Pain above the stomach i.e. epigastric pain may be caused by diseases such as gastritis, peptic ulcer, cholecystitis, pancreatitis, and so on. According to different causes, choose different drugs, not all diseases can use anti-inflammatory drugs.
1. Gastritis: gastric mucosal protectants such as magnesium aluminum carbonate and acid-suppressing drugs such as omeprazole can be taken. If the patient has Helicobacter pylori infection, then you need to follow the doctor’s instructions to choose drugs for eradication treatment, common use of omeprazole + bismuth + amoxicillin + metronidazole quadruple therapy for treatment. There are other antibiotics available, need to be analyzed in conjunction with the individual situation.
2. Peptic ulcer: acid inhibitors such as omeprazole and ranitidine can be used to reduce the secretion of gastric acid; gastric mucosal protectants such as aluminum hydroxide gel and aluminum thiosulphate can be used to play a protective role by neutralizing gastric acid. Patients who are also clearly infected with Helicobacter pylori need eradication treatment.
3. Cholecystitis: ursodeoxycholic acid tablets, anti-inflammatory choleretic tablets and other drugs can be used to reduce inflammation and choleretic. If the patient has severe colic in the upper abdomen, antispasmodic and analgesic drugs such as atropine can be used. Antibiotics such as clindamycin and ampicillin may be used to fight infection. The presence of surgical indications for surgical treatment.
4. Pancreatitis: Acid suppressants such as omeprazole and pantoprazole can be used. Inhibit pancreatic enzyme secretion with growth inhibitors and octreotide. And the need for timely fluid resuscitation, the early need for temporary water fasting. When there is an elevated inflammatory index, you can use ceftazidime, ornidazole and other anti-infection as prescribed by the doctor.
Due to the complexity of the causes of epigastric pain, patients should seek medical attention as soon as possible to improve the relevant examination and clarify the cause of the disease. The above mentioned drugs should be taken under the guidance of a professional doctor.