Doctor insights on:
What Are The Treatments For A Nsaid Induced Ulcer
Peptic ulcers: Historically, ulcers used to be treated with antacid regimens. However, the current treatment involves treating a bacteria called heliobactor pylorii. And using acid blockers as a supplement. So, patients are given antibiotics and advised to use the acid blockers (either on a short or long term basis). ...Read more
Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more
Acid reducing meds: Also known as proton pump inhibitors like Omeprazole etc. Are recommended for the treatment of ulcers. Otc antacids may help with short term symptom relief but will not heal ulcers. If h. Pylori bacterium is present you will need antibiotics as well. Avoid any nsaids, or Aspirin and make sure you eat light avoiding heavy, spicy and acidic foods, including citrus, sodas, caffeine, alcohol & smoking. ...Read moreSee 1 more doctor answer
What are all the symptoms related to the pelvic varices?Is there any effective or definitive remedy or treatment for them?
Pelvic or lower ab,,: Pelvic or lower abdominal pain. Or no sx at all. The varices, if associated with phlebitis are usually symptomatic, but stretched varicied veins can be symptomatc. Because they are deep, surgery is not very beneficial. The veins can be ablated with veinous cathers, but this is costly. If you have these, do not were tight garments; diminish constipation symptoms, and lose abdominal weight! ...Read moreSee 1 more doctor answer
What is visceral hypersensitivity and its cause. Can it be the same as chronic continuous IBS pain? What are the latest treatment options available?
Close, but...: Visceral hypersensitivity is believed to be one mechanism thru which ibs manifests--but there are many, each representing a target for possible treatments. Effective therapeutic options include: receptor-mediators, various antidepressants, motility-acting agents, non-pharmacologic approaches, more. Distinction of ibs from organic pathology is critical. As to your "continous pain", don't you sleep? ...Read more
Really none: Pain medications such as Ibuprofen or Aspirin (nsaids) should be avoided with peptic ulcers. The best treatment for ulcer pain is acid suppresion witih a ppi (prilosec, prevacid, nexium, dexilant, protonix, etc). Sometimes Carafate may also help a little. The pain shouldn't last long. An analgesic such as tylenol (acetaminophen) or a narcotic may help with pain too. ...Read moreSee 2 more doctor answers
What is the best longterm treatment for drug induced GERD and epigastric pain if someone take meds for chronic conditions,&name of drug please?
What are the diagnosis criteria for pancreatitis? And what are the treatment other than the pain meds? Pain meds are not considered treatment.
Consult with ENT: You must be under the care of an ear nose ; throat specialist. That ulcer could be due to many kinds of infectious organisms. Cultures should be done to identify the cause. Also what looks like an ulcer could also be the beginning of a cancer and that also has to be ruled out. ...Read more
It depends: The best treatment is prevention by relieving pressure which can also help heal early ulcers. If there is significant necrotic tissue or the ulcer is quite large/deep, surgical debridement and closure may be performed. Infections and other problems which delay healing (tobacco, poor nutrition, diabetes)need to be controlled with appropriate treatments as well for best results. ...Read moreSee 1 more doctor answer
Identify the cause: Neuropathy is a condition resulting from abnormal nerve function. Neuropathy can be due to certain vitamin deficiencies, nerve damage due to trauma, alcohol consumption, radiation, side effects of certain medications, or due to certain medical conditions such as diabetes. Treatment varies depending on the cause of the problem. Have it evaluated and appropriately treated. ...Read moreSee 3 more doctor answers
Skin ulcer: We are unable to answer your question since there are many types of ulcerations that require different forms of treatment. ...Read more
Suggestions: First of all, try to find ways to lower the stress in your life. Not, always, easy to do. Then, consider a bland diet with little spices, your doctor might suggest a ppi to lower the stomach acid, and they might want to try carafate (sucralfate) liquid to try to help heal the ulcer. Talk to your doctor. ...Read more
What kind of treatmments are available for serious back pain and already had surgery and is there another way besides medication , pain managment?
Spinal Cord Stim: Evaluation with a reptable pain management physician who can evaluate then implant the stim, after a trial. Nice thing about a spinal cord stim is that you can and indeed are required to, try it for a few days before the permanent implantation. ...Read moreSee 1 more doctor answer
PANCREATITIS TX: PANCREATITIS which is inflammation of the Pancreas is treated with bowel rest(NPO STATUS) Hydration & Pain control. While being closely monitored the cause needs to be evaluated. IE GALLSTONES/ALCOHOL USAGE/MEDICATION/ANATOMICAL/. Trauma. The cause of the pancreatitis will dictate further options. You need a full exam &plans . CT SCAN OF ABDOMEN AND PELVIS AND CLOSE OBSERVATION. ...Read more
Tylenol (acetaminophen) is safe: Since it does not mess up with the gastric mucosa /acid ...Read more
What are early nsaid induced ulcer symptoms? Will just stopping meds fix it or do I need to see a Dr?
