First, new stomach medicines are constantly being introduced, can old stomach medicines still be used? The development of drugs for gastric diseases is rapid, and a new generation of drugs is constantly appearing. For example, in the past, the commonly used cimetidine, ranitidine, famotidine seems to have been forgotten, and now patients with gastritis are using omeprazole, pantoprazole, emeprazole. For example, in the past, the use of gastroenterology, morpholine, now use cisapride, mosapride. So does the emergence of new drugs mean that the old drugs are out of the history stage? In fact, no. Generally speaking, new drugs are developed to address the failure of old drugs to achieve efficacy or reduce adverse effects. Therefore, new drugs are generally more effective and have fewer or milder side effects. However, for patients with different conditions, at different stages, and with different treatment plans, the drugs used cannot be categorized according to old or new at all. Take controlling gastric acid as an example, depending on the degree of acid secretion of the patient, drugs with different mechanisms and strengths should be applied according to the specific situation. For general gastritis, the application of acid-neutralizing aluminum thioglycollate or moderately acid-suppressing ranitidine or famotidine may be sufficient. For duodenitis and peptic ulcer, where acid secretion is very hyperactive, strong proton pump inhibitors such as omeprazole are needed. Again, such as gastrointestinal dynamics of the drug, most of the patients with gastric distension with morpholine can be, if the intestinal peristalsis is slow to cause bloating, constipation, you have to use Moxabryl can not be. And cisapride is not applicable to patients with heart disease. Because it may cause heart rhythm disorder. This shows that it is very unscientific to refuse to use old drugs without asking. Second, if the effect of stomach medicine is not obvious, should we change the medicine? Often take some kind of stomach medicine, stomach disease is always not good. Of course, to find the reason. Generally natural first thought of this medicine does not work. But there are many patients have been to the existing gastric drugs are tried again, or does not work. So what’s going on? There are several important factors to consider. 1, the diet of the problem: you do according to the doctor’s orders? Not drinking, not smoking, avoiding spicy flavors, etc. are all very important for healing. 2.Have you taken your medication on time? Drugs have their own absorption, metabolism law, do not take medication on time will cause the drug concentration can not meet the requirements of treatment. 3.Do you take your medication at the right time? For example, is it better for patients with heartburn to take the medicine before meals or after meals? You can’t just copy the instructions on the drug manual, but carefully analyze the peak time of gastric acid secretion. Third, can an effective stomach medicine be taken to the end? We found in the clinic, there are often patients who insist on the doctor to prescribe a certain kind of medicine, and do not accept anything else. Some of them have been taking it for several years. In fact, patients will have several different situations. 1. Symptoms return as soon as the medication is stopped. This situation of course requires long-term treatment. However, it is necessary to carefully analyze the reason, could it be that the medication is too single, for example, only pay attention to the inhibition of gastric acid, but not pay attention to the application of drugs to protect and promote the growth of the gastric mucosa. Therefore, it is not always the best solution to take one kind of medicine to the end. 2.Symptoms appear intermittently after stopping the medication, and you are afraid to stop the medication. It is necessary to pay attention to the strategy of maintenance medication. It is also possible to change the treatment plan in order to achieve a complete cure. 3.Fear of cancer, not dare to stop the drug. However, long-term use of a single drug may make the adverse reactions become obvious. Sometimes long-term use of strong acid-suppressing drugs, dyspepsia, there are also reports of long-term low acid environment in the stomach to increase the carcinogenic factors. So how long the course of treatment should be, listen to the doctor’s opinion, never take it for granted. Fourth, other people ate effective drugs, I can eat the same? I am afraid that the most important thing that retired elderly people get together to talk about is the exchange of experience in disease prevention and treatment. Therefore, outpatient clinic there are so some old patients with a drug box given by others insisted that the doctor prescribed that kind of medicine, because he (she) heard people say that this medicine works. Sometimes the doctor can’t help but laugh and cry. This is, of course, a minority, mainly do not understand the world is not exactly the same condition. Is it appropriate to choose medicine according to advertisements? Advertising has a great influence. No one can not withstand the temptation of daily television, newspapers, radio. Especially some patients who have been treated unsatisfactorily are most easily influenced. However, by the same token, the most effective treatment may be different treatment for the same disease (called individualized treatment in Western medicine). The most important thing to be wary of is “doctor” speeches and patient testimonials on TV programs in the middle of the night. Do not believe them.