We treat a stomach ulcer and duodenal ulcer with the help of medicines

The peptic ulcer was also treated by the ancient Aesculapius, reducing the acidity level of the gastric juice. Today's physicians have come a long way in exploring this disease.

• Conservative treatment
• Etiotropic treatment
• Symptomatic treatment
• Drugs that suppress the secretory work of the digestive tract
• Gastroprotectors
• Sedatives
• Analgesics
• Vitamins
• Prostaglandins

Specialists note the similarity of the processes of therapy of gastric and intestinal ulcers. Modern doctors, before assigning treatment for stomach and duodenal ulcer with medicines, carry out a series of studies. They are necessary to determine the cause of the disease and the most effective treatment.

The functional and morphological state of the injured organ is studied:

1. There is an anamnesis.
2. The secretory intensity of the organ is established.
3. The pH value is measured - the level of concentration of hydrochloric acid contained in the stomach, intestine, esophagus.
4. An x-ray method is used.
5. Gastroscopy is performed.
6. A biopsy and histological examination of the tissues of the affected organ is performed.
7. Non-invasive tests are performed (respiratory test for the presence of bacteria).

Therapy of this pathology requires an individual approach. Treatment with pharmacological agents is accompanied by traditional methods:

• strict bed rest;
• compliance with diet with mechanical, chemical and thermal cooking;
• the appointment of fractional nutrition (5-6 times a day in small portions).

It is recommended to pass anti-relapse courses to prevent the return of the disease.

Important!On the treatment of stomach ulcers folk remedies, you can find out here.

Conservative treatment

Peptic ulcer requires surgical intervention only in complicated and neglected stages, requiring immediate medical intervention:

• perforation;
• perforation;
• penetration.

In other cases, especially with uncomplicated form, conservative therapy is used, consisting of immunotherapy, phytotherapy, and physiotherapy. Pharmacology - also included in the list of treatment methods that do not require third-party intervention in the body.

Important!On the principles of diet with an ulcer, read in our article.

Etiotropic treatment

So in medicine is called treatment, aimed at eliminating the cause of the disease. This strategy is most effective.

At the end of the XX century, scientists from Australia prove the infectious nature of peptic ulcer. They establish that in 50% of cases the root cause of ulcerative formations in the gastrointestinal tract is a bacterium - Helicobacter pylori (Helicobacter pylori). She found her home in the human food tract, adapting to a highly acidic environment.

In the case of this bacterium, medication is administered with the use of antibiotics to achieve eradication (destruction) of the bacterium with minimal damage to the human body.

Antibiotics

In the arsenal of the world scientific community there is an effective scheme for treating the destructive effects of bacteria. She is hit with antibiotics paired with proton pump inhibitors (IPN). The following drug bundle is used:

One of the IPN representatives (in mg) twice a day (weekly course):

• Omeprazole, it's "Omez" (20);
• Lansoprazole (30);
• Pantoprazole (40);
• Esomeprazole (20);
• Rabeprazole (20).

Antibiotics (in mg) twice a day (weekly course):

• Clarithromycin (500);
• Amoxicillin (1000);
• Metronidazole, also known as Trichopol (500).

Important!Such therapy can last up to 2 weeks, depending on the bacterial density of the colony and in 90% of cases ends with recovery.

Over time, the bacterium has learned to adapt to the conditions under which it is being treated. This requires the use of additional antibiotics, lengthening the course of therapy.

Symptomatic treatment

This type of treatment is used to remove negative manifestations of the disease, ease discomfort, temporarily relieve the patient of pain, without affecting its roots.

Before the discovery of the main pathogenetic factor in the formation of gastrointestinal ulcers (Helicobacter pylori bacteria), doctors around the world circled around the effects, not knowing the reasons.

However, this therapeutic method continues to live among specialists. She accompanies the main course of treatment - bacterial eradication. But it can also be used alone. With what do we deal with the symptomatic treatment of gastric and duodenal ulcers?

Drugs that suppress the secretory work of the digestive tract

At the dawn of the XX century it was believed that the appearance of the disease causes hydrochloric acid, which is produced in the stomach. But by itself it does not destroy the mucous membranes. Bacteria - that's what erosizes the protective layer of the inner shell of the stomach or duodenum. And the acid, penetrating into the "wound", involuntarily becomes an accomplice in the harmful work of the microorganism. This translates the disease into a rank of acid-dependent.

