Back to Stomach ulcer. If you have a stomach ulcer, your treatment will depend on what caused it. With treatment, most ulcers heal in a month or two. If your stomach ulcer is caused by a Helicobacter pylori H.
This is also recommended if it's thought your stomach ulcer is caused by a combination of an H. An alternative type of medication, known as H2-receptor antagonists, is occasionally used instead of PPIs. Sometimes you may be given additional medication called antacids to relieve your symptoms in the short term. There aren't any special lifestyle measures you need to take during treatment, but avoiding stress, alcohol, spicy foods and smoking may reduce your symptoms while your ulcer heals.
If you have an H. You'll be retested at least 4 weeks after finishing your antibiotic course has been completed to see whether there are any H. PPIs work by reducing the amount of acid your stomach produces, preventing further damage to the ulcer as it heals naturally.
Tell your doctor if the medicines make you feel sick or dizzy or cause diarrhea or headaches. Your doctor can change your medicines. If you smoke, quit. You also should avoid alcohol. Drinking alcohol and smoking slow the healing of a peptic ulcer and can make it worse. Your doctor can help you determine how to continue using an NSAID safely after your peptic ulcer symptoms go away.
Tell your doctor about all the prescription and over-the-counter medicines you take. Your doctor can then decide if you may safely take NSAIDs or if you should switch to a different medicine. In either case, your doctor may prescribe a PPI or histamine receptor blocker to protect the lining of your stomach and duodenum.
If you have an H. A doctor will prescribe antibiotics to kill H. How doctors prescribe antibiotics may differ throughout the world. Over time, some types of antibiotics can no longer destroy certain types of H.
Antibiotics can cure most peptic ulcers caused by H. However, getting rid of the bacteria can be difficult. Take all doses of your antibiotics exactly as your doctor prescribes, even if the pain from a peptic ulcer is gone. Medicines containing bismuth subsalicylate , such as Pepto-Bismol, coat a peptic ulcer and protect it from stomach acid.
Although bismuth subsalicylate can kill H. An antacid may make the pain from a peptic ulcer go away temporarily, yet it will not kill H. If you receive treatment for an H. Some of the antibiotics may not work as well if you take them with an antacid. The breath test is the most accurate.
For the breath test, you drink or eat something that contains radioactive carbon. Later, you blow into a bag, which is then sealed. If you're infected with H. If you are taking an antacid prior to the testing for H. Depending on which test is used, you may need to discontinue the medication for a period of time because antacids can lead to false-negative results. Your doctor may use a scope to examine your upper digestive system endoscopy. During endoscopy, your doctor passes a hollow tube equipped with a lens endoscope down your throat and into your esophagus, stomach and small intestine.
Using the endoscope, your doctor looks for ulcers. If your doctor detects an ulcer, a small tissue sample biopsy may be removed for examination in a lab. A biopsy can also identify whether H. Your doctor is more likely to recommend endoscopy if you are older, have signs of bleeding, or have experienced recent weight loss or difficulty eating and swallowing.
If the endoscopy shows an ulcer in your stomach, a follow-up endoscopy should be performed after treatment to show that it has healed, even if your symptoms improve. Our caring team of Mayo Clinic experts can help you with your peptic ulcer-related health concerns Start Here. Treatment for peptic ulcers depends on the cause. Usually treatment will involve killing the H. Antibiotic medications to kill H. These may include amoxicillin Amoxil , clarithromycin Biaxin , metronidazole Flagyl , tinidazole Tindamax , tetracycline and levofloxacin.
The antibiotics used will be determined by where you live and current antibiotic resistance rates. You'll likely need to take antibiotics for two weeks, as well as additional medications to reduce stomach acid, including a proton pump inhibitor and possibly bismuth subsalicylate Pepto-Bismol. Medications that block acid production and promote healing. Proton pump inhibitors — also called PPIs — reduce stomach acid by blocking the action of the parts of cells that produce acid.
These drugs include the prescription and over-the-counter medications omeprazole Prilosec , lansoprazole Prevacid , rabeprazole Aciphex , esomeprazole Nexium and pantoprazole Protonix. Long-term use of proton pump inhibitors, particularly at high doses, may increase your risk of hip, wrist and spine fracture. Ask your doctor whether a calcium supplement may reduce this risk. Medications to reduce acid production.
Acid blockers — also called histamine H-2 blockers — reduce the amount of stomach acid released into your digestive tract, which relieves ulcer pain and encourages healing.
Antacids that neutralize stomach acid. Your doctor may include an antacid in your drug regimen. Antacids neutralize existing stomach acid and can provide rapid pain relief.
Side effects can include constipation or diarrhea, depending on the main ingredients. Medications that protect the lining of your stomach and small intestine. In some cases, your doctor may prescribe medications called cytoprotective agents that help protect the tissues that line your stomach and small intestine. Treatment for peptic ulcers is often successful, leading to ulcer healing. But if your symptoms are severe or if they continue despite treatment, your doctor may recommend endoscopy to rule out other possible causes for your symptoms.
If an ulcer is detected during endoscopy, your doctor may recommend another endoscopy after your treatment to make sure your ulcer has healed. Ask your doctor whether you should undergo follow-up tests after your treatment.
Peptic ulcers that don't heal with treatment are called refractory ulcers.
0コメント