The drug for stomach ulcers. Tablets and medicine for stomach ulcers and which ones are best to take. Complementary treatments

27.02.2019

Treatment with drugs for stomach ulcers involves the use of certain groups of drugs. Some are prescribed as pills, others as injections. The goal of drug use is to return the disease to permanent remission. When treating stomach ulcers, only folk recipes the expected result is unlikely to be achieved, moreover, there is a risk of deterioration in the general condition of the patient. To treat the disease, a number of pharmacological drugs are used. Before starting therapy, you should consult your doctor.

These medications can cause other problems, so it is recommended to take them after meals, if possible, for the shortest possible required time. Rare Causes Peptic ulcers include Zollinger-Ellison syndrome, which results in abnormally high secretion of acid in the stomach and subsequent lesions in both the stomach and duodenum as a result of increased production of certain hormones. For a long time, smoking, excessive stress and eating alcohol were considered one of the main causes of peptic ulcer disease.

The effectiveness of drug therapy

The chronic form of the disease must be treated using drugs. A number of pharmaceuticals can achieve quick recovery peptic ulcer, eliminate inflammation pain and other discomfort.

In the process of taking a biopsy, a macropreparation is able to show the stage of restoration of epithelial cells.

The fact is that these factors increase the risk of this, but they do not play key role... The symptoms are very similar to stomach ulcers, with the difference that the pain is most severe and relieves after infection. Many patients have been treated unsuccessfully for many years and their problem has still returned. Early treatment at regular use drugs that suppressed gastric acid production were considered sufficient treatment. Weekly triple combination therapy can fix the problem very well for good.

Peptic ulcer symptoms such as flatulence, abdominal pain, or nausea may accompany a number of other conditions that should be ruled out. Less severe ones involve reflux of digestive juices back into the esophagus or irritable bowel. More attention should be paid to problems associated with weight loss, night sweats and total loss of appetite. These symptoms are often associated with swelling or severe inflammatory disease... In some cases, nausea and abdominal pain can be misinterpreted as digestive upset in heart attacks.

Improvements in well-being can be achieved by adjusting the menu and using traditional medicine. Effectiveness after such therapy may come over time, but it often takes a long amount of time to get the result. Applying modern medications, with proper use, a positive change is noticeable already after a week. To confirm the results of the diagnosis, tissue is taken for a biopsy, and a macro specimen is made. Analogues among the drugs used in folk medicine, No. For example, synthetic analgesics for gastric ulcer (Omez, Ranitidine).

Stress still dominates as essential factor in the formation of stomach ulcers. Thus, psychological mood and lifestyle are still considered a significant factor and are included in treatment and prevention. This means that a regular diet and efforts to learn to cope with stressful situations, have not lost their importance, but even the difficulties.

There is nothing easier than taking pills and the problem will be solved. Lifestyle changes take much more effort and life. Stomach ulcers are far from the conscience of stress as people are traced. Diet composition, alcohol consumption. Stomach ulcers are also called peptic ulcers. Is it a stomach injury or duodenum, which gradually penetrates into the deeper layers of the musculature. A healthy stomach filled with digestive juices has a strong acidic environment suitable for food breakdown.

To drug therapy achieved the proper results and without prejudice to health, she is appointed by a therapist or gastroenterologist. Self-treatment can give undesirable complications for the patient. From time to time, endoscopic diagnostics are carried out, a tissue biopsy is taken for a macro specimen.

The wall of the stomach protects the mucous layer from the aggressive action of acid. If acid production is excessive or the stomach lining is weakened, the wall integrity is easily compromised and ulcers develop. Stomach ulcers affect men and women equally often, regardless of age, rarely seen in children. According to statistics, about ten people get sick every day. The bacterium can cause inflammation in some of its carriers, which weakens the stomach wall and contributes to the destructive effects of acid.

In addition to bacteria, there are many factors that can cause ulcers: long-term stress, such as from severe injuries or extensive burns, and drinking coffee, alcohol or citric acid, which increases the production of stomach acid. Sensitive people can contribute to the onset of illness by using hot and spicy foods, which indirectly increase the secretion of stomach acid. Conversely, long-term use of certain drugs such as acylpyrine, ibuprofen, or diclofenac has been reported to reduce the protection of the stomach wall.

