How to treat stomach ulcers

  The treatment of peptic ulcers is mainly pharmacological, patient education, endoscopic treatment and surgical procedures.  The main drugs used to treat gastric ulcers are: 1. Drugs that inhibit gastric acid secretion include: H2 receptor antagonists such as famotidine, ranitidine, etc., and proton pump inhibitors (PPI) such as omeprazole, lansoprazole, etc.  2, eradication of H. pylori: the current program for the eradication of H. pylori is a quadruple therapy, that is, 1 PPI + 2 antibiotics + 1 bismuth, a course of 10-14 days. The commonly used antibiotics are clarithromycin, amoxicillin, metronidazole, etc.  3. Gastric mucosal protective agents: bismuth (such as bismuth potassium citrate, etc.), weak alkaline antacids (magnesium aluminum carbonate, aluminum phosphate, aluminum hydroxide gel, etc.).  Patient education is also an important part of gastric ulcer treatment. Patients should take proper rest and reduce mental stress; improve eating patterns, quit smoking, alcohol and drinking less strong tea and coffee, and stop using unnecessary non-steroidal anti-inflammatory drugs, etc.  Endoscopic treatment is mainly used for patients with bleeding peptic ulcer, combined with pyloric distortion or stenosis causing obstruction.  With the wide application of PPI and the continuous development of endoscopic treatment technology, the treatment of most gastric ulcers and their complications no longer requires surgical intervention. However, surgical treatment should be considered in the following cases: ① when complicated peptic hemorrhage is not treated by drugs, gastroscopy and vascular interventions; ② when acute perforation and chronic penetrating ulcer are ineffective; ③ when scarring pyloric obstruction is ineffective by endoscopic treatment; ④ when gastric ulcer has cancerous changes.  Therefore, gastric ulcer is a common disease with a relatively mature treatment system, but how to cure it specifically, but also according to the patient’s own situation to choose a different treatment.