Are ulcers easy to treat? Treatment of ulcers

Ulcer is actually a relatively common disease nowadays. It mainly occurs in the patient's duodenum or stomach. The most common manifestation is gastric ulcer. After the occurrence, the patient will feel severe abdominal pain, but cannot find any reason. Only when you go to the hospital for an ultrasound examination can you know that there is an ulcer in your body, which causes gastric bleeding, which will lead to unbearable pain symptoms. The ulcer must be relieved in time, otherwise it is likely to lead to more serious gastrointestinal diseases. If this is the case, it will make treatment difficult and not so easy to cure. It may even cause recurrence in most patients.

Treatment options:

The goals of treatment are to eliminate the cause, relieve symptoms, heal ulcers, prevent recurrence, and avoid complications. The causes of peptic ulcer vary from patient to patient, and the pathogenesis is also different. Therefore, the possible pathogenic factors and pathophysiology involved should be analyzed for each case, and appropriate treatment should be given.

1. General treatment: Life should be regular, work should be a combination of work and rest, excessive fatigue and mental stress should be avoided. If there is anxiety, counseling should be given, and sedatives can be given when necessary. In principle, it is important to eat on time and avoid spicy, salty foods and strong tea, coffee and other beverages. Although milk and bean paste can temporarily dilute stomach acid, the calcium and protein they contain can stimulate gastric acid secretion, so they should not be consumed excessively. If you have a habit of smoking or drinking and confirm that it is related to the onset of ulcers, you should quit immediately. Those who are taking NSAIDs should stop taking them as much as possible; even if the patient is not taking such drugs, they should be warned to use them with caution in the future.

2. Drug treatment Before the 1970s, the treatment of this disease mainly relied on antacids and anticholine drugs. The advent of H2RA caused the first change in treatment; eradication of Hp is a major milestone in treatment.

1. Hp eradication treatment Eradication of Hp can completely achieve the treatment goal for most patients with Hp-related ulcers. The international community has reached a consensus on the treatment of Hp-related ulcers, namely, whether the ulcer is new or recurrent, active or dormant, or with or without a history of complications, anti-Hp treatment should be given.

(ii) The healing of ulcers treated with drugs that inhibit gastric acid secretion, especially DU, is directly proportional to the intensity and duration of antacid treatment. Alkaline antacids (such as aluminum hydroxide, magnesium hydroxide and their combination preparations) neutralize gastric acid (and have a certain cell-protective effect) and are effective in relieving ulcer-like pain symptoms. However, to promote ulcer healing, large doses of multiple doses are required to be effective.