Treatments for Peptic Ulcer
Treatments for Peptic Ulcer
The list of treatments mentioned in various sources
for Peptic Ulcer
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Peptic Ulcer: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Peptic Ulcer may include:
Hidden causes of Peptic Ulcer may be incorrectly diagnosed:
Peptic Ulcer: Marketplace Products, Discounts & Offers
Products, offers and promotion categories available for Peptic Ulcer:
Peptic Ulcer: Research Doctors & Specialists
Research all specialists including ratings, affiliations, and sanctions.
Drugs and Medications used to treat Peptic Ulcer:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Peptic Ulcer include:
- Histamine
- Cimetidine
- Apo-Ciimetidine
- Enlon
- Novo-Cimetine
- Nu-Cimet
- Peptol
- Tagamet
- Tagamet HB 200
- Acid Reducer 200
- Acid Reducer Cimetidine
- Heartburn 200
- Heartburn Relief 200
- Famotidine
- Pepcid
- Pepcid AC
- Pepcid Complete
- Acid Control
- Acid Controller
- Alti-Famotidine
- Nizatidine
- Apo-Nizatidine
- Axid
- Novo-Nizatidine
- Axid AR
- Ranitidine
- Alti-Ranitidine
- Apo-Ranitidine
- Novo-Ranidine
- Nu-Ranit
- Zantac
- Zantac-C
- Zantac 75
- Zantac 75 EFFERdose
- Acid Reducer
- Lansoprazole
- Prevacid
- Prevacid delayed release oral suspension
- Prevpac
- Apo-Cimetidine
- Clidinium and Chloridazepoxide
- Librax
- Apo-Chlorax
- Glycopyrrolate
- Robinul
- Robinul Forte
- Hyoscyanine
- Anaspaz
- Cystospaz
- Hyosine
- Levbid
- Levsinex
- Levsin/SL
- NuLev
- Symax SL
- Symax SR
- Magaldrate and Simethicone
- Mepenzolate
- Cantil
- Methscopolamine
- Pamine
- Pamine Forte
- Propantheline
- Propanthel
- Alu-Tab
- Andrews Tums
- Degas Extra
- DeWitt's Antacid
- Dexsal
- Eno
- Gastrogel Tablets
- Gelusil
- Mylanta Original
- Mylanta Double Strength
- Sigma Liquid Antacid
- Gaviscon
- Meracote
- Gaviscon Double Strength
- Infant Gaviscon
- Mucaine
- Mucaine 2 in 1
- Mylanta Heartburn Relief
- Mylanta Rolltabsa
- Rennie
- Salvital
- Sodibic
- Titralac
- Titralac SIL
- Acimax
- Losec
- Maxor
- Probitor
- Pariet
- Rabeprazole
- Somac
- Zoton
- Klacid
Unlabeled Drugs and Medications to treat Peptic Ulcer:
Unlabelled alternative drug treatments for Peptic Ulcer include:
- Sucralfate
- Apo-Sucralfate
- Carafate
- Dom-Sucralfate
- Novo-Sucralfate
- Sulcrate
- Pantoprazole
- Protonix
- Panto IV
- Pantoloc
- Pantozol
- Zurcal
Latest treatments for Peptic Ulcer:
The following are some of the latest treatments for Peptic Ulcer:
Hospital statistics for Peptic Ulcer:
These medical statistics relate to hospitals, hospitalization and Peptic Ulcer:
- 0.19% (24,762) of hospital consultant episodes were for gastric ulcer in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 64% of hospital consultant episodes for gastric ulcer required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 48% of hospital consultant episodes for gastric ulcer were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 52% of hospital consultant episodes for gastric ulcer were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 34% of hospital consultant episodes for gastric ulcer required emergency hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- more hospital information...»