Certain medications by themselves can trigger an exacerbation. These include aspirin, paracetamol. If you use aspirin on an empty stomach randomly, stomach ulcers will form in the shortest period of time.

Indications for drug therapy

Indications for drug therapy are:

The most effective medicines

And smoking is bad because nicotine reduces the blood supply to the mucous membrane. All this adds to the inheritance, abnormalities of stomach ulcers. A peptic ulcer can be mild, but it can also be accompanied by severe symptoms. The main manifestation is pain - in the case of a duodenal ulcer, fasting occurs, pain in a stomach ulcer - pain during and after eating. Peptic ulceration can also be known for burning in the esophagus, a sensation of sour return and burning back into the esophagus. frequent deadlines vomiting or constant pain in a stomach.

Contraindications to drug therapy

In addition to direct indications, most of the drugs have contraindications for use:

Main subgroups

Medicines for gastric ulcer are usually divided into certain subgroups. They differ in the principle of impact and the final result.
Complications of peptic ulcer disease are situations where a defect in the ulcer penetrates the wall of the stomach vessel, causing bleeding. This is an emergency when the patient vomits up blood, which later appears in a digested form in the stool. In such cases, an acute hospital intervention is required. Sometimes the ulcer can crack, which means that it invades the entire wall of the stomach, the contents of the stomach then flow into abdominal cavity... In this case, the patient must work immediately.

Treatment of gastritis and stomach ulcers with folk remedies
Flexible upper endoscopy is used to diagnose and treat stomach ulcers. gastrointestinal tract... The surgeon examines the entire lining of the esophagus, stomach, and duodenum with an endoscope. Endoscopic examination may take samples from the mucous membrane if a tumor, inflammation, or complicated ulcer is suspected. The endoscope channel can also be used for treatment, such as creating possible bleeding from an ulcer.

Antibacterial agents

Antimicrobial agents are aimed at eliminating the helicobacter pylori bacteria inside the stomach - the causative agent of stomach ulcers and gastritis. For the most part, this microorganism is responsible for the formation of the disease.

The pain caused by the ulcer can be suppressed by the administration of antacids, medications to reduce acidity, which will help in a short time, but do not solve the situation. Most effective method peptic ulcer treatment is blocking education of hydrochloric acid in the stomach. The most commonly used are so-called proton pump blockers.

Better than peptic ulcer treatment is prevention. Since the appearance of a peptic ulcer often causes bad image life, good to fix it. This means eating regularly, not eating, avoiding overuse alcohol, avoid, smoke, and cut back on caffeine or soda.

Treatment is often prescribed that includes antibiotics. The funds are prescribed in the form of tablets and injections. These include Clarithromycin, Erythromycin, Tetracycline.

In addition to the above medicines, the scheme may contain the drug Trichopolum during the illness. It is characterized by antimicrobial and antiprotozoal action.

One of the causes of stomach ulcers is a lifelong style, because a lot of stress can be created in the world around us. Stomach ulcers are among the peptic diseases. An ulcer is a defect in the mucous membrane that invades the muscle layer. This occurs when the acidic secretions of the stomach on the stomach lining do not have adequate protection against it. When its integrity is violated, a stomach ulcer occurs.

List of indications for drug therapy

Stomach ulcers usually occur when they carry aggressive factors over protective ones. One of the main reasons is bacteria, inflammatory gastric mucosa, the so-called peptic ulcer, occurs in the mucous membrane weakened by inflammation. Not everyone is infected with peptic ulcer disease. As a rule, the stomach lining is protected from its own acid-protected mucus. If there is an imbalance between mucus production and acid production, a partial stomach ulcer, that is, a stomach ulcer, can occur.

Antibiotics, such as Clarithromycin, are prescribed to treat stomach ulcers and preventive purposes... It is necessary to carefully approach the use of the funds of this subgroup, since this can cause dysbiosis and diarrhea. Drugs are prescribed under the supervision of a specialist with constant testing.

Antacids

The drug subgroup is used as antiseptics, enveloping and absorbing drugs. They protect the mucous membrane from aggressive factors, promote the elimination of toxic substances, reduce the activity of hydrochloric acid and enzymes that cause corrosion of the gastric mucosa and support inflammatory processes... It is more expedient to use them than Activated carbon or polysorb.

There are many factors associated with the development of ulcers. Sometimes it can be just one obvious cause, sometimes it is involved in causing more ulcers. Stomach acid production usually occurs with prolonged stress, serious injury, or extensive burns. When drinking alcohol, coffee or drinks with citric acid which leads to increased production of stomach acid. Taking nicotine decreases mucosal blood flow. Long-term use of drugs for example.

In seduction, heart or stroke, which include aspirin, ibuprofen, diclofenac, etc. Unfortunately, ulcers caused by these drugs are quite common. Another cause could be cancer, liver disease, or other digestive ailments.

This subgroup includes tablets for peptic ulcer disease - Gastal or Sodium bicarbonate. Fosfalugel, Maalox, Almagel are prescribed as suspensions. Such drugs provide an auxiliary effect in treatment regimens for the disease. Festal is used in a complex way in order to improve assimilation.

Histamine receptor blockers

This subgroup is used to block the excessive secretory activity of the glands in the gastric walls. The funds are involved in disabling parietal cells, which are responsible for the production of hydrochloric acid and gastric acid enzymes. Decreases aggressive impact of the gastric juice itself, inflammation is relieved.

Diseases of stomach ulcers can occur mild with little difficulty, or, conversely, are accompanied by very unpleasant and painful symptoms such as p Live stabbing or dull pain, which is usually in the upper abdomen or to the right of the mid-abdominal line under the sternum, it can spread under the right costal arch. Pain is especially noticeable when eating.

A stomach ulcer may also present with a burning sensation in the throat, feeling sour and spicy returning back to the esophagus, frequent need for constant vomiting, or abdominal pain. Drowsiness and fatigue are also signs of this disease. Sometimes the pain comes and goes, especially after eating. It sometimes takes several days to awaken the patient from sleep.

The drugs in this subgroup include several generations. The first is Cimetidine. To date, such a drug against the disease is actually not used. Second generation Ranitidine, Nizatidine, Famotidine and other tablets in the treatment of ailment. In the process of using paracetamol and aspirin, the disease is constant adverse effect... Therefore, Ranitidine is often prescribed for prophylactic purposes.

Another symptom is that the patient becomes thinner, but sometimes also fat when he gets pain from food. Blood may appear on the stool, often turning black. The patient has nausea, sometimes vomiting. Difficulties are often seasonal and worsen especially in the spring and fall. Ulcers can be complicated by either bleeding or rupture. In any case, an emergency procedure is required.

V severe pain, medications are used to suppress problems digestive tract which reduce acidity and help in a short time. How can you help with the use of aloe vera? From this article, we could read that ulcers develop in a mucous membrane that is weakened by inflammation. The effects of Aloe Vera are known to be highly anti-inflammatory. Taking the quality of Aloe Vera, it is able to fight one of the causes of this disease.

Group of gastroprotectors

Drugs in the treatment of peptic ulcer of the duodenum and stomach include bismuth and some chemical substances... They are characterized by a pronounced anti-inflammatory effect, reduce painful sensations from this disease... It is not recommended to use anesthetics or Paracetamol for these purposes, this contributes to a deterioration in well-being. Gastroprotective agents have a slight antibacterial effect, less than, for example, Clarithromycin. The subgroup of medicines is used to treat exacerbations of the disease, as well as in how prophylactic agent, during the course of treatment of gastritis.

Another effect that Aloe Vera can boast of is the comparison of acid-base balance in the body. It can deeply acidify the body very deeply. This issue also has a problem, which appears to be one of the other causes. Over-fertilization of the organism is the chapter itself. This causes many problems that cause many other diseases, and ulcers are just one of them. Using Aloe Vera to compare your acid-base balance can be helpful on many levels.

How to speed up regeneration

Over-oxidation of the body has also been linked to another cause of peptic ulcer disease, which is stress. The presence of frequent stress causes the formation of other acids in the body. In this case, Aloe Vera is compared to acid degradation and the psychological well-being of a person, because everything here is really all about it.

Preventive measures of peptic ulcer disease through the above drugs are carried out during acute or chronic form gastritis. The most popular drugs in this subgroup are Venter, De-Nol during the ulcer period, Solcoseryl, Misoprostol. Medication De-Nol is a means of choice in a situation where treatment with other methods is ineffective in case of duodenal ulcer.

