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Best treatment of Stomach ulcers

treatment of stomach ulcer


Treatment of stomach ulcers:Treatment of stomach ulcers depends on the cause. Mostly the causes are Helicobacter pylori a bacterium that can be treated with antibiotic, sometimes excessive production of gastric acid and in this case the clinician will include the drugs that regulates or reduce the secretion of acid in the stomach. Medical treatment, surgical (mostly if there are complications) and also diet and lifestyle modifications to meet treatment criteria.

Read also:How long food stay in stomach

1.Medical Treatment of stomach ulcerswhat is the treatment of stomach ulcers

Stomach ulcer treatment involves the following:

1.Killing the H. pylori bacterium, if present.

2.Eliminating or reducing use of NSAIDs, if possible, and helping your ulcer to heal with medication.

Medications can include:

  • Antibiotic medications to kill H. pylori.If H. pylori is found in your digestive tract, your doctor may recommend a combination of antibiotics to kill the bacterium. These may include amoxicillin (Amoxil), clarithromycin (Biaxin), metronidazole (Flagyl), tinidazole (Tindamax), tetracycline (Tetracycline HCL) and levofloxacin (Levaquin).

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.

Available by prescription or over the counter, acid blockers include the medications ranitidine (Zantac), famotidine (Pepcid), cimetidine (Tagamet HB) and nizatidine (Axid AR).

  • 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.

Antacids can provide symptom relief, but generally aren't used to heal your ulcer.

  • 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.

Options include the prescription medications sucralfate (Carafate) and misoprostol (Cytotec).

Drugs used to treat peptic ulcers;


If you have an H. pylori infection, you'll usually be prescribed a course of 2 antibiotics, which each need to be taken twice or thrice a day for a week.

The antibiotics most commonly used are



and metronidazole.

Proton pump inhibitors (PPIs)

PPIs work by reducing the amount of acid your stomach produces, preventing further damage to the ulcer as it heals naturally. They're usually prescribed for 4 to 8 weeks.

The PPIs most commonly used to treat stomach ulcers are:




H2-receptor antagonists

Like PPIs, H2-receptor antagonists work by reducing the amount of acid your stomach produces.

Tthe most widely used H2-receptor antagonist for treating stomach ulcers is:


Antacids and alginates

Antacid medication   neutralizes your stomach acid and provide immediate, but short-term, symptom relief.

Some antacids also contain a medicine called an alginate, which produces a protective coating on the lining of your stomach.

Antiacids include;

Magnesium hydroxide

Magnesium trisilicate

Calcium carbonate


Depending on your age and other medical conditions these drugs maybe indicated or contraindicate. Please consult with your clinician always.

what is the treatment of Stomach ulcers

2.Surgical treatment of stomach ulcers

Done when peptic ulcers are complicated

The surgical management options are:

  • Vagotomy

  • Gastric drainage

  • Gastrectomy and reconstruction

  • Ulcer bed management

3.Diet and lifestyle

Peptic ulcers management needs special diet and lifestyle modification.

Here is what you can do to help healing of peptic ulcers;

  • Avoid drinking alcohol

  • Avoid eating drinking fizzy/carbonated rinks

  • Avoid smoking

What is the treatment of stomach ulcers