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Gastric ulcer disease causes, signs and symptoms and treatment

Gastric ulcer disease causes, signs and symptoms and treatment

 What is gastric ulcer ?

Gastric ulcer disease causes, signs and symptoms and treatment Ulcer most commonly in the antrum or at the antral-fundal Junction.

Gastric ulcer

Causes

  • Deficient gastric mucosal barrier
  • It may be infected by helicobacter pylori
  • Excessive use of NSAID, Steroid  or other relative use or drug.

Sign and symptoms

  • Pain- it is less localised
  • Pain in in left subcostal region
  • Nactural pain
  • Food intake  may induce the pain
  • Weight loss.

Diagnosis

  • Elevated serum gastrin levels
  • Androscopy
  • Helicobacter pylori test
Treatment

Treatment by medicine is similar like PUD. It is very important to eradicate the Helicobacter pylori at first.

 

Use antibiotics combination

Clarithromycin 500 mg once daily for 7 to 10 days with amoxicillin 500 mg three times daily.

With co-admistration  acid  suppression drugs… like H2 receptor blocker drugs (eg.  famotidine or Nizatidine.) or PPI ( eg.  esomeprazole pantoprazole or  lansoprazole) and antacid preparetion.

Sucralfate
  • 1g 4 times per day 4- 8 weeks
  • Drugs  should use at least 2 hours before meal.

If if NSAID  cannot omite  with treatment  regiment,   it should better to choose alter the admistrasion route .

Dose adjustment

Nizatidine

150 mg  two times daily  for 4 weeks 30 minutes before the meal,  then once daily at night for two weeks,  if symptoms not relief extend the the treatment time for  two weeks.

Famotidine

20 mg  two times daily  for 4 weeks 30 minutes before the meal,  then once daily at night for two weeks,  if symptoms not relief extend the the treatment time for  two weeks.

PPI ( Proton Pump Inhibitor)

Esomeprazole 20 mg or prantoprazole 40 mg may be given 2  times a day  30 minutes before of meal for 3 weeks. Last 1 weeks once a day at night before the 30 minutes of meal. Dexlansoprazole is better to use 30 mg 1 or 2 times a day for 4 weeks. First 20 days  2 times a day 30 minutes before the meal and then 10 days a single dose for withdrawing the drug at night before the 30 minutes of meal.

With added a antacid preparation (eg. aluminium hydroxide and magnesium hydroxide) 1-1.5 hours after meal .

Advice

 It is very important for all gastritis,Peptic ulcer disease, duodenal ulcer disease , gastroesophageal reflux disease, gastric ulcer disease patients .

Diet

  • Patient should concern about his meal.
  • Should be less spicy less oily .
  • Less consume free sugar or sugar containig in food
  • Try to avoid heavy fibre food
  • Avoid  coffee
  • Alcohol
  • Avoid milk
  • Cigarette are  prohibited strongly.

Lifestyle

Patient  should obey the following guideline for better feel and withdrawal the medication .

Daily activities
  • Wake up at morning 6 a.m take a glass of fresh water
  • Then take100- 150 gram green papaya
  • Then take breakfast at 8 a.m.
  • At 11 a.m. take a sugar free toast biscuit with a glass of fresh water, then chewing a chewing gum for 40 to 50 minutes.
  • Take your lunch within 2 p.m.
  • At 5 p.m. take a sugar free toast biscuit with a glass of fresh water.
  • Then chewing a chewing gum for 40 to 50 minutes.
  • Take your dinner within 8 to 9 p.m.
  • Go to bed within 10:00 to 10:30 p.m.

Note: If you suffer sever gastritis and don’t control at home you should go hospital immediately.

 

If anyone want to more information please send to me your question through the given email address.

Email address: mallicktarun@rocketmail.com

For getting treatment base suggestion please contact or request an appointment.

You may also visit you tube video channel that may helpful to you.

https://youtu.be/W0jZXe-8BtE

Thanks

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