Proton pump inhibitors

A common representative of this subgroup is Omeprazole for gastric ulcer. Also, an indication for the use of the drug is the treatment of duodenal ulcers. For preventive purposes, it is advised to use Paracetamol in the treatment process. It is allowed to use Omeprazole as a prophylactic agent for this disease. From time to time, a biopsy should be done and the macropreparation should be assessed.

Other drug subgroups

In case of disease, atropine is used as an antispasmodic and as a drug that lowers the secretory activity of the parietal cells of the stomach. The medicine, along with sodium bicarbonate, includes Bakarbon in the treatment of ailment. The action of the drug is similar to Ranitidine. To improve the digestive processes during an exacerbation, enzymes are prescribed - Festal, Mezim, Maalox.

To treat stomach ulcers and remove toxic substances into certain situations use activated carbon or polysorb. After consuming coal, a full course of therapy is carried out using one of the schemes. It is not advised to drink Paracetamol, Aspirin, Diclofenac, which can provoke an exacerbation of the disease. The signs of healing are the elimination of clinical symptoms and a macro-preparation on which recovery processes are found.

Preventive measures

A stomach ulcer needs periodic preventive therapy and dynamic monitoring of general condition gastric mucosa.

Preventive measures are as follows:

Diseases of the gastrointestinal tract are characterized by a tendency towards chronicity. Therefore, it will be important to pass full course treatment and prevention of recurrence of the disease. But it will be optimal - not to allow erosion of the stomach or 12-duodenum to develop.

The basis of modern therapy for gastric and duodenal ulcers is medications... It should be said that there are no differences in drug therapy ulcers of the above organs.

Before purchasing (as well as before using) any product, you must carefully read the instructions, focusing not only on the indications and dose, but also on contraindications and possible side effects. When the specified remedy is contraindicated, you should purchase, in consultation with a specialist, another medication. Knowing about side effects will make it possible to identify the occurrence of any new sensations and treat them appropriately.

Patients with exacerbation of uncomplicated gastric ulcers can be treated on an outpatient basis with medications. The following categories of patients are subject to hospitalization: with newly diagnosed gastric ulcer, complicated and often recurrent course, pronounced pain syndrome, which does not stop with outpatient treatment, peptic ulcer disease that developed against the background of severe concomitant diseases.

Stomach ulcer - drug treatment

Medicinal treatment of stomach ulcers of the gastroduodenal mucosa is based on two principles:

The use of drugs for the treatment of stomach ulcers, reducing the intensity of aggressive factors (mainly acid-peptic exposure) and gastroduodenal dyskinesia.
Stimulation of the resistance of the gastroduodenal mucosa (increase protective properties mucus, an increase in the intensity of mucus formation, the effect on the motility of the stomach and duodenum) and its regenerative capacity.

Correctly constructed drug treatment stomach ulcers should be complex and include agents with a mismatched or different mechanism of action. Agents that suppress the acid-peptic factor in various ways include:

normalizing neurohumoral regulation and suppressing gastric secretion in the treatment of stomach ulcers - atropine, belladonna preparations, metacin, platifillin, gastrobamat, pro-bangin, gastrocepin, histamine H2 receptor blockers (cimetidine, ranitidine, etc.);
intragastrically weakening the aggressiveness of the acid-peptic factor - antacids, gastrofarm, enveloping agents (starch mucus), astringent agents (bismuth nitrate, de-nol, oak bark, chamomile, St. John's wort, tannin, vikalin, vikair (roter), sucralfate (venter), adsorbing agents ( White clay, activated carbon);
normalizing the motor-evacuation function of the stomach and intestines - papaverine, no-shpa, cerucal, bispan, halidor, fenikaberan, etc. during treatment;
affecting nervous system- psychotherapeutic, sedative, normalizing nervous trophism.

Along with drugs for the treatment of stomach ulcers, which reduce the secretion of gastric juice (H- and M-anticholinergics, H 2 -histaminoreceptor blockers), antacids are widely used in the treatment of ulcerative lesions - substances that can neutralize the high acidity of gastric juice. It is known that antacids in large doses are not inferior in action to cimetidine (tashmed).

