Treatment of gastritis and peptic ulcer of the stomach. Folk remedies for gastritis and stomach ulcers. Treatment of genetic forms of the disease

They are the most common gastrointestinal ailments that occur due to the pathological effects of the bacterium Helicobacter pylori. It follows that drug therapy will have several common features. This is explained not only common causes occurrence, but still almost the same symptoms of such ailments. The only difference will be the use of drugs to normalize the level of acidity, in cases with reduced or increased level of hydrochloric acid.

Medicines for treatment

Currently, gastroenterology has developed several treatment regimens for such disorders, which are aimed at eliminating the main pathogen.

Therapy of gastritis according to a three-component scheme involves taking:

• antibiotics;
• bismuth preparations.

The duration of such treatment is usually no more than ten days. If no changes have occurred during this time, then the reason may be the resistance of the pathological microorganism to drugs. In such cases, a second course of therapy is indicated, after about two months, by using four components:

• antibiotic;
• bismuth;
• derivatives of nitrofuran.

There is also the most effective scheme for the treatment of peptic ulcer, which consists of two stages:

• the first is the use of two antibiotics and a PPI for seven days. The main goal of this stage is the complete destruction of the bacterium Helicobacter pylori;
• the second - in duration takes two weeks. Provides in addition to the above substances to take one of the bismuth drugs or blockers histamine receptors.

From this it follows that almost the same groups of drugs are used to treat gastritis and stomach ulcers.

Each case of diseases is considered by a specialist on an individual basis for each patient. In this case, the data of laboratory and instrumental examinations, sensitivity to a pathogenic microorganism, as well as human intolerance to a particular medication are taken into account.

General treatment tactics

Common medicines for gastritis and stomach ulcers are:

• antibiotics;
• inhibitors proton pump;
• bismuth preparations;
• antispasmodics and painkillers.

The main purpose of the use of antibiotics is the complete elimination or reduction of the number of pathogenic bacteria. The group of antibiotics includes:

• Amoxicillin- its beneficial effect is due to the fact that such a substance is resistant to the acidic contents of gastric juice. It differs from other drugs in this group in that it is almost completely absorbed and distributed through the tissues of the affected organ;
• Clarithromycin- is used as the main antibiotic for the treatment of such disorders;
• Metronidazole- is a broad-spectrum drug. This is due to the fact that it has an antimicrobial effect and destroys the DNA of microorganisms;
• Tetracycline.

PPIs are a group of drugs that block the secretion of acidic stomach contents. Such medicines got their name because they perform the function of a kind of pump in those cells that produce hydrochloric acid. For the treatment of these two diseases of the stomach, it is very often used:

• Lansoprazole- reduces the acidity of the contents at the final stage, i.e. before being released into the cavity of the affected organ;
• Omeprazole- works regardless of what caused the increase in acidity - food or enzyme exposure;
• Rabeprazole- not only normalizes the level of hydrochloric acid, but also has a detrimental effect on the bacterium Helicobacter pylori.

Medicines containing bismuth, which are used to treat such disorders, not only inhibit the development of the pathogen, but also form a protective film around the affected organ. In addition, they increase the blood supply to the mucous membrane and the secretion of protective mucus. Most effective drugs for the treatment of gastritis and stomach ulcers:

• De-Nol;
• Novobismol;
• Ulcavis;
• Ventrisol.

The most effective antispasmodics in the course of the inflammatory process and gastric ulcer are:

• halidor- aimed at reducing vasospasm and blood pressure indicators, in some cases it can cause cardiopalmus. If a person has such diseases, it is used as an anesthetic. If taken in large quantities, then it will perform the functions of a tranquilizer;
• Dibazol and Papaverine- able to reduce the manifestation of pain, but differ in that they act for a short time;
• No-shpa one of the most popular and most effective antispasmodics. It has a wide spectrum of activity and medicinal effect keeps for a long time.

In addition, the complex treatment of such pathologies includes:

• anticholinergics;
• antacids;
• antiemetics;
• ganglioblockers;
• reparants and gastroprotectors. Such substances take part in the restoration of the integrity of the mucosa and the regeneration of affected tissues. The most effective drugs from this group are Solcoseryl, Actovegin, Amigluracil and Sucralfate.

Anticholinergics are aimed at blocking the influence of the parasympathetic nervous system on the functioning of internal organs. The treatment regimen for such diseases may include one of the following substances:

• Gastrocepin- has an effect only on the shell of the affected organ, which causes a decrease in the secretion of hydrochloric acid;
• Buscopan– improves general state patients with such a diagnosis, by reducing the intensity of the manifestation of pain and reducing acidity;
• Etpenal- used for symptomatic therapy peptic ulcer;
• Metacin and Platifillin.

Antacids are aimed at protecting the mucous membrane from the influence of various irritants. Gastroenterologists in most cases prescribe:

• Almagel– has an enveloping and adsorbing effect. It does not cure the disease, but helps to eliminate the symptoms;
• Maalox- normalizes not only the acidity of gastric juice, but also the water-alkaline balance;
• Gastal- unlike other antacids, it acts for a long time, normalizes pH, and also eliminates heartburn and pain;
• Phosphalugel- can not only reduce the secretion of hydrochloric acid, but also reduce the formation of pepsin. Envelops the shell, but does not affect Helicobacter pylori.

The only difference in the treatment of such diseases is that in cases of gastritis, substances may be needed to increase the acidity of gastric juice.

Due to the fact that there is a wide variety of drugs and their equally effective analogues, only the attending physician can decide which particular set of medications should be taken by patients. Self-administration of medications, without a doctor's prescription, can not only aggravate the course of the disease, but also cause complications.

Similar content

Quite often, the inflammatory process in the lining of the stomach, with untimely or improper treatment, as well as when gastritis occurs in a chronic form, is accompanied by the addition of a secondary disorder. The most common such disease is peptic ulcer, several times less common is the simultaneous defeat of this organ and the duodenum. This is due to the fact that during the course of the main disorder - gastritis, there is a decrease in immunity, which makes the body susceptible to the influence of pathogenic bacteria. This is also facilitated by long-term use of medications, unhealthy lifestyles and an unhealthy diet.

The stomach is an organ of the digestive system located under the esophageal tube and has a volume of about 500 ml. From the inside, the walls of the stomach are lined with mucous membranes (epithelial) - a layer of epithelial cells that perform a protective function. When the mucous layer of the stomach becomes inflamed, the patient is diagnosed with gastritis. This disease in 90% of cases is of an infectious nature and develops when the mucous membranes are contaminated with spiral bacteria. . Symptoms of infectious gastritis are quite specific. These can be abdominal pain (in the upper part), vomiting, nausea, stool disorders.

