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Stomach Ulcer Treatments

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How can a H. Pyloric Peptic Ulcer Be Treated?

Peptic ulcers that are caused by H. pylori are treated with medications prescribed by your doctor. It is important to follow the treatment plan exactly as your doctor has prescribed, and if you smoke, you should stop, as smoking inhibits ulcer healing. You should also avoid alcoholic beverages.

The medications are aimed to:

  • To kill the H. pylori bacteria.
  • To reduce the amount of acid in your stomach and duodenum. and
  • To protect the lining of your stomach and duodenum.

How is the H. Pylori Bacteria Killed?

Antibiotics are used to kill the H. Pylori Bacteria. Usually, two antibiotics are used at the same time. The most common antibiotics used are: Metronidazole, Tetracycline, Clarithromycin and Amoxicillin. The antibiotic is usually taken for 2 weeks.

How is the Stomach Acid Reduced?

Your doctor will prescribe medication that will reduce the stomach acid.

The most common medications to reduce stomach acid are H2-Receptor antagonists and Proton pump inhibitors.

H2-Receptor antagonists
These include: Famotidine (Pepcid®); Cimetidine (Tagamet®); Ranitidine (Zantac®); Nizatidine (Axid®).

Proton pump inhibitors
These include: Omeprazole (Prilosec®/Losec®); Lansoprazole (Prevacid®); Pantoprazole (Pantoloc®).

Protecting the lining of the stomach and duodenum

Your doctor can prescribe medication to protect the lining of your stomach and duodenum. These medications shield the lining from the acids. Some of the "over the counter" protectants are antacids like TUMS and ROLAIDS.

Surgery to Treat Peptic Ulcers

In very rare cases that do not respond to medication or if there are complications, surgery may be required to treat a peptic ulcer. This option can be discussed with your doctor.

What can happen if an ulcer is not treated?

It is important to treat ulcers. Complications will occur if the ulcer is not treated. Some possible complications are: anemia and perforation.

Anemia occurs when the body does not have enough red blood cells to carry oxygen.

Perforation is when the ulcer goes through the wall of the stomach.

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