This is the main and most numerous group of antiulcer drugs for the treatment of stomach ulcers. They are divided into suction (soluble) antacids (sodium bicarbonate, calcium carbonate, magnesium oxide), non-absorbable (insoluble) antacids (aluminum hydroxide and aluminum phosphate, magnesium hydroxide and magnesium trisilicate), and combined means in the form of a gel (almagel, almagel A, phosphalugel).

How to treat Helicobacter pylori-associated stomach ulcers

Stomach ulcer is associated with H. pylori in 95% of cases of duodenal ulcer and 87% of gastric ulcer. Treatment of stomach ulcers with drugs is carried out according to the recommendations of the Russian Gastroenterological Association and the Russian Group for the Study of H. pylori. Comprehensive treatment stomach ulcers are aimed at eradicating H. pylori and includes antibacterial drugs and inhibitors of hydrochloric acid secretion. Inhibitors of hydrochloric acid secretion provide an optimal pH level for the action of antibacterial drugs and eliminate the aggressive effect of hydrochloric acid on the process of ulcer scarring. Usually used blockers of H2-receptors of histamine (ranitidine, famotidine) and blockers "proton pump" (omeprazole, lansoprazole, pantoprazole). Eradication treatment of stomach ulcers uses three- or four-component regimens that meet the following requirements: the destruction of H. pylori in at least 80% of cases, the occurrence of side effects in less than 5% of cases and the duration of the course of treatment is 7-14 days. Treatment begins with one of the three-component therapy options. If it is ineffective, it is recommended re-treatment gastric ulcers using another version of the three-component or four-component scheme or after the end of the combined eradication therapy continue treatment for another 5 weeks with duodenal ulcers and 7 weeks with gastric localization of ulcers using one of the the following drugs: ranitidine (300 mg once at night), famotidine (40 mg once at night).

A three-component treatment regimen for stomach ulcers includes either a "proton pump" blocker (omeprazole, pantoprazole, lansoprazole), or a histamine H2 receptor blocker (ranitidine, famotidine), or a bismuth drug in combination with two antimicrobial drugs.

The H +, K + -ATPase blocker omeprazole (20 mg 2 times a day), or pantoprazole (40 mg 2 times a day), or lansoprazole (30 mg 2 times a day) for 7 days in combination with:

metronidazole (400 mg 3 times a day) and clarithromycin (250 mg 2 times a day) in the treatment of stomach ulcers,
amoxicillin (1000 mg 2 times a day) and clarithromycin (500 mg 2 times a day) or amoxicillin (500 mg 3 times a day) and metronidazole (400 mg 3 times a day) for the treatment of stomach ulcers.

Medicine for the treatment of stomach ulcers - histamine H2 receptor blocker ranitidine (150 mg 2 times a day) or famotidine (20 mg 2 times a day) in combination with amoxicillin (1000 mg 2 times a day) and metronidazole (250 mg 4 times a day) day) for 7-14 days.

Bismuth tripotassium dicitrate (de-nol) or bismuth subsalicylate (120 mg 4 times a day) for 7 days in combination with:

tetracycline (500 mg 4 times a day) and metronidazole (250 mg 4 times a day) in the treatment of stomach ulcers,
clarithromycin (250 mg 2 times a day) and amoxicillin (500 mg 2 times a day) or amoxicillin (500 mg 3 times a day) and metronidazole (250 mg 4 times a day).

Ranitidine bismuth citrate (400 mg 2 times a day) for 7 days in combination with:

clarithromycin (500 mg 2 times a day) and metronidazole (500 mg 2 times a day) or tetracycline (500 mg 4 times a day) and metronidazole (250 mg 4 times a day) for the treatment of stomach ulcers.

The four-component regimen includes an antisecretory drug (an inhibitor of H +, K + -ATPase or a blocker of histamine H2 receptors), a bismuth drug and two antimicrobial drugs.

Inhibitor of H +, K + -ATPase (omeprazole 20 mg 2 times a day, lansoprazole 30 mg 2 times a day or pantoprazole 40 mg 2 times a day) in combination with colloidal bismuth subcitrate 120 mg 4 times a day, tetracycline 500 mg 4 times a day and metronidazole 250 mg 4 times a day (or tinidazole 500 mg 2 times a day) for the treatment of stomach ulcers.

