Your treatment of stomach ulcer will depend on the cause of it's occurrence. With treatment, most ulcers heal in a month or two. In rare cases, surgery may be required.
If your stomach ulcer is caused by an Helicobacter pylori (H. pylori) bacterial infection or by a combination of an H. pylori infection and non-steroidal anti-inflammatory drugs (NSAIDs), you need a course of antibiotics and a proton pump inhibitor (PPI) . PPIs block the stomach cells that produce acid. If your stomach ulcer is just caused by taking NSAIDs, a course of PPI medication is recommended.
The following things are also recommended in addition to these treatments:
A course of two or three antibiotics is recommended if your ulcer is caused by H. pylori infection. Most commonly used antibiotics are amoxicillin, clarithromycin and metronidazole. Each of these need to be taken twice a day for a week. You will be reviewed at least four weeks after finishing your antibiotic course to check if there are any H. pylori bacteria left in your stomach.If so, a further course of different antibiotics may be precribed.
PPIs reduces the amount of acid your stomach produces. Thus preventing further damage to the ulcer. Most commonly used PPIs to treat stomach ulcers are Omeprazole, pantoprazole and lansoprazole. All these are prescribed for four to eight weeks.
It block acid production in your stomach. The most widely used H2 receptor blocker for treating stomach ulcers is ranitidine.
Additional antacid medication is prescribed to neutralize your stomach acid and provide immediate symptom relief. As all of the above treatments can take several hours to start working you can get a short term relief from these antacids. Some antacids also contain an alginate, which produces a protective coating on the lining of your stomach. These medications are easily available to buy at all pharmaceutical stores. When you experience symptoms or when you expect them, you can always have an antacid.
Risks associated with continued NSAID use is to develop another stomach ulcer and could experience a serious complication such as internal bleeding. If your stomach ulcer is caused by taking NSAIDs, alternative medications are advisable to take. An alternative painkiller such as paracetamol or an alternative type of NSAID called a COX-2 inhibitor, may be recommended. These are less likely to cause stomach ulcers.
Medications used to treat stomach ulcers can have some side effects such as:
If these symptoms cause severe discomfort, change your medication after talking to your doctor .
Stomach ulcer will require surgery in very rare cases such as:
Surgery may require: