What medicine to take for gastric ulcer?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 04, 2024
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The stomach ulcers referred to here are generally benign gastric ulcers. The treatment plan should be determined based on whether there is a Helicobacter pylori infection. If there is no Helicobacter pylori infection, it is first important to develop good dietary and living habits, and then treat the symptoms, such as suppressing stomach acid, protecting the gastric mucosa, and increasing gastric motility. If there is a Helicobacter pylori infection, antibacterial treatment is needed. Typically, a triple or quadruple antibiotic therapy is used; a proton pump inhibitor plus two antibiotics constitute the triple therapy, and adding a bismuth agent constitutes the quadruple therapy. A course of treatment lasts for two weeks, which generally can eradicate the bacteria for a definitive cure. (Medications should be used under the guidance of a clinical doctor, according to specific conditions.)

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Written by Si Li Li
Gastroenterology
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What should not be eaten with gastric ulcers?

Patients with gastric ulcers should be cautious about their diet, abstain from smoking and alcohol, and avoid drinking strong tea, coffee, eating fatty, greasy, spicy, fried, barbecued, raw, cold, and sweet foods, as well as drinking milk and soy milk, or eating glutinous rice and sweet potatoes. This is because some of these foods can stimulate the secretion of gastric acid, worsening the irritation of gastric mucosa and exacerbating gastric ulcers. Some are difficult to digest, thus, they are not recommended. It is advisable to eat porridge, drink soups, eat noodles, such as millet porridge, yam porridge, barley porridge, chicken soup, and pork rib soup. When eating meats, ensure they are well-stewed before consumption.

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Written by Li Xue Qing
Gastroenterology
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Foods to avoid for gastric ulcers

Foods to avoid for gastric ulcers include spicy and stimulating foods such as chili peppers, garlic, onions, leeks, ginger, and alcoholic beverages. Seasonings like cinnamon, star anise, black pepper, and fennel should also be avoided. Acidic foods such as lemons, limes, and green apples are not recommended, as well as foods that can cause bloating like soybeans and peanuts. Additionally, cold foods such as ice water and frozen fruits, as well as fried and grilled foods like street food and barbecues, should be avoided. It is also advisable to limit intake of foods high in roughage, such as corn, buckwheat, and celery.

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Written by Li Xue Qing
Gastroenterology
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What causes stomach ulcers?

Gastric ulcers are primarily caused by several major factors: Helicobacter pylori infection; medications that harm the stomach and damage the gastric mucosa, such as corticosteroids, aspirin, non-steroidal anti-inflammatory drugs, macrolide antibiotics, etc.; long-term irregular eating habits and the consumption of spicy, raw, or irritating foods; long-term mental stress, being in a prolonged state of stress, which can easily lead to gastric ulcers; and excessive stomach acid and pepsin, as well as other physical and biological factors.

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Written by Zhu Dan Hua
Gastroenterology
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Does gastric ulcer cause vomiting?

Gastric ulcers are a common disease in gastroenterology, especially prevalent among outpatient clients. The symptoms of gastric ulcers vary widely, and some patients may not show any symptoms, only presenting with a decrease in appetite, which can lead to nausea and vomiting. Common symptoms of gastric ulcers include nausea, vomiting, abdominal distension, abdominal pain, and even a decrease in appetite. The abdominal pain is typically felt in the upper abdomen, can worsen after eating, and may resolve on its own without fever. However, if a gastric ulcer is accompanied by bloody stools, especially black stools or even vomiting blood, it is recommended that the patient seek further treatment at a local hospital. Therefore, for patients with gastric ulcers who experience symptoms such as nausea, vomiting, and abdominal pain, it is suggested to provide protective gastric treatment, typically lasting four to eight weeks.

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Written by Zhu Dan Hua
Gastroenterology
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Symptoms after gastric ulcer bleeding

The typical symptoms of a bleeding gastric ulcer include vomiting blood or passing blood in the stool. In cases of minor bleeding, the symptoms may solely manifest as black stools or bloody stools. Some patients may also exhibit symptoms of hypovolemia such as dizziness, fatigue, palpitations, chest tightness, and more. Therefore, bleeding associated with gastric ulcers corresponds to the symptoms of upper gastrointestinal bleeding. The diagnosis of gastric ulcer bleeding primarily relies on gastroscopy, which typically reveals the ulcers and allows for further assessment of their size, location, and number. Treatment options include conservative medication therapy, recommending that the patient rest and eat. Medications such as acid reducers and gastroprotective drugs can be used, with a treatment course of 6-8 weeks being appropriate. Of course, if the medication is not effective, surgical treatment options may be considered.