how to treat a stomach ulcer

how to treat a stomach ulcer

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To treat a stomach ulcer, the approach depends on the underlying cause but generally includes the following: Medications:

  • Antibiotics: If the ulcer is caused by Helicobacter pylori (H. pylori) infection, a combination of two antibiotics (commonly amoxicillin, clarithromycin, and metronidazole) is prescribed for about a week to eradicate the bacteria
  • Proton Pump Inhibitors (PPIs): These drugs (such as omeprazole, pantoprazole, lansoprazole) reduce stomach acid production, allowing the ulcer to heal and preventing further damage. They are usually taken for 4 to 8 weeks
  • H2-Receptor Antagonists: Sometimes used instead of PPIs, these also reduce acid production by blocking H2 receptors (e.g., famotidine)
  • Antacids and Alginates: These provide quick, short-term relief by neutralizing stomach acid and coating the stomach lining to protect it. They can be taken as needed, especially after meals or at bedtime

Lifestyle and Additional Measures:

  • Avoiding stress, alcohol, smoking, and spicy foods can help reduce symptoms during healing
  • If the ulcer is caused by NSAIDs (non-steroidal anti-inflammatory drugs), stopping or changing these medications is important. Your doctor may recommend alternative painkillers like paracetamol or COX-2 inhibitors, which are less likely to cause ulcers
  • Follow-up testing, such as a repeat gastroscopy or breath test, may be done after treatment to ensure the ulcer has healed and the infection is cleared

Home Remedies (Complementary): Some people use home remedies like hot compresses, abdominal massage, ginger tea, honey and turmeric mixtures, aloe vera juice, fresh cabbage juice, bananas, garlic, licorice root, and coconut water to relieve symptoms and support healing, but these should complement, not replace, medical treatment

. With proper treatment, most stomach ulcers heal within a few months, and complications can be prevented

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