Flatulence with pain on top is related to functional dyspepsia, chronic gastritis, intestinal obstruction, etc., which can be treated with medication or surgery as prescribed by the doctor.
1. Functional dyspepsia: If it is clear that functional dyspepsia is the cause, patients need to adjust the diet, appropriate exercise, etc. If necessary, it can be prescribed with metoclopramide, domperidone and other gastrointestinal dynamics of the drug, omeprazole, famotidine and other acid suppression agent treatment. Some patients can also be treated with digestive enzyme preparations such as multi-enzyme tablets and yeast tablets.
2. Chronic gastritis: If chronic gastritis is caused by Helicobacter pylori infection, quadruple therapy can be used, i.e., 1 proton pump inhibitor + 2 antibiotics + 1 bismuth agent, commonly used programs such as omeprazole + clarithromycin + amoxicillin + bismuth potassium citrate.
Some patients also need to be treated with acid-suppressing drugs such as pantoprazole and rabeprazole, gastric mucosal protectors such as aluminum thioglycollate and magnesium aluminum carbonate, gastric power-promoting drugs such as itopride and mosapride, and digestive enzyme preparations such as pancreatic enzyme tablets and polypeptide tablets. If the drugs can not reverse the focal high-level intraepithelial neoplasia, feasible gastroscopic submucosal peeling surgery and other surgical treatment.
3. Intestinal obstruction: clear intestinal obstruction caused by the need to cooperate with the doctor gastrointestinal decompression, can reduce the discomfort caused by the disease. Patients also need to enter saline, potassium chloride injection, etc., in order to correct the water and electrolyte disorders and acid-base imbalance. For painful symptoms, non-steroidal anti-inflammatory drugs such as ibuprofen and acetaminophen can be used to improve the situation if necessary.
In addition to medication, some people with serious conditions can cooperate with doctors to perform surgical treatments such as intestinal resection and intestinal anastomosis, short-circuit surgery, intestinal stoma or intestinal externalization.
There are many causes of intestinal flatulence with pain in the top, such as cholecystitis, pancreatic cancer, acute gastric dilatation and so on. It is recommended that patients consult a doctor for examination and treatment as prescribed by the doctor after clarifying the disease, and should not use drugs indiscriminately on their own.