Bismuth tripotassium dicitrate (de-nol) 120 mg 4 times a day in combination with a histamine H2-receptor blocker (ranitidine 150 mg 2 times a day or famotidine 20 mg 2 times a day), tetracycline 500 mg 4 times a day and metronidazole 250 mg 4 times a day in the treatment of stomach ulcers.

Eradication is assessed no earlier than 4-6 weeks after the end of the course of anti-Helicobacter pylori treatment of stomach ulcers and at least two diagnostic methods... If the scheme used did not lead to eradication, this means that the bacteria have acquired resistance to one of the components of the treatment regimen (nitroimidazole derivatives, macrolides) and this regimen should not be applied again. If another treatment regimen does not lead to eradication, the sensitivity of the H. pylori strain to the entire spectrum of antibiotics used should be determined. The appearance of bacteria in the patient's body a year after treatment is regarded as a relapse of the infection and more effective treatment regimens for stomach ulcers are used to eliminate it.

Treatment of stomach ulcers not associated with Helicobacter pylori

All groups of antisecretory drugs are used for the treatment of stomach ulcers: antacids, anticholinergics, histamine H1 receptor blockers, H +, K + -ATPase blockers in the usual dosage.

Surgical treatment of stomach ulcers

Absolute indications: complications (ulcer perforation, profuse gastrointestinal bleeding, stenosis, accompanied by severe evacuation disorders). Relative indications: repeated profuse gastrointestinal bleeding in history, large callous penetrating ulcers, resistant to drug treatment.

Clinical examination and prophylaxis in the treatment of stomach ulcers with drugs

For the prevention of exacerbations of stomach ulcers and especially duodenal ulcer, two types of treatment are recommended.

Continuous(for several months or even years) maintenance therapy with a half-dose antisecretory drug (for example, ranitidine 150 mg / day or famotidine 20 mg / day). This kind treatments are used in following cases: with the ineffectiveness of eradication therapy, with complications of peptic ulcer disease (bleeding or perforation), with concomitant erosive-ulcerative reflux esophagitis and diseases requiring the use of NSAIDs, in patients over 60 years of age with annually recurrent peptic ulcer disease.

Preventive therapy "on demand"... When symptoms of an exacerbation of a stomach ulcer appear for 2-3 days, an antisecretory drug is taken for treatment in a full daily dose, and then in a half dose for 2 weeks. If the symptoms of an exacerbation completely disappear, therapy should be discontinued; in other cases, FEGDS and other studies are performed, as provided for in an exacerbation. This type of therapy is used when symptoms of peptic ulcer disease appear after successful eradication of Helicobacter pylori.

The prognosis of treatment of stomach ulcers with drugs

The prognosis for uncomplicated gastric ulcers is favorable. When eradication is achieved, relapses during the first year occur only in 6-7% of patients. Early diagnosis and timely treatment prevent the development of complications and preserve the ability to work of patients. The prognosis worsens with a long history of the disease in combination with frequent, long-term relapses, with complicated forms of peptic ulcer disease, especially with malignant degeneration of the ulcer.

Choice of medicines for the treatment of stomach ulcers

Soluble antacids in the treatment of stomach ulcers (sodium bicarbonate, magnesium oxide, calcium carbonate) neutralize hydrochloric acid to a very a short time, which is explained by their stimulating effect on the mucous membrane and a secondary increase in the secretion of hydrochloric acid (the phenomenon of "rebound"). The most common antacid in everyday life is soda, which patients take very often on their own without a doctor's prescription. It is known that to maintain gastric contents at a level at which the activity of proteolytic enzymes is clearly reduced, it is necessary to give the patient 1 g of soda every hour, which cannot be recommended due to side effects(for example, alkalosis).

In addition, when taking baking soda to treat stomach ulcers, carbon dioxide is produced, leading to a feeling of heaviness in the epigastric region, belching and bloating. In practice, soluble antacids are prescribed in the form of mixtures. Bourget mix- sodium bicarbonate (8 g), sodium phosphate (4 g), sodium sulfate (2 g).

