Safe use of stomach pain relievers

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The use of stomach pain relievers is always necessary to improve symptoms. However, for the treatment to be highly effective and to limit side effects, patients need to use stomach pain relievers safely.

1. Stomach pain relievers

1.1. Stomach Acid Neutralizers Stomach acid neutralizers are over-the-counter oral medications that provide quick relief from heartburn symptoms that are common with gastroesophageal reflux disease or the sensation of indigestion. Treatment of gastric pain with anti-inflammatory drugs alone is appropriate for mild symptoms.
Stomach acid neutralizers include many different types such as H2 receptor antagonists or proton pump inhibitors, note that these drugs do not kill Helicobacter pylori - the main bacteria that causes peptic ulcers.
Take medicine for stomach pain exactly as directed by your doctor, pharmacist or recommended in the instructions for use. If you miss a dose, take it as soon as possible and do not double your dose. It is necessary to chew thoroughly for chewable tablets for faster pain relief, then drink filtered water to clean the mouth. For the liquid form, it is necessary to shake the medicine well before use and should not be taken with other drinks because it can reduce the effectiveness of the drug.

The best time to take acid-neutralizing medicine is right after a meal or when there is an epigastric pain. Acid neutralizing drugs should be taken at least 2 hours before or after taking other combination drugs such as H2 antagonists, fluoroquinolone antibiotics, Cycline antibiotics, Digoxin, iron salts to avoid drug interaction problems.
1.2. Proton Pump Inhibitors (PPIs) Proton pump inhibitors (PPIs) have a long-lasting decrease in gastric juice production. There is no clear or documented evidence that one drug is more effective than another in this class of drugs or can be combined and substituted for different purposes, most of the classes of drugs with similar effects. Some of the most commonly used emergency stomach pain relievers are Lansoprazole, Dexlansoprazole, Omeprazole, Esomeprazole, Rabeprazole, Pantoprazole.
The drug is prepared in the form of enteric-coated tablets or capsules because PPIs are prodrugs and are not stable in an acidic environment, so they must be swallowed whole, not chewed, broken or crushed before taking. Drink 30 minutes before eating so that the drug has time to absorb and activate into substances that have the effect of reducing stomach pain.
1.3. H2 receptor antagonists H2 blockers block gastric acid secretion by competitively inhibiting histamine at the cellular H2 receptor. This group also works to heal stomach and duodenal ulcers as well as reduce gastroesophageal reflux disease. Some commonly used drugs such as Famotidine, Nizatidine, Cimetidine, Ranitidine.
H2-receptor antagonists have less clinical application than PPIs because of their limited effectiveness in inhibiting gastric juice after meals. In addition, due to the short duration of action, it is necessary to take several times a day of this medicine as directed by the treating doctor. The first-generation H2-antagonist, specifically cimetidine, has side effects of diarrhea, headache, dizziness, and nausea, and can cause reversible breast enlargement or erectile dysfunction in men if taken for a long time. day. Newer generation drugs are less likely to cause side effects and of course also have a stronger stomach upset effect than Cimetidine.
Use of H2-receptor antagonists in combination with antibiotics when treating Helicobacter pylori-positive peptic ulcers can speed up healing of ulcers and prevent recurrence. Digestive disorders such as bloating, dyspepsia, heartburn, heartburn with undiagnosed cause can also be treated with H2 receptor antagonists in young people, but need to be more cautious in the elderly because they can due to stomach cancer.

1.4. Sucralfate Sucralfate Sucralfate is the aluminum salt of Sulfate disaccharide sold under various brand names. Sucralfate is a complex of exudate proteins that adhere to the ulcer and form a barrier against the action of acids, pepsin, and bile. The aluminum salt of disaccharide sulfate also inhibits the action of pepsin, increases the production of prostaglandin E2 and gastric mucus, is very effective in the treatment of gastric ulcer, gastroesophageal reflux disease, radiation enteritis, gastritis. thicken and prevent stress ulcers. Sucralfate should be taken on an empty stomach, should not be taken with food to have a better mucosal coating effect. For patients with peptic ulcer with multiple drugs, it is important not to take the drug at the same time as antacid, because the antacid affects the binding of sucralfate to the gastric mucosa. Therefore, you should take an antacid about 30 minutes before or after taking sucralfate.
Bismuth Bismuth is an analgesic that has no effect on the normal gastric mucosa but has a selective coating affinity for the base of gastric ulcers. In addition, Prostaglandin is a mucosal protective factor and increases mucus secretion, contributing to the destruction of H. pylori bacteria stimulated to be secreted by Bismuth. Bismuth should be taken 15 to 30 minutes before eating and should be taken with plenty of water when treating diseases of the gastrointestinal tract.
2. Treatment of stomach pain with folk remedies 2.1. Turmeric and honey Curcumin, accounting for 0.3% of the volume of turmeric, has the effect of inhibiting HP bacteria, reducing gastric secretion, increasing mucus secretion, helping to quickly recover from gastric ulcers as well as protect the gastric mucosa. thick. It is recommended to use turmeric every day, you can use fresh turmeric or mix turmeric with honey to make drinking water or turmeric starch tablets by mixing 120g of fresh turmeric powder with 60g of pure honey. good. Round the honey turmeric into small balls of about 5g and then store in a glass jar.
For mild stomach pain, new disease, take 3 times a day, 3 tablets each time for 7-10 days. With severe stomach pain take 3 times a day, each time 3 tablets continuously for 30-40 days or until the disease is cured.

2.2. Dragon beans treat stomach diseases Dragon beans are green foods rich in nutrients that are very good for the body and have a very good treatment for stomach diseases. Digestive enzymes and components such as protit, glucose, lipid and high fiber content in dragon beans are very good for the digestion of the stomach. Chew and swallow about 12 old dragon beans or mix dragon bean powder with water every day before breakfast. In case of mild stomach pain, just using dragon beans for about 2 weeks will see a significant pain-relieving effect. If it is more severe, the patient needs to persist in applying it for a long time to see results or see a consultant.
2.3. Glycoprotein is an ingredient in aloe vera, a natural anti-inflammatory that helps fight swelling, shrink ulcers and heal stomach damage. Aloe vera also contains many amino acids, vitamins B, C, E to help clear heat, detoxify, laxative, stimulate digestion, soothe irritation and reduce burning pain in the epigastrium.
With 1 branch of fresh aloe vera, peeled and then grated aloe vera gel to drink water. You can also cut aloe vera into