If the patient postpones going to the hospital, does not comply with the regimen prescribed by the doctor, independently corrects the medication regimen, signs of ulceration may appear on the surface of the mucous membranes. A stomach ulcer is a severe complication of gastritis, characterized by the appearance of local trophic defects under the influence of bile, hydrochloric acid and proteolytic enzymes. Treatment of stomach pathologies requires not only a special diet, but also the use of medical methods. The drugs for gastritis and stomach ulcers are listed below, as well as their detailed characteristics, and the recommended scheme of use is given.

Antibiotics and antimicrobials for treatment infectious inflammation stomach are shown in 88-90% of cases. Gram-negative microorganisms are the main causative agent of the disease. resistant to many antibiotics, therefore, for the treatment of infectious gastritis, combined regimens consisting of 2-3 drugs are always used. The risk of developing a peptic ulcer in the absence of timely therapy, especially if the patient does not follow the principles of dietary nutrition, suffers from tobacco or alcohol addiction, in some cases can reach 98.9%. When choosing the right medicine, the doctor takes into account the age of the patient, the degree of contamination of the mucous membranes with H. Pylori bacteria, and the expected effectiveness of a particular drug group.

Combination of penicillins and macrolides

These antibiotics are included in the group of first-line drugs for the eradication of the infectious agent. First-line treatment is always supplemented with proton pump inhibitors, and Amoxicillin and Clarithromycin are used as the drugs of choice in most cases. "Amoxicillin" is a drug from the group of semi-synthetic penicillins with a wide spectrum of antibacterial activity and a minimum list of side effects(compared to other antibiotics). Take "Amoxicillin" and its analogues should be 2 times a day at a dosage of 500 mg. The duration of treatment should not be less than 10 days - shorter courses increase the likelihood of relapses. For kids single dose amoxicillin is calculated at the rate of 20 mg/kg.

"Amoxicillin" - indications for use

Table. Analogues of "Amoxicillin" and their cost.

Important! People with signs of ulcers in the gastric mucosa and submucosa should choose drugs without the addition of clavulanic acid (used in combination with amoxicillin to increase its effectiveness).

Of the macrolides, Clarithromycin is usually included in the treatment regimen. The drug has a rapid systemic absorption, the connection with the protein components of the plasma is more than 90%. It is necessary to take "Clarithromycin" for 2 weeks at a dosage of 250-500 mg 2 times a day. This antibiotic is contraindicated in pregnant women early dates gestation, lactating women, patients with various forms liver and kidney failure.

Combination of tetracyclines and metronidazole

"Tetracycline" and "Metronidazole" are second-line drugs, and their combination is used in the absence of the necessary effect from the use of first-line drugs of the eradication protocol Helicobacter pylori. Most often, metronidazole is prescribed in the form of tablets, but if the patient is being treated in a hospital, it can be used. infusion therapy, especially if the gastritis is complicated by an ulcerative defect of the mucosa. Metronidazole treatment regimen: 500 mg 2 times a day for 10 days. Drug analogues:

• tablets "Klion" (76 rubles);
• tablets "Flagil" (129 rubles).

"Tetracycline" and its analogues are prescribed for a period of 1 to 2 weeks. A single dosage is usually 100-200 mg. The medicine should be taken 2 times a day.

Means for the treatment of acid-dependent conditions of the stomach (PPI)

These are drugs that block the activity of digestive enzymes in the parietal cells of the stomach and stop the final stage of hydrochloric acid synthesis. They may be assigned to complex therapy ulcerative defects of the mucous membranes of the intestines and stomach (including peptic ulcer of unspecified localization and stress ulcers), gastritis and gastroesophageal reflux. Omeprazole is the drug of choice in most cases. Omeprazole capsules are rapidly absorbed and begin to act within an hour after ingestion, and the achieved effect persists throughout the day (in patients with peptic ulcer, this period may be less - up to 17 hours).

As part of the complex eradication of Helicobacter pylori, when using the first-line protocol, the drug is taken for 1 week at 20 mg 1-2 times a day. For the treatment of gastric ulcer, the duration of therapy is increased to 1-2 months (while maintaining the dosage regimen). During the period of exacerbation of gastritis and stomach ulcers, the drug is taken 1 capsule 1 time per day (in case of complicated course, the daily dosage can be increased to 40 mg) for 2-4 weeks.

Analogues of "Omeprazole":

• "Ultop";
• "Ortanol";
• "Omez";
• "Ulkozol";
• "Losek";
• "Demeprazol".

Note! Elderly patients (over 60 years of age) dosage adjustment is not required.

Increased acidity of the gastric environment: treatment

Increased secretion of hydrochloric acid is one of the main factors in the development of peptic ulcer. If the patient has already been diagnosed with local ulcerative defects, the increased acidity of gastric juice can provoke a relapse of the disease and lead to perforation - the appearance of a through hole in the gastric wall and the evacuation of gastric contents into the abdominal cavity. Ulcer perforation - dangerous complication peptic ulcer, which in 13% of cases is the cause of acute peritonitis (inflammation of the tissues of the peritoneum, which can be fatal).

Treatment of gastritis with high acidity is always complex and should include a diet, a sparing regimen and drug correction. To protect the mucous membranes from corrosive hydrochloric acid, the patient is prescribed antacids - drugs that neutralize hydrochloric acid, which have an enveloping and adsorbing effect. Medicines in this group are listed in the table below.

Table. Antacids with increased acidity of the gastrointestinal environment.

To suppress the synthesis of hydrochloric acid and prevent peptic ulcer, histamine receptor blockers are used, for example, Famotidine, Famosan, Kvamatel.

Reduced synthesis of hydrochloric acid: preparations

With gastritis with low acidity, the basis of treatment are drugs from the group of anti-enzymes. The drug of choice for the treatment of adult patients most often becomes "Acidin-pepsin". This is a drug in the form of tablets that allows you to increase the acidity of gastric juice and the activity of proteolytic enzymes that provide digestive processes. The drug is shown as replacement therapy with atrophy of the glands of the stomach and achylia - a pathology in which there is no pepsin in the stomach, and hydrochloric acid almost never synthesized.

