What medication should be taken for stomach ulcers and bloating?
Disease description:
I have been diagnosed with gastric ulcer and often experience stomach bloating, especially after meals, accompanied by a mild burning pain. Could you please advise what medications are suitable to alleviate the symptoms?
Doctor's answer (1)
Dr. Shen Yonghua
For the bloating caused by peptic ulcers in the duodenum, medications that inhibit gastric acid secretion can be used under medical guidance, such as rabeprazole, omeprazole, pantoprazole, and lansoprazole. These drugs effectively reduce gastric acid secretion, thereby alleviating irritation to the ulcer site and promoting ulcer healing.
H2 receptor antagonists such as ranitidine and famotidine can also reduce gastric acid secretion but are less potent than PPIs. Gastric mucosal protectants such as bismuth preparations (colloidal bismuth pectin), sucralfate, etc., can enhance the protective function of the gastric mucosa and accelerate ulcer healing.
Prokinetic agents such as domperidone and mosapride citrate can promote gastrointestinal motility, aid digestion, and relieve bloating. If the ulcer is associated with Helicobacter pylori infection, antibiotics should also be combined for eradication therapy, commonly including clarithromycin, amoxicillin, metronidazole, etc.
During treatment, patients should follow medical advice, adjust dietary habits, avoid spicy and greasy foods, quit smoking, limit alcohol consumption, and maintain healthy lifestyle habits. Regular follow-up examinations should be conducted to monitor disease progression and adjust treatment plans accordingly. Please ensure medication is taken under the guidance of a qualified physician; self-medication or arbitrary dose adjustments are strongly discouraged.