It is used as follows: dissolve the powder in 0.5 l of warm boiled water, and then this solution is taken orally, 30 ml 2 - 3 times a day 30 minutes before meals. Due to the need to prepare the solution in advance and store it in separate dishes- the use of the Bourget mixture is not entirely convenient, it is better to recommend soluble antacids in powders; for example, calcium carbonate (0.1), sodium bicarbonate (0.2), magnesium oxide (0.2).

If the stomach ulcer is located in the duodenum, then it is advisable to prescribe antacids 1 to 2 hours after eating, when food begins to evacuate from the stomach. Under these conditions, the averaged stomach contents are evacuated into the duodenum. Insoluble antacids (magnesium trisilicate, aluminum oxide hydrate, bismuth) act slowly, are not absorbed by the intestinal wall, and have long-term adsorbing properties.

Combined antacids for the treatment of stomach ulcers include Almagel, Almagel A, Phosphalugel, Maalox, etc. Almagel contains aluminum hydroxide, magnesium oxide and sorbitol. Almagel A for the treatment of stomach ulcers includes anesthesin. Almagel and Almagel A are prescribed orally 1 - 2 teaspoons (measured) 4 times a day 30 minutes before meals and before bedtime. After taking the drug, it is recommended to lie down and turn over from side to side several times every 1 - 2 minutes (to improve the distribution of the drug along the gastric mucosa). Phosphalugel in the treatment of stomach ulcers contains aluminum phosphate gel, pectin gel and agar-agar, which work together to protect the mucous membrane.

Phosphalugel due to aluminum phosphate has a pronounced adsorption activity against bacteria, viruses, exogenous and endogenous toxins. It is produced in packages containing one dose of the substance and is applied 2 - 3 times a day 30 minutes before meals and at night. Maalox for the treatment of stomach ulcers contains aluminum hydroxide and magnesium hydroxide. Available in suspension, gel and tablet form. It is used one hour after meals at night before bedtime. Highest value antacids have in the treatment of ulcerative lesions of the duodenum. When the ulcer is located in the stomach, they play a lesser role, since in this case the mechanisms of reducing the resistance of the mucous membrane prevail, and not the acid-peptic factor.

How to treat stomach ulcers with diet

Basic principles of diet treatment of stomach ulcers

creation of the greatest rest in the mucous membrane of the stomach and duodenum;
exclusion of products with a strong sokogonny effect;
exclusion of products that mechanically irritate the gastric mucosa (all food is taken in a pureed form);
inadmissibility of a plentiful meal at a time;
exclusion of too cold or hot food (food temperature not lower than 15 and not higher than 45-55 degrees) for the treatment of stomach ulcers;
limitation table salt up to 10-12 g per day;
high nutritional value diet, determined by the content in it enough proteins, fats, carbohydrates, mineral salts and vitamins A, B and C.

Basics of a diet for stomach ulcers

The most valuable food product for patients in the treatment of stomach ulcers is milk. It contains everything necessary substances necessary for the recovery processes in the body. Some patients with stomach ulcers do not tolerate milk well. In these cases, milk should be drunk in small portions, always warm, you can dilute it with weak tea or slightly tint the coffee.

Diets for the treatment of stomach ulcers should contain not only animals, but also vegetable fats (refined sunflower and olive oils) - they contribute to better ulcer healing. It is necessary to take food in small quantities 4-6 times a day. The last meal is just before bedtime (preferably 1 cup milk).

One-day diet menu number 1 for stomach ulcers

First breakfast: soft-boiled eggs (2 pcs.) Or a steam omelet, semolina porridge or rice grated milk (300 g), tea with milk - 1 tbsp.
Second breakfast for stomach ulcers: steamed meat cutlets with mashed potatoes and olive oil, mashed milk porridge, milk - 1 tbsp., bread.
Lunch: oatmeal soup (or from other cereals) pureed milk - 1 plate, steamed meatballs - 110 g, mashed potatoes on milk with butter- 150 g, fruit jelly - 100 g.
Dinner: boiled fish - 100 g, mashed potatoes with vegetable oil-150 g, pureed milk rice porridge - 300 g.
At night (at 21 o'clock) - 1 tbsp. milk.

The above diet for stomach ulcers is used depending on the clinical course of the disease. All private recommendations, changes and additions to the proposed diet for stomach ulcers are made by the attending physician, based on the characteristics of the course of the underlying and concomitant diseases.