Indigestion: nausea, burning after taking NSAIDS can be a symptom of irritation. Stopping the meds or taking an antacid like Tums or Zantac (ranitidine) can help. If the symptoms don't resolve in several days best to see your primary care. Thanks for trusting HealthTap! ...Read moreSee 1 more doctor answer
Is ppi superior than H2 blocker to heal nsaid induced gastritis/ulcer if taken symptomatically(only when pain in stomach). I did not take it everyday.
Can taking Prilosec 20 or 40mg prevent NSAID induced ulcer, from taking ibuprofen twice daily? It's the only med that works for my back pain. Thanks!
NSAID ulcers: Although it may help some, Prilosec cannot reliably prevent NSAID-induced ulcers. These ulcers can be large and insidious, and frequently only present when they cause acute bleeding or perforation. If NSAIDs are to be used for long-term treatment of back pain, it should only be if prescribed by a physician who is following you closely for this. Don't do it on your own. Good luck. ...Read more
Is it safe a chronic use of ppi as prophylactic for nsaids induced ulcer for patients taking nsaids for rheumatoid arthritis and osteoarthritis pain ?
Great idea: Recent study: "proton pump inhibitors decrease the risk of bleeding ulcers in high-risk NSAID or Aspirin users with very recent ulcer bleeding by approximately 75–85%., recent head-to-head randomized comparison of two preventive strategies (proton pump inhibitor plus non-selective NSAID vs. Cox-2-specific inhibitor)". Hope it helps. ...Read moreSee 1 more doctor answer
How many days/weeks would a person typically take an Acid Reducer to treat an ulcer caused by NSAIDs?
Hard to say: Since it depends on how fast your ulcer is healing. I would estimate that 4 weeks are likely the minimum and you may likely need something more potent (PPI?) ...Read more
Will an ulcer(6mnth nsaids) ever completely heal and no longer be a problem or will I always have to live with food/lifestyle restrictions and PAIN???
Ulcer: This depends upon numerous factors; location of ulcer, whether you are Helicobacter pylori positive, whether there are endocrine abnormalities leading to excessive acid secretion, and others. Generally your doctor can sort this out although you may need referral to a GI specialist. The short answer is that this is usually effectively treated and will not persist. ...Read more
Ulcer: Untreated stress ulcers can bleed, especially when taking nsaid's that irritate your stomach further and disturb platelet function. Depending on the extent of bleeding, you could vomit blood or have blood in your stool. This could become life-threatening. Hoping you're avoiding alcohol and learning to deal with your stress in healthy ways. Hoping you're also working with your doctor on ulcers. ...Read more
Do I need to avoid vinegar or other acids when I have an ulcer? I got one from NSAIDs and its lasted 6 months
Take nsaids daily for chronic back pain. Epiastric pain off and on x 2 months. Should I be concerned about ulcers?
Is there a way 2 prevent recurring ulcer? Got ulcer 3x in 2yrs, rarely take NSAIDs & taking Prilosec. Could long intervals w/o eating have any effect?
Severe back spasms. NSAIDs give me ulcers. The NP stated that a Toradol injection will not cause ulcers since it's an injection not a pill. This true?
I suffer from migraines and recently lost my insurance. What meds can I take to help wuth the headace and nausea that comes with it i cannot take nsaids due to an ulcer?
If you have an ulcer caused by stress/high nsaid use, and continue to do so will you develop a bleed/other probs? How long?
Yes, you could: Definitely make it worse and if the ulcer develops further, it can erode the entire lining until it hits an artery, which can be very dangerous. Time is different for everyone. Some people this could take months or never progress, while others can take it for a few days and get into a dangerous situation. Best to have a scope done to see how bad the ulcer is and discontinue nsaids, start a ppi. ...Read more
If I take a NSAID everyday for arthritis, will Prilosec help reduce ulcer risk? If so, by how much, and how many MG of Prilosec should I take? Thanks
20 to 40 mg: The risk of ulcers resulting from daily NSAIDs is rel. Risk factors such as age >65, previous ulcers, daily aspirin, and high dose NSAIDS. PPIs have definitely been shown to reduce ulcers. The dose for Prilosec is 20 to 40 mg daily. Long term PPIs can cause problems with calcium and bone metabolism with long term use. There are other side effects of NSAIDs such as heart issues Good luck ...Read more
26/f. Ulcer type hunger pains. Tested for h. Pylori 9 months ago. Negative. I don't use NSAIDs regularly. Chances of ZES? Scared. Ulcer pain x2 month
Treat the cause: Peptic ulcer disease is mostly due to infection with a bacterium called h. pylori. If this is diagnosed, the pt should take antibiotics and medications such as H2 blockers and proton pump inhibitors. Pain meds are not the answer, though narcotics can help with the acute pain. NSAIDS such as aspirin, ibuprofen, ketorolac, can make the problem worse. Acetaminophen (Tylenol) is acceptable. ...Read moreSee 2 more doctor answers
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