Most drugs that are used for stomach ulcer treatment work by either lowering the rate of stomach acid secretion or protecting the mucous tissues that line the digestive tract. Medications that lower the rate of stomach acid secretions fall into two major categories.
Stomach ulcer treatment
The proton pump inhibitors, which have been in use for stomach ulcer treatment since the early 1990s, include:Proton pump inhibitors and H2 receptor antagonists
- omeprazole (Prilosec)
- lansoprazole (Prevacid)
- Pantoprazole (Protonix)
The H2 receptor antagonists include:
- Ranitidine (Zantac)
- Cimetidine (Tagamet)
- Famotidine (Pepcid)
- Nizatidine (Axid).
Drugs that protect the stomach tissues are sucralfate (Carafate), bismuth preparations,and misoprostol (Cytotec). Most doctors presently recommend treatment to eliminate H. pylori to prevent ulcer recurrences. Without such treatment, ulcers recur at the rate of 80% per year. The drug combination used to eliminate the bacterium is tetracycline, bismuth subsalicylate (Pepto-Bismol), and metronidazole (Metizol). Eradication is not always successful, however, for reasons that are unclear.
Surgical treatment of ulcers is generally used only for complications and suspected cancer. The introduction of a newer technique for repairing perforated ulcers using a laparoscope rather than opening the patient’s abdomen may reduce some of the risks associated with surgical treatment of ulcers. The most common surgical procedures for stomach ulcer treatment are vagotomies, in which the connections of the vagus nerve to the stomach are cut to reduce acid secretion; and antrectomies, which involve the removal of part of the stomach.
Expected results The prognosis for recovery from ulcers is good for most patients. Very few ulcers fail to respond to the medications that are currently used to stomach ulcer treatment. Recurrences can be cut to 5% by eradication of H. pylori. Most patients who develop complications recover without problems even when emergency surgery is necessary.
Tags: stomach ulcer treatment, duodenal ulcer treatment, ulcer duodenal, treatment for duodenal ulcer, stomach ulcer surgery,