care provider will ask the patient about symptoms, current and past medical conditions, family history, and sexual behavior that increases the risk of STD-induced proctitis. The physical exam will include an assessment of the patients vital signs, an abdominal exam, and a rectal exam.
Based on the patients physical exam, symptoms, and other medical information, the doctor will decide which lab tests and diagnostic tests are needed. Lab tests may include blood tests such as a complete blood count to evaluate for blood loss or infection, stool tests to isolate and identify bacteria that may cause disease, and an STD screening. The doctor also may use one of the following diagnostic tests:
For either test, the person will lie on a table while the doctor inserts a flexible tube into the anus. A small camera on the tube sends a video image of the intestinal lining to a computer screen. The doctor can see inflammation, bleeding, or ulcers on the colon wall. The doctor may also perform a biopsy by snipping a bit of tissue from the intestinal lining. The person will not feel the biopsy. The doctor will look at the tissue with a microscope to confirm the diagnosis. In most cases, a light sedative, and possibly pain medication, helps people relax during a colonoscopy.
What If A Peptic Ulcer Doesn’t Heal
Most often, medicines heal a peptic ulcer. If an H. pylori infection caused your peptic ulcer, you should finish all of your antibiotics and take any other medicines your doctor prescribes. The infection and peptic ulcer will heal only if you take all medicines as your doctor prescribes.
When you have finished your medicines, your doctor may do another breath or stool test in 4 weeks or more to be sure the H. pylori infection is gone. Sometimes, H. pylori bacteria are still present, even after you have taken all the medicines correctly. If the infection is still present, your peptic ulcer could return or, rarely, stomach cancer could develop. Your doctor will prescribe different antibiotics to get rid of the infection and cure your peptic ulcer.
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List Of Stomach Ulcer Medications 43
76 rows · Examples of medications that may be considered to treat stomach ulcers include: Antibiotics
See all 70 rows on www.drugs.comThe post The Best Over-the-Counter Cold and Flu Meds appeared first on Best Health Magazine Canada, esomeprazole and pantoprazole .You can help a stomach ache by taking medications like Pepto Bismol,What is the best prescription drug for stomach ulcers? Proton pump inhibitors also called PPIs reduce stomach acid by blocking the action of the parts of cells that produce acid, Gaviscon can help heartburn, rabeprazole , The best medicine for ulcers under this category is omeprazole, triggering a new burning experiencing inside theList of generic meds for Stomach threatment Wasserstoffion Push Blockers can be a group of drug treatments approved by simply doctors with regard to ulcerative colitis, Gaviscon, ibs or even gastroesophageal poisson illness, While antacidsCayenne pepper contains capsaicin, The best over-the-counter medicines to help treat your heartburn, Rolaids and milk of magnesia are
Alternative And Complementary Therapies
Certain lifestyle changes can help you recover from an ulcer.
- Watch your diet. If you know that there are specific foods that make your ulcer feel worse, avoid them until your treatment is over. For many people, these include alcohol, caffeine, fatty foods, spicy foods, and chocolate.
- Stop smoking. If you smoke, you are already at increased risk of getting an ulcer. The data also shows that ulcers take longer to heal in smokers and that the ulcer medication you are taking may be less effective. Scientists dont know exactly why smoking has these negative effects.
- Take pain medication carefully. NSAIDs, such as aspirin, ibuprofen, and many other commonly taken drugs, are taken for pain and fever, but can cause an ulcer if used too often. NSAIDs can also prevent an ulcer from healing as quickly as you would like, so talk to your doctor about what you can take for your other aches and pains while you are waiting for your ulcer to heal. Acetaminophen does not cause ulcers, so it may be an effective substitute. Also, be sure to read all drug labels some cough and cold liquids have NSAID ingredients in them, and you should avoid them, too.
- Cut back on alcohol. Stop drinking alcohol if you want to completely reduce your risk of additional ulcers and help your body heal.
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Strategies To Reducegastrointestinal Toxicity
Caution is needed to minimise the known adverse effects. Before prescribing, the medical history needs to be reviewed in order to assess the risk of gastrointestinal toxicity. This includes asking about the use of over-the-counter aspirin and NSAIDs. Consideration needs to be given to the choice of NSAID and the duration of therapy. Patients need to be informed and be aware of potential serious adverse events.
Helicobacter Pylori And Nsaids In Peptic Ulcer Disease
Testing for H. pylori for ulcer prevention in asymptomatic patients needs to be assessed on a case-by-case basis and is not routinely recommended. However, testing and eradicating H. pylori is recommended in patients with a past history of peptic ulcer disease before starting low-dose aspirin or NSAIDs.15
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How Should This Medicine Be Used
Prescription famotidine comes as a tablet and a suspension to take by mouth. It is usually taken once daily at bedtime or two to four times a day. Over-the-counter famotidine comes as a tablet, a chewable tablet, and a capsule to take by mouth. It is usually taken once or twice a day. To prevent symptoms, it is taken 15 to 60 minutes before eating foods or drinking drinks that may cause heartburn. Follow the directions on your prescription or the package label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take famotidine exactly as directed. Do not take more or less of it or take it more often or for a longer time than prescribed by your doctor.
Shake the liquid well for 5 to 10 seconds before each use to mix the medicine evenly.
Swallow the tablets and capsules with a full glass of water.
Thoroughly chew the chewable tablets before swallowing them. Swallow the chewed tablet with a full glass of water.
Do not take more than two tablets, capsules, or chewable tablets of over-the-counter famotidine in 24 hours and do not take over-the-counter famotidine for longer than 2 weeks unless your doctor tells you that you should. If symptoms of heartburn, acid indigestion, or sour stomach last longer than 2 weeks, stop taking over-the-counter famotidine and call your doctor.