However, in those days, the treatment scheme for the ulcer was different from the current one, and the scientists insisted on reducing the acidity concentrate and reducing the amount of juice produced by the stomach. These functions were taken over by the following groups of drugs:

• antacids;
• proton pump inhibitors;
• M-cholinolytics;
• H2-blockers.

Influencing the cells, glands and receptors of the gastrointestinal tract, these drugs block their action, seeking to reduce both the concentration and the amount of secretory fluid.

Antacids

Everyone knows the usual baking soda. But not many know that for the stomach, this white powder becomes an antacid - a drug that reduces the acid level. This effect can be achieved adsorbing properties of substances contained in antacids: magnesium, calcium, aluminum. The antacids include:

• maalox;
• almagel;
• alumag.

Important!With frequent intake of drugs from this group, you run the risk of diarrhea.

Proton pump inhibitors

A well-known representative of this group of drugs that inhibit the production of gastric juice is omeprazole ("Omez"). It is taken in the form of a powder and inhibits the secretion process in the stomach. Other drug options:

• esomeprazole;
• rabeprazole.

Important!There is a rich list of side effects. Can cause nausea, depression, constipation.

M-cholinolytics

Block the production of gastric juice. Examples of this group of drugs are:

• atropine;
• platyphylline;
• / RTI & gt;

Important!With the intake of such drugs, the following side effects are associated: palpitation, tachycardia, dizziness.

H2-blockers

The most popular are:

• cimetidine;
• ranitidine;
• famotidine.

Important!Remember about the side effects: dizziness, nausea, lowering blood pressure.

Drugs that suppress the secretion of gastric juice for a long time, are used in the practice of treatment of the stomach and duodenum. They help to get rid of heartburn, bloating, pain and other unpleasant sensations. However, with ulceration, the intake of these medicines will have to become a habit, because the symptoms with which they struggle will periodically return.

Gastroprotectors

The main task performed by the drugs of this group is the creation of a protective film that envelops the ulcer. Thus, the diseased site will be blocked from the destructive effects of bacteria and gastric juice.

For ulcer patients successfully used:

• bismuth tricalcium dicitrate ("De-nol");
• sucralfate;
• bismuth subnitrate;
• alginic acid.

Despite the fact that most of these drugs are classified as antacids, they can still be isolated in a separate group because of the particular effect on the wall of the stomach. Produced in the form of tablets with a shell.

Important!Learn how to treat a stomach ulcer at home.

Sedatives

Often doctors can hear that peptic ulcer develops against a background of constant stress and nervous overexcitation. In order to eliminate this adverse factor in the treatment of the disease, doctors use sedative or sedative medications. In general, these are herbal medicines:

• valocordin;
• corvalol;
• validol.

Important!Sedation drugs almost do not cause side effects.

Analgesics

Painkillers of non-narcotic nature are often prescribed as an additional medicine in the main course of therapy. Relieve pain symptoms help:

• analgin;
• paracetamol;
• ibuprofen.

They are also used to relieve the inflammatory process and lower the temperature - frequent signs of peptic ulcer.

Important!The gastric mucosa reacts individually to such drugs. Apply them paired with gastroprotectors.

Vitamins

Vitamins will be a great help in the treatment of gastrointestinal disorders. They contribute to the regeneration of mucous membranes, lowering the pH of gastric juice and its amount, tone the peristalsis. It is worth paying attention to the following:

• vitamin U;
• vitamin B5.

Important!These vitamins are found in yolks, carrots, dairy products, sesame.

Prostaglandins

Hormonal substances involved in many functions of the human body. Follow the blood pressure, reduce the acidity of gastric juice.

Violation of these substances can cause the use of non-steroidal anti-inflammatory drugs (NSAIDs) and lead to an ulcer, even if you are not a carrier of the Helicobacter pylori bacterium.

Important!The classic representative of NSAIDs is aspirin.

The doctors learned how to create prostaglandins in the laboratory and apply them to ulcer patients. The list of these drugs that have a beneficial effect includes:

• misoprostol;
• enprostil;
• rioprostil;
• timoprostil.

They protect the cells of the digestive tract, suppress the intensity of gastric secretion, improve the properties of the inner shell of the organ and the process of healing it.

Important!Of side effects: vomiting, diarrhea, migraines.

From synthetic prostaglandins in our country is admitted to the sale of misoprostol.

Conservative treatment of peptic ulcer medications coexists and goes along with physiotherapy, physiotherapy, phytotherapy, diet. Do not self-medicate. Use medicines only after consulting a doctor and with his permission.