Hospitals & Medical Clinics: Peptic Ulcer
Research quality ratings and patient incidents/safety measures
for hospitals and medical facilities in specialties related to Peptic Ulcer:
Hospital & Clinic quality ratings » »
Choosing the Best Treatment Hospital:
More general information, not necessarily in relation to Peptic Ulcer,
on hospital and medical facility performance and surgical care quality:
Medical news summaries about treatments for Peptic Ulcer:
The following medical news items
are relevant to treatment of Peptic Ulcer:
Discussion of treatments for Peptic Ulcer:
H_ pylori and Peptic Ulcer: NIDDK (Excerpt)
Drugs Used To Treat H. pylori Peptic
UlcersAntibiotics: metronidazole, tetracycline,
clarithromycin, amoxicillin
H2 blockers: cimetidine,
ranitidine, famotidine, nizatidine
Proton pump
inhibitors: omeprazole, lansoprazole,
rabeprazole
Stomach-lining protector: bismuth
subsalicylate |
H. pylori peptic ulcers are
treated with drugs that kill the bacteria, reduce stomach acid, and
protect the stomach lining. Antibiotics are used to kill the bacteria. Two
types of acid-suppressing drugs might be used: H
2 blockers and proton pump
inhibitors.
H
2 blockers work by
blocking histamine, which stimulates acid secretion. They help reduce
ulcer pain after a few weeks. Proton pump inhibitors suppress acid
production by halting the mechanism that pumps the acid into the stomach.
H
2 blockers and proton pump inhibitors
have been prescribed alone for years as treatments for ulcers. But used
alone, these drugs do not eradicate
H. pylori and therefore do not
cure
H. pylori-related ulcers. Bismuth subsalicylate, a component
of Pepto-Bismol, is used to protect the stomach lining from acid. It also
kills
H. pylori.
Treatment usually involves a combination
of antibiotics, acid suppressors, and stomach protectors. Antibiotic
regimens recommended for patients may differ across regions of the world
because different areas have begun to show resistance to particular
antibiotics.
The use of only one medication to treat
H.
pylori is not recommended. At this time, the most proven effective
treatment is a 2-week course of treatment called triple therapy. It
involves taking two antibiotics to kill the bacteria and either an acid
suppressor or stomach-lining shield. Two-week triple therapy reduces ulcer
symptoms, kills the bacteria, and prevents ulcer recurrence in more than
90 percent of patients.
Unfortunately, patients may find triple
therapy complicated because it involves taking as many as 20 pills a day.
Also, the antibiotics used in triple therapy may cause mild side effects
such as nausea, vomiting, diarrhea, dark stools, metallic taste in the
mouth, dizziness, headache, and yeast infections in women. (Most side
effects can be treated with medication withdrawal.) Nevertheless, recent
studies show that 2 weeks of triple therapy is ideal.
Early results
of studies in other countries suggest that 1 week of triple therapy may be
as effective as the 2-week therapy, with fewer side
effects.
Another option is 2 weeks of dual therapy. Dual therapy
involves two drugs: an antibiotic and an acid suppressor. It is not as
effective as triple therapy.
Two weeks of quadruple therapy, which
uses two antibiotics, an acid suppressor, and a stomach-lining shield,
looks promising in research studies. It is also called bismuth triple
therapy.
(Source: excerpt from
H_ pylori and Peptic Ulcer: NIDDK)
NSAIDs and Peptic Ulcers: NIDDK (Excerpt)
NSAID-induced ulcers usually heal once the person stops taking the
medication. To help the healing process and relieve symptoms in the
meantime, the doctor may recommend taking antacids to neutralize the acid
and drugs called H2-blockers or proton-pump inhibitors to decrease the
amount of acid the stomach produces.
Medicines that protect the stomach lining also help with healing.
Examples are bismuth subsalicylate, which coats the entire stomach lining,
and sucralfate, which sticks to and covers the ulcer.
If a person with an NSAID ulcer also tests positive for H.
pylori, he or she will be treated with antibiotics to kill the
bacteria. Surgery may be necessary if an ulcer recurs or fails to heal, or
if complications like bleeding, perforation, or obstruction develop. (Source: excerpt from NSAIDs and Peptic Ulcers: NIDDK)
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Book Excerpts: Treatment of Peptic Ulcer
Treatments of Peptic Ulcer: Online Medical Books
16 MEDICAL BOOKS ONLINE!
Review excerpts from medical books online, free, without registration,
for more information about the treatments of Peptic Ulcer.