You need to take the drug 2-4 times a day, 500 mg. The duration of treatment is determined by the dynamics of the therapy, tolerability and general clinical picture diseases.

From digestive enzyme preparations The patient may also be prescribed:

• "Pancreatin";
• "Festal";
• Creon.

Note! The listed medicines are used not only for the treatment of gastritis and stomach ulcers, but also for the correction of nutritional errors, but it is impossible to take drugs in this group without consulting a doctor.

Auxiliary treatment

Almost all treatment regimens therapies for gastritis and peptic ulcers include bismuth preparations. These are drugs that have a gastroprotective (protective) effect and increase the resistance of the mucous membranes of the stomach and intestines to the effects of hydrochloric acid, bile, proteolytic enzymes and salts. bile acids. Bismuth preparations have low absorption, are excreted from the body along with feces. On hit a small amount bismuth salts into the bloodstream, the renal system is involved in the excretion process.

Bismuth preparations include the following drugs:

• Ulcavis tablets;
• tablets "De-nol";
• Escape tablets.

In acute infectious gastritis, accompanied by severe dyspepsia (stomach pain, nausea, intestinal spasms, bloating), as well as vomiting, the use of drugs containing metoclopramide (for example, Cerucal) is indicated. With severe vomiting, the drug is injected into a muscle or into a vein. If, against the background of gastritis, vomiting began in a child, the use of "Motilium" in the form of a syrup for children is allowed. The drug has a high cost (more than 1000 rubles), but this is the only drug that is approved for use in children under 6 years of age.

Analogues of "Motilium" for adults are: "Domperidone", "Motilak".

For pain in the abdomen caused by contraction of the gastric or intestinal walls, antispasmodics based on drotaverine or papaverine are necessarily included in the treatment regimen: Spazmonet, No-shpa, Papaverine, Papaverine hydrochloride, Drotaverine, Spazmol . Daily dosage Drotaverine for an adult is 120-240 mg, which must be divided into 2-3 doses. The duration of use depends on the intensity of pain and general well-being patient and is usually from 5 to 14 days.

With severe vomiting, when the tablets are poorly absorbed, antispasmodics are best used in the form rectal suppositories("Papaverine hydrochloride"). Unless otherwise instructed by the doctor, they should be injected into the rectum 2 times a day after defecation.

Gastritis and stomach ulcers are diseases whose treatment should be supervised by a specialist. Self-medication can lead to grave consequences and complications, so any drugs can be taken only with the permission of the attending physician.

Video - Medicines for gastritis and stomach ulcers

When a person suffers from gastritis, he usually feels pain in epigastric region, pain in the abdomen, nausea. The abdomen swells, there is an eructation and discomfort after eating. In this situation, a person seeks to find suitable tablets from gastritis to reduce pain and discomfort.

Usually, patients who have been suffering from chronic gastritis for many years already know how to treat gastritis and which pills for gastritis will help relieve pain, reduce nausea and normalize digestive processes.

If the patient has Clinical signs gastritis were detected for the first time, it is impossible to conduct experiments with self-administration of drugs! Before starting treatment and making decisions on the choice of drugs, it is recommended to undergo a full examination, according to the results of the research, the gastroenterologist will prescribe a full treatment and prescribe medications for gastritis.

Tablets from gastritis

Today, in medicine and the pharmacological industry, a single universal tablet has not been developed that can eliminate existing pathogenic mechanisms and clinical symptoms gastritis. Drug treatment of gastritis includes:

When prescribing an adequate course of treatment, it is necessary to take into account the level of acidity. With increased and decreased acidity, different medications are prescribed.

For the treatment of gastritis with low acidity, the doctor prescribes replacement therapy drugs. For example, gastric juice with pepsin or row medications that stimulate the production of hydrochloric acid and digestive enzymes in the stomach. To improve the digestive process, enzymes are used - mezim or creon. The drugs can relieve pain and prevent bloating and flatulence.

With increased acidity of gastric juice, drugs with antacid properties, proton pump inhibitors are prescribed. A number of schemes for the treatment of gastritis and gastric ulcer have been developed.

Antacid tablets

The list of antacids includes tablets:

• Rennie.
• Maalox.
• Gastal.
• Gaviscon.
• Alumag.

Medicines are used in combination with drugs, proton pump inhibitors. The complex is quite effective. Antacids are incompatible with gastroprotectors. For a good therapeutic effect, you will have to take a break between taking drugs for at least 2 hours.

Antacids contain aluminum compounds. Interacting with digitalis preparations, tetracyclines and salicylates, aluminum forms insoluble compounds that cause harm to the body. Joint application medicinal groups contraindicated. It is important to know which medications can be taken in the complex, and which ones are better to refuse. Only a doctor will provide such a recommendation. In addition to tablets, Almagel suspension is widely used.

Rennie

The therapeutic mechanism of the drug for the stomach is extremely simple. The drug contains magnesium and calcium carbonates, which in the stomach interact with hydrochloric acid of gastric juice. After a few minutes, the taken Rennie neutralizes the acid, water and neutral insoluble salts are formed in the stomach, which are excreted from the body through the kidneys or intestines. it effective remedy to relieve pain and heartburn in gastritis and peptic ulcer.

Gastal

Combined gastric drug. It contains compounds of aluminum and magnesium. Active gastal compounds interact with stomach acid and form neutral insoluble salts and water. The resulting salts have a mild laxative effect by relieving spasm of the smooth muscles of the intestine. The resulting aluminum salts are colloidal compounds and attract large amounts of water, strongly protecting the mucous membranes of the stomach and intestines. This remedy is great medicine from heartburn and abdominal pain with gastritis.

Antibacterial drugs

Often the cause of gastritis is a bacterial infection, to eliminate it is prescribed antibiotic therapy. Apply antibiotics that are active against Helicobacter pylori infection, resistant to acidic gastric environment. To the number suitable means relate:

1. Clarithromycin.
2. Amoxicillin.
3. Amoxiclav.
4. Trichopolum or metronidazole.
5. Furazolidone.

These drugs for gastritis are highly active against the causative agent of gastritis, are used for hyperacid gastritis and gastritis with a decrease in acidity. At the same time it is supposed to take probiotics. Instead of tablets, it is possible to take the fermented milk product acidophilus.

Gastroprotectors

The drug group has a direct protective effect on the gastric mucosa. Medicines for acute gastritis protect the epithelium from the effects of external aggressive factors - acids, enzymes, alkalis, chemically active substances. As a result of exposure to a number of pharmacological drugs, drug-induced gastritis develops. Effective and frequently used drugs are Venter and De-nol.

De-nol

Another name for the drug is bismuth tripotassium dicitrate. In addition to the protective effect, it has a high activity against the bacterium Helicobacter pylori. Interacting with the acid contained in the gastric juice, the medicinal substance forms a protective film that creates mechanical protection for the stomach wall, especially in the places of ulceration.

Sucralfate

Another name for the tool is venter. Represents a salt of aluminum and sucrose. The drug taken in acidic environment forms a stable polymer that protects the stomach wall. You can not take the medicine with low acidity or together with antacids. The formation of a protective polymer in the latter case does not occur. A properly formed film adheres to the walls of the stomach, creating a protective coating that reliably protects against aggressive factors.

prostaglandin derivatives

The drug belongs to a variety of gastroprotectors. An example of a group is the drug misoprostol. It helps to increase the protective properties of the epithelium of the mucous membrane and its resistance to external influences. In the cells of the epithelium of the gastric mucosa, the active substance, prostaglandin, is synthesized. He plays important role in the normal functioning of the mucosa. Prostaglandins perform the following functions:

1. Increase the regenerative capacity of cells.
2. Improve blood circulation in the gastric mucosa.
3. Reduce the secretion of hydrochloric acid in parietal cells.
4. Increase mucin synthesis.

This treatment is effective for gastritis caused by long-term use non-steroidal anti-inflammatory drugs. Often exacerbation of gastritis occurs in patients taking aspirin, paracetamol, thromboass.

With an exacerbation of peptic ulcer, the prescribed drug is less effective. A side effect that limits its use is frequent development diarrhea. In the presence of chemical or drug gastritis, it is quite useful to drink medicine.

proton pump inhibitors

Substances are used in the treatment of gastric ulcer and gastritis with high acidity, help reduce the production of hydrochloric acid by inhibiting the sodium-potassium ATPase enzyme. Thanks to the pharmacological group the acidity of the gastric juice decreases, the signs of the inflammatory process stop. The representative of the group is the drug Omez (omeprazole). Previously, group 2 antihistamines, in particular, Famotidine and Ranitidine, were widely used to reduce the synthesis of hydrochloric acid. However, in recent times Omez has supplanted the mentioned components due to its high efficiency. The tool works best.

FROM preventive purpose it is convenient to use omez simultaneously with long courses of thromboass preparations, steroid hormones. The drug paracetamol has a lesser effect on the gastric mucosa, if necessary, it is taken once.

Antispasmodics

This group of drugs is used as symptomatic remedy to eliminate pain in gastritis. The mechanism of action is due to the removal of spasm of smooth muscle cells. Thanks to the effect, pain disappears, progress improves food bolus through the alimentary canal. To the number similar drugs include drotaverine (no-shpa), halidor, papaverine. Thanks to these drugs, the pain goes away in a matter of minutes.

A number of antispasmodics have an effect on pain centers in the brain, reducing the flow of pain impulses into the cerebral cortex in gastritis of the stomach. These include spazgan, spazmalgon, baralgin.

Other drugs for the treatment of gastritis

There are other groups of drugs that cure gastritis.

Ursosan with gastritis is used to normalize the work of the biliary system. Helps to neutralize bile acids thrown into the stomach with reflux gastritis. For a similar purpose, the drug hofitol is taken.

To accelerate the healing of wounds and stomach ulcers, the drug methyluracil is widely used. It has an anti-inflammatory effect and promotes tissue regeneration processes. Similar action has actovegin. Wobenzym accelerates the healing process and increases the overall resistance of the body. The course of Wobenzym is repeated during periods of exacerbation.

To accelerate the removal of excess acid and toxins from the stomach, sorbents are prescribed - enterosgel, smecta, lactofiltrum. You can take cheap activated charcoal.

To eliminate the phenomena of nausea and vomiting, normalize the progress of the food bolus and prevent the development of reflux, tablets are used to treat gastritis - cerucal and motilium for gastritis. The drugs help prevent the back reflux of food and bile into the stomach from duodenum eliminate the unpleasant symptoms of nausea and vomiting.

Phytotherapy has found wide application in the treatment of gastritis. Decoctions of plants - oregano, St. John's wort, chamomile, nettle - allow you to heal ulcers and cure inflammation. It is necessary to brew herbs with boiling water and drink before meals. Unlike pharmaceutical preparations herbs are safer according to patients, and are inexpensive. AT diet food in the subacute period of the disease it is possible to include acidophilus. Alternative medicine(including Ayurveda) offer a range of effective recipes. However, it is better if the control of therapy is carried out by the attending physician.

Biologically active additives have become popular recently. Most of them contain required amount vitamins and microelements. Remember, the supplement is not a drug, treatment with dietary supplements will not replace medicines for gastritis, especially during the active period. Use of dietary supplements for gastritis should be, if the attending physician has agreed to use, so as not to bring the body more harm! When purchasing dietary supplements, it is necessary to clarify whether they are certified, whether they are allowed for sale in the country.

In the presence of stomach ulcers and gastritis, it is not enough just to follow a diet for a complete recovery. In modern medicine, numerous drugs are used to treat these diseases, which provide a long-term therapeutic effect. However, they are available to absolutely everyone. But all these remedies can only be prescribed by a doctor, and in no case can one prescribe them to oneself. Many are interested in how to treat gastritis and stomach ulcers. The drugs will be presented in this article.

Any medicines are prescribed only after a diagnosis and a thorough medical examination.

Achievements in medicine

One of the most important achievements in the field of medicine in the twentieth century was the discovery of the causes that provoke the development of gastritis and gastric ulcers. It turned out that the matter is not only in the diet, stress and nervous disorders, but also in the microbes that enter the human body. For this discovery in 2005, Australians B. Marshall and R. Warren received the Nobel Prize.

The main culprit of these pathologies was a bacterium such as Helicobacter pylori. Penetrating into a person's stomach, it begins to multiply intensively, after which it fills the mucous membrane. Such bacteria contribute to its destruction, and later also of the gastric walls. An inflammatory process occurs, which intensifies under the influence of hydrochloric acid in the composition of gastric juice, which gains access to the affected area due to the destruction of the mucous layer, which acts as a protective one. Thus, gastritis develops, and it, in turn, can serve Starting point peptic ulcer.

Other causes of illness

Also, among other reasons for the development of these diseases, one can mention the effect on the gastric mucosa of such irritants as ibuprofen, aspirin and other NSAIDs, alcohol in large quantities, nicotine, caustic substances with accidental ingestion, as well as viral infections and autoimmune diseases. What is the most effective medicine for ulcers and gastritis?

Today, an ulcer is no longer a disease that requires surgical method elimination, and in most cases, like gastritis, responds well to drug treatment.

Since in the development of these ailments the main role belongs to the same factors, the therapeutic regimens, as well as the drugs used for gastritis and ulcers, are similar.

Most often, the treatment of these diseases includes two phases: blocking the exacerbation and preventing the return of the pathology.

The main list of drugs for gastritis and stomach ulcers can be conditionally divided into two groups:

- those that reduce the level of acidity of gastric contents due to the neutralization of hydrochloric acid (that is, antacids) or by inhibiting the production of gastric juice (that is, antisecretory agents);

- antimicrobial, if Helicobacter pylori infection is confirmed.

Medicines used for inflammation of the gastric mucosa

Therapy of gastritis is carried out in order to normalize the release of perchloric acid in the stomach. Depending on whether there is a decrease or increase in the secretion of acid by the stomach, the prescription of medications by the doctor also depends. Universal remedy for the treatment of gastritis does not exist, and it is not possible to invent it.

If the acidity of the stomach is lowered, then doctors prescribe gastric juice (either natural or artificial). It is necessary to drink it during meals, the dosage is measured very strictly. This juice contains hydrochloric acid, which is necessary for the stomach, as well as a number of enzymes that help digestion.

If the acidity is normal or increased, then antacid preparations are prescribed. One of the most common are Vikair, Rennie, Maalox, Almagel. Often drugs are also used that block the release of hydrochloric acid. The most common representative in this category of drugs is Ranitidine.

Other drugs for gastritis and stomach ulcers

Gastritis is characterized not only painful sensations in the stomach and heartburn, but also other symptoms. Its therapy is impossible without the use of a number of drugs:

- Against diarrhea, drugs are prescribed that slow down peristalsis: Loflatil, Loperamide.

- With increased formation of gases, as one of the characteristic symptoms of gastritis, Espumizan is used.

- To stop such a common symptom of the disease as pain, antispasmodics are most often prescribed: Spasmalgon, Papaverine, No-Shpa. Among analgesics - "Baralgin" and others. A number of specialists do not like to use "Analgin", because it has serious side effects. The list of drugs for gastritis and stomach ulcers does not end there.

- To restore digestion, they prescribe Mezim.

- Antibiotics are used to block the activity of the Helicobacter pylori bacteria.

- To provide rest to the patient use sedatives, including motherwort tincture, valerian extract and Fitosed.

- To improve appetite, prescribe drugs that contain bitter substances.

What other drugs for gastritis and stomach ulcers exist?

Drugs for ulcers

Therapy of a gastric ulcer is determined both by the age of the patient and his general condition, the place in which the mucosal damage is located. It should be remembered that it is impossible to prescribe antiulcer drugs for yourself. You also can't trust the constantly haunting ads on TV, listening to people you know who also had an ulcer and were able to cure it with some miraculous cure. Such manipulations can only cause harm. The treatment regimen for gastritis and stomach ulcers and drugs are completely suitable for one patient, but not for another.

Advantages of an integrated approach

The main principle of antiulcer treatment is A complex approach. At the same time, such drugs are needed that neutralize the influence of all harmful factors that provoke the occurrence and progression of stomach ulcers.

To achieve the desired therapeutic effect in this disease, the doctor most often prescribes the following drug groups:

What harm can self-medication bring?

Treatment of pathologies digestive tract should be carried out exclusively under the strict supervision of a physician. Only he will be able to prescribe a suitable medicine and, in which case, correct the therapeutic course. You can not prescribe the drug to yourself. Very rarely, patients carefully read the instructions for using the drug before using it, as a result of which he does not know all the necessary details: features of action, application, possible contraindications and side effects. In principle, patients do not pay attention to the latter during self-treatment.

Uncontrolled intake of sulfonamides, antibiotics, medicines containing poisons is very harmful. They can cause great harm to health instead of benefit. Pregnant women, the elderly and children, self-medication is strictly prohibited. The best folk remedies for stomach ulcers are discussed below.

Folk remedies

Before using the methods traditional medicine for the treatment of ulcers and gastritis, it is imperative to consult with your doctor, since their effect can lead to a decrease in the effectiveness of the drugs used at the same time, as well as worsen the patient's well-being.

It is very useful for the treatment of ulcers to take a mixture made from brewer's yeast. For this, a teaspoon of yeast is taken, mixed with two teaspoons of honey. The resulting remedy is infused during the day. Such a mixture is taken on an empty stomach, and then a new portion is made. In this way, you need to be treated for two weeks.

against ulcers

Eliminate an ulcer can help a remedy that is prepared on the basis of lard, honey and propolis. 30 grams of propolis must be chopped with a knife, mixed with 500 grams of honey and add another 50 grams of lard, previously melted. This mixture is stored in the refrigerator. You need to use it ten to fifteen minutes before each meal, one tablespoon. Treatment lasts as long as it takes to eliminate the symptoms of the disease.

With gastritis

With gastritis, freshly squeezed potato juice is excellent, which helps to eliminate heartburn, pain and restore the mucosa. You need to drink it in the amount of a quarter cup fifteen minutes before meals four times a day. The duration of the course is three weeks.

We examined drugs for the prevention of gastritis and stomach ulcers, as well as for the treatment of diseases.

Diseases of the gastrointestinal tract are considered common today. Moreover, both adults and children have stomach problems. The reasons for the increase in the number of patients with ulcers, gastritis, other diseases of the digestive system, physicians call constant stress, poor nutrition associated with low level life or constant diets.

Many researchers have noticed that the number deaths due to gastric diseases increased. More often than not, people get gastritis and stomach ulcers. A peptic ulcer occurs when Helicobacter pylori infection enters the body. Another reason for the formation of an ulcer is neuropsychiatric disorders, frequent use alcohol or antibiotics. Symptoms become sour belching, weight loss, the presence of rare bloody discharge in the stool, bad smell from mouth.

Gastritis is an inflammation of the mucosa. The disease appears for a reason food poisoning, excessive alcohol consumption, toxic poisoning, microflora disorders. Poor quality food, too spicy or fatty food quite capable of causing disease.

Inflammation of the stomach lining

AT acute stage gastritis passes under the influence of aggressive factors. Aggressive factors are called bacteria, toxic substances, alkalis, acids, alcohol, too hot or cold food.

Symptoms of acute gastritis do not appear immediately, about six hours after the aggressive agent enters the body. The result is nausea, abdominal pain, vomiting, weakness in the body. Sometimes there is blood in the vomit. In this case, you need to take the adsorbents mentioned in the article.

Chronic gastritis have periods of improvement and exacerbation. During an exacerbation, patients complain of symptoms: abdominal pain and heaviness that occurs after eating. With gastritis, patients sometimes feel a metallic taste in their mouths.

Medicines for stomach ulcers and gastritis

The use of medicines for gastritis and ulcers varies. Treatment of acute gastritis depends on the stage of the disease, the likelihood of relapse. Here is a list of drugs indicated for acute gastritis.

Drugs aimed at the treatment of acute gastritis:

Drugs prescribed for acute gastritis

Treatment of acute ulcers and gastritis is carried out with the help of pantoprazole, omeprazole, esomeprazole and others. After the use of medications, side effects sometimes develop in the form of indigestion, diarrhea or constipation, abdominal pain, vomiting, nausea, and taste disturbances. Likely allergic reactions in the form of urticaria, swelling.

Contraindications to omeprazole will be lactation, pregnancy, childhood, hypersensitivity. The analogy concerns the drug ursofalk, which causes uterine tone.

With peptic ulcer in the acute stage, it is not recommended to take allochol or festal. Allochol contains animal bile, herbs - garlic and nettle, which are undesirable for use in ulcers and gastritis. Patients who use festal note vomiting, general malaise, stomach upset.

Groups of drugs used for ulcers and gastritis:

1. Preparations of the lansoprazole group: epikur, lanzap, lansoprazole, lansofed.
2. Preparations of the pantoprazole group: peptazole, nolpaza.
3. Preparations of the rabeprazole group: pariet, rabelok, rabeprazole.
4. Preparations of the esomeprazole group: Nexium.
5. A group of drugs that protect the gastric mucosa: ventroxol, sucralfate.
6. A group of antibiotics active against Helicobacter pylori: amoxicillin, tetracycline.
7. Bismuth has protective functions for the stomach. With autoimmune gastritis, leading to mucosal atrophy, hormones are used.

During pregnancy with gastritis of the stomach, complete therapy is not carried out, avoiding harm to the fetus. In this case, the gastroenterologist prescribes polysorb, special diet, a complete treatment carried out after childbirth. Be wary of the drug Maalox for gastritis and ulcers. Ranitidine should not be taken during pregnancy.

Sometimes taking medications adversely affects the condition of the gastric mucosa. Tablets are able to increase the irritation of its tissues, with acute form prescribed droppers and injections for gastritis.

How is acute gastritis treated?

Acute gastritis is treated multifaceted, includes drug treatment diet, strengthening immunity. Gastritis in the advanced stage can lead to stomach ulcers. It is much easier to cope with the disease at an early stage.

In acute gastritis, patients are concerned about symptoms - frequent vomiting and dehydration. Chronic gastritis can develop secretly for a long time or be accompanied by mild symptoms. As a result, patients postpone a visit to the doctor, which leads to the appearance of secondary symptoms - impaired absorption, anemia.

Medical treatment of stomach ulcers

With a stomach ulcer, treatment is carried out with the help of drugs:

• In the presence of helicobacter pylori prescribe antibacterial tablets from gastritis: metronidazole, amoxicillin. To enhance the effect, combined treatment antibiotics. Amoxicillin, taken for gastritis, is combined with clarithromycin.
• Medicines that suppress the secretion of gastric secretion - famotidine, gastrosedin, kvamatel.
• Modern drugs that reduce the release of hydrochloric acid - gastrogel, vikalin, vikair. For a similar purpose, it is advised to take renitidine.
• Linex with gastritis is prescribed for the prevention of dysbacteriosis.

Treatment for unknown causes of the disease

If the cause of the disease is unknown, all symptoms are present, ulcer medications are prescribed to reduce secretion. The duration of treatment depends on the complications and the use of concurrent treatments.

Bismuth preparations are widely used to eliminate high acidity and promote the speedy healing of the mucosa. If you use the remedy for a long time, it will lead to darkening of the feces. The exception is the drug De-Nol, an analgesic drug. Cramping and pain in the stomach will help relieve duspatalin. Eglonil is prescribed to stabilize somatic manifestations. But eglonil is a remedy used only on the recommendation of a doctor, in small doses.

What herbs are drunk for ulcers and gastritis

The gastrointestinal tract and the pathologies associated with it are treated with herbal preparations. For example, for ulcers and gastritis, the drug "taiga doctor" is used, which includes milk thistle, cedar resin.

For the prevention and treatment of gastritis, stomach ulcers, Renorm BAJ phytoconcentrate is used, which includes herbs - valerian root, knotweed, burdock, St. John's wort.

The principle of prescribing drugs for ulcers and gastritis

Treatment with drugs for an ulcer involves the use of one medication from each group. When prescribing a treatment regimen, a thorough diagnosis of the disease is required, the stomach sometimes hurts not only with peptic ulcer. Symptoms of gastritis are quite similar to other digestive disorders.

The above methods of treatment refer to primary therapy. Secondary therapy is much more difficult. Consider 2nd line drugs used to treat ulcers and gastritis?

2nd line drugs for peptic ulcer

With Helicobacter pylori infection, the stomach hurts constantly. In this case, doctors prescribe antibiotics. Treatment of gastritis and stomach ulcers with drugs will be successful if the patient strictly adheres to the medication schedule.

Preparations for the treatment of gastritis, ulcers have a positive and negative effect on the body. For example, long-term use of pantoprazole causes inhibition of gastric secretion. In this case, gastroprotectors are prescribed to normalize the work of the stomach. These are remedies for gastritis and ulcers, which reduce the effect of aggressive factors.

The use of antacids for peptic ulcer

Antacids are an integral part of complex therapy aimed at eliminating the pathologies of the digestive system. With the help of these drugs, gastritis and stomach ulcers are treated by neutralizing excess hydrochloric acid.

But, taking drugs for gastritis and stomach ulcers, you need to remember about contraindications. For example, ursofalk cannot be combined with group drugs.

Antacids also have other positive qualities. Upon completion of taking the drugs of this group, patients do not experience an increase in the secretion of hydrochloric acid. They do not provoke flatulence, do not cause side effects from the motility of the stomach and intestines. They have minimal effect on the mucous membrane. latest generation drugs of this group taste good, which is an incentive for treatment. Below are the new generation antacid preparations.

Almagel

The drug for ulcers and gastritis provides a long-term effect without disturbing metabolism. It is not absorbed and does not accumulate in the mucosa, which eliminates the risk of developing cell metabolism disorders. By enveloping and adsorbing action, it neutralizes hydrochloric acid.

The substances present in the preparation exclude its aggressive effect on the walls digestive organ. Therapeutic effect appears within a few minutes after taking the medicine and lasts from one and a half to two hours. The drug has an analgesic effect due to benzocaine, which is part of Almagel.

Enterosgel

Enterosgel for gastritis and ulcers is used as an adsorbent that absorbs harmful substances and removes them from the body. It is an insoluble type antacid. Passing through the entire intestine, it absorbs viruses, bacteria, toxins. Its main property is considered the ability to neutralize aggressive substances that damage the epithelium. In addition, it contributes to the formation of beneficial intestinal microflora.

The indicated pharmacological agent is completely safe, even in the case of prolonged use. It is available in the form of a hydrogel, which must be diluted in water to a paste-like state. The hydrogel suspension should be taken one hour before meals with water.

When is surgery required?

If an ulcer makes a hole in the walls of the intestine or stomach (perforation), or continues to bleed despite therapy, gastritis and stomach ulcers may need to be treated. surgical intervention. Such complications are quite rare.

Often the cause of the formation of an ulcer is the presence of Helicobacter pylori or the use of anti-inflammatory drugs. To treat ulcers and gastritis, health care providers prescribe drugs to reduce the amount of acid produced by the stomach. Medicines used to treat ulcers, gastritis are effective, surgical intervention is used in the most extreme cases.

An operation occurs if gastritis and stomach ulcers pose a threat to life due to perforation, blockage, heavy bleeding. But even in difficult cases, surgery is rarely resorted to.

Treatment of genetic forms of the disease

Along with the acquired forms of the disease are called hereditary causes his appearance. The aggressive environment of the stomach can provoke an ulcer, and it is impossible to prevent its genetic forms. Potential patients are advised to follow a diet, healthy lifestyle life, follow the recommendations of the attending physician.

Even a person who considers himself perfectly healthy must undergo regular examination and stick to the rules rational nutrition. This is done so that you do not have to pay for the results of self-treatment, which is unacceptable in the presence of an ulcer. Samples of drugs, methods of treatment given in the article are indicated for informational purposes. Self-treatment according to the above schemes can lead to adverse consequences.

As another and another form, it causes dysfunction of the epithelial mucosa of the inner walls of the stomach. In ulcerative gastritis, hydrochloric acid in digestive juice affects the muscle tissue of the organ, penetrating through a poorly functioning protective membrane. As a result, the tissues of the stomach are strongly and quickly thinned, which can soon lead to a chronic ulcer.

Comparison of gastritis and ulcer

General factors:

1. Etiology. Gastritis and ulcers in most cases cause:
   • infection with Helicobacter pylori;
   • stress;
   • improper nutrition.
2. Treatment scheme. The similarity of the choice of therapeutic tactics is explained by the causes of the onset of diseases. First of all, the efficiency of the immune system is increased.
3. Complications. Both ailments with untimely treatment can lead to stomach cancer and other serious consequences.

1. Erosion location. With an ulcer, the submucosal layer is affected, with gastritis, the surface mucosa is affected.
2. The nature of the flow. Ulcerative form gastritis is prone to rapid development with severe consequences, for example, damage to the submucosal layer of the wall. A stomach ulcer in most cases proceeds in a chronic form with periodic cycles of exacerbation and remission. The main complication is gastric cancer.

The reasons

Provoking factors:

• permanent presence in stressful situations, prolonged nervous tension;
• failures in the regime and lack of food culture: dry food, quick snacks “on the go”;
• long-term treatment with strong medications, for example, antibiotics, aspirin-containing drugs;
• smoking and alcohol, especially in combination with any of the above factors;
• excessive physical activity and frequent overwork;
• infection with Helicobacter pylori;
• poor working conditions and ecology;
• severe diseases of the heart and blood.

Symptoms

The danger of ulcerative gastritis is the rapid progression of the disease. For the development of persistent and pronounced symptoms, 5-6 days are enough from the onset of the irritant's action on the stomach. General symptoms:

• severe, sharp, spasmodic pain in epigastric region, especially when touched;
• loss of appetite;
• constant bad taste in the oral cavity;
• vomiting with bloody inclusions;

Ulcerative gastritis exists in two forms:

• acute;
• chronic.

Each of them has specific symptoms. Acute symptoms:

• aching pain in the epigastrium;
• detection of near-surface erosions in the distal part of the stomach with a diameter of 1-3 mm;
• blood impurities in the stool.

Symptoms of a chronic illness:

• severe nausea;
• constant heartburn and belching;
• loss of appetite;
• constant soreness of the epigastrium, which is aggravated after eating and on an empty stomach;
• gastric bleeding with an advanced form of the disease;
• black feces of an astringent consistency;
• hematemesis.

Both forms can lead to persistent stomach ulcers.

Acidity in ulcerative gastritis

Ulcerative gastritis is accompanied by an increase in the secretion of glands responsible for the production of digestive enzyme. Acute erosive gastritis with high acidity develops against the background of powerful symptoms that last up to 14 days. With proper treatment, after 2 weeks, the disease recedes, and erosion heals without leaving scars.

Chronic ulcerative gastritis is characterized by fewer symptoms, but this form is incurable. Erosions in the walls of the stomach are periodically scarred, and under unfavorable circumstances, they open again. Launched forms give more severe symptoms and severe complications.

Diagnostics

Before prescribing a course of treatment, a number of diagnostic studies are carried out:

1. Biopsy. Analysis of the biopsy allows you to obtain data on the degree of development of the disease, its form, confirm or refute the presence of cancer. The procedure is carried out with endoscopic examination by taking a piece of damaged tissue.
2. Radiography with contrast in the form of a solution of barium sulfate. After the patient swallows the substance, a series of pictures are taken. After their analysis, the state of the organ, its functions and the performance of the gastrointestinal tract are determined, which makes it possible to identify the presence of complications.
3. Breath test. The method allows you to determine the presence of Helicobacter pylori in the body of a patient with ulcerative gastritis. To do this, the patient inhales deeply, holds the air for a minute, then exhales into a special bag. Then he needs to drink a non-concentrated solution of urea and repeat the procedure after 10 minutes. If the level in the second bag carbon dioxide tall, a person is infected with Helicobacter pylori.

Laboratory tests

Gastroscopy

The method is carried out by introducing a probe with a camera into the stomach to examine the cavity of the organ, esophagus, duodenum. Preliminary anesthesia is done with Lidocaine. Gastroscopy allows you to visualize:

• condition of the walls of the stomach;
• the degree of development of pathology;
• number, size of erosion;
• bleeding.

Treatment

Acute erosive gastritis should be treated in a timely manner, as it is characterized by rapid development. With the development of a chronic form, regular preventive courses of therapy are required to stop exacerbations. The course of treatment includes a set of measures to prevent the development of the disease, heal ulcers, stop relapses.

It should be treated with medicines, traditional medicine, diet therapy, physiotherapy.

Nutrition rules

In combination with drug treatment, diet therapy is prescribed, which gives results with strict adherence to the rules:

1. Fractional nutrition.
2. Servings should be no more than 250 g.
3. The number of meals should reach 6 times a day with equal intervals of time.
4. Dishes should be stewed, boiled in water, steamed.
5. The food consumed should be warm and ground to a puree consistency.
6. Complete rejection of harmful products and drinks.

Diet

When creating a menu for a patient with ulcerative gastritis, the following factors should be taken into account:

• yesterday's White bread, croutons, biscuit cookies;
• soups with milk or chicken broth, from vegetables or cereals;
• couple omelet, boiled eggs soft-boiled;
• milk, dairy products(yogurt, sour cream, cottage cheese), cream;
• lean meats and steam meatballs, meatballs from it;
• River fish;
• animal fats, vegetable oils;
• pasta;
• cereals (semolina, oatmeal, buckwheat, rice);
• jelly, compotes, jelly, cream;
• juices from non-acidic berries, vegetables;
• fresh berries and fruits;
• raw vegetables;
• decoctions of wild rose;
• mineral water without gas.

Forbidden:

• fried, fatty meat with fish;
• other bread, except yesterday's white, muffin, pies;
• peppered and salty dishes;
• pork fat, beef, mutton, lard;
• mushroom soup;
• sausages, canned food;
• ice cream;
• alcohol.

Snacks on the go, fast food, greasy, spicy food, dry food - all this has become familiar to very busy people. The picture is also complicated by constant stress, in a sedentary manner life and bad habits. For many, this lifestyle is not in vain. Statistics show that up to 93% of the population in developed countries have stomach problems.

Common diseases that are diagnosed in humans are gastritis and stomach ulcers. What medicines can the attending physician prescribe?

1. General treatment tactics

To achieve the desired result, complex treatment is necessary. The set of activities includes:

• Strict adherence to the recommendations of the doctor on diet and diet;
• Taking all prescribed medications on time and according to the schedule;
• Rejection bad habits and normalization of the patient's condition (a psychologist may be required);
• Spa treatment.

In certain cases, surgery may be required.

2. Main groups of drugs

Consider the main groups of drugs that are most often used in the treatment of stomach ulcers.

• Antacids. The drugs in this group envelop inner wall stomach, and also neutralize excess hydrochloric acid;
• Antibiotics. These can be tablets, suspensions, water for injection, which are used to stop the inflammatory process in the stomach;
• Gastroprotectors. These medicines have one-component or combined composition. They are used to restore damaged mucosa and protect it from gastric juice;
• Digestive enzymes. They are used to treat stomach diseases that develop against the background of a violation of the absorption of carbohydrates, proteins, fats and biologically active substances;
• Dopamine receptor blockers. These drugs help to stop an attack during or after a meal,;
• Antihistamine medicines. These drugs are used to treat ulcers and if the cause of their occurrence was the penetration of allergic agents into the body;
• Proton pump blockers. These medicines are used for low gastric pH;
• Antimicrobial agents. They are used if it is necessary to enhance the effect of antibiotics;
• Antispasmodics. These drugs have antispasmodic and analgesic effects.

For the treatment of any form of an ulcer, the doctor may prescribe 4-5 types of medicines. People who have poor health can additionally take Makrovita, Pikovita, Complivit, Supradina (vitamins), etc.

3. When is antibiotic therapy required?

Antibiotics are medicines designed to fight the bacteria that caused the development or ulcer. If during the examination a large degree of microorganisms was revealed in the patient, during the examination the doctor sees atrophy or foci of erosion, and the patient himself complains of symptoms such as a violation of the stool, then such a person must be prescribed antibiotic therapy without fail.

Taking antibiotics without fail must be combined with taking medications that restore damaged gastric mucosa and accelerate the renewal of damaged areas.

Combination of penicillins and macrolides

In combination with Clarithromycin ( penicillin group) and (macrolide) enhances the effect of these two drugs. This treatment regimen is considered one of the most effective. Its effectiveness has been verified by numerous studies. By the way, the same treatment regimen is used to treat stomach ulcers and abroad.

When taking these medicines, side reactions may occur.

Combination of tetracyclines and metronidazole

After the examination, the doctor may prescribe an appointment in combination with tetracycline. They should be taken according to following scheme: 500 mg twice a day + Lansoprazole (30 mg) twice a day, Tetracycline (500 mg) four times a day and colloidal bismuth subcitrate (dosage is 240 mg) twice a day.

The total duration of treatment ranges from seven to ten days.

Remedies for acid-dependent conditions of the stomach

Despite similar symptoms, treatment with antisecretory or antacid drugs for low acidity is completely unacceptable.

4. Essential Medicines for Gastric Ulcers

If suddenly a person has a suspicion of a stomach ulcer, then he should urgently go to the hospital for help. The doctor after the examination will select the safest treatment regimen.

Antibiotic preparations

Antibiotics prevent infection during an exacerbation of an ulcer, improve the general condition of the body, and also suppress pathogenic viruses, including.

The list of antibacterial drugs prescribed to the patient includes macrolides, penicillins, nitromidazole derivatives and tetracyclines.

5. Antagonists of histamine-H2 receptors

Cholinergic drugs include drugs such as Metacin (a milder drug), Ethanol.

Antiemetic drugs

Antiemetic drugs that are used for ulcers or gastritis include:

Antispasmodics

Spasmolytics are drugs that reduce spasm smooth muscle. They are used for abdominal pain that accompanies these diseases.

Often used