Peptic ulcers:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Experts recommend treating the patient with antibiotics to eradicate H. pylori. The patient taking NSAIDs may take a prostaglandin analog (misoprostol) to suppress ulceration (or the patient may take the analog with NSAIDs to prevent ulceration). Histamine-2 (H2) receptor antagonists or proton pump inhibitors may reduce acid secretion. A coating agent or bismuth may be administered to the patient with a duodenal ulcer to protect the lining.
If GI bleeding occurs, emergency treatment begins with passage of a nasogastric (NG) tube to allow for iced saline lavage, possibly containing norepinephrine. Gastroscopy allows visualization of the bleeding site and coagulation by laser or cautery to control bleeding. This type of therapy allows postponement of surgery until the patient’s condition stabilizes. Surgery is indicated for perforation, unresponsiveness to conservative treatment, and suspected malignancy. Surgery for peptic ulcers may include:
❑ vagotomy and pyloroplasty: severing one or more branches of the vagus nerve to reduce hydrochloric acid secretion and refashioning the pylorus to create a larger lumen and facilitate gastric emptying
❑ distal subtotal gastrectomy (with or without vagotomy): excising the antrum of the stomach, thereby removing the hormonal stimulus of the parietal cells, followed by anastomosis of the rest of the stomach to the duodenum or the jejunum
❑ pyloroplasty: surgical enlargement of the pylorus to provide drainage of gastric secretions.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Dyspepsia:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Advise the patient to eat frequent small meals and to avoid foods known to cause symptoms as well as coffee, tea, chocolate, alcohol, and tobacco.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Peptic ulcers:
Treatment
(Handbook of Diseases)
H. pylori can be treated with a combination of agents and eradicated with antibiotics. Pharmacologic treatments include antisecretory agents, such as proton pump inhibitors and histamine-2 (H2)-receptor antagonists. Proton pump inhibitors work by binding to hydrogen-potassium adenosine triphosphatase, located at the surface of gastric parital cells to block formation of gastic acid. H2-receptor antagonists inhibit histamine binding to H2 receptors on the gastric parietal cell, which in turn decreases acid secretion. Drug therapy, which protects the mucosa, includes prostaglandin analogs and antacids. Prostaglandin analogs may be given to patients taking NSAIDs to suppress ulceration.
GI bleeding may be treated by giving H2-receptor antagonists I.V. as a continuous infusion. Upper endoscopy is preferred as a diagnostic tool when GI bleeding is present because an injection of epinephrine or saline (to surround the ulcer) can be performed to stop the bleeding during the procedure; cautery may also be used for hemostasis.
Surgery is indicated for perforation of the ulcer, continued bleeding despite medical treatment, and suspected malignancy. Surgical procedures for peptic ulcers and gastric outlet obstruction include:
❑ vagotomy and pyloroplasty: severing one or more branches of the vagus nerve to reduce hydrochloric acid secretion and refashioning the pylorus to create a larger lumen and facilitate gastric emptying
❑ distal subtotal gastrectomy (with or without vagotomy): excising the antrum of the stomach, thereby removing the hormonal stimulus of the parietal cells, followed by anastomosis of the remainder of the stomach to the duodenum or the jejunum.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Dyspepsia:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Advise patients to eat frequent, small meals. Also, tell them to avoid foods known to cause symptoms as well as coffee, tea, chocolate, alcohol, and tobacco. Explain all diagnostic tests and procedures. Discuss other ways to deal with stress, such as deep breathing and guided imagery. Provide the patient with a calm environment to reduce stress, and make sure the patient gets plenty of rest. In addition, prepare the patient for endoscopy to evaluate the cause of dyspepsia.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Dyspepsia:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Give an antacid 30 minutes before or 1 hour after a meal.
▪ Provide food to relieve dyspepsia.
▪ Because various drugs can cause dyspepsia, give these after meals or with food, if possible.
▪ Provide a calm environment to reduce stress, and make sure that the patient gets plenty of rest.
▪ Prepare the patient for endoscopy to evaluate the cause of dyspepsia.
Patient teaching
▪ Discuss stress reduction techniques, such as deep breathing and guided imagery.
▪ Discuss the importance of small, frequent meals.
▪ Explain to the patient his diagnosis and the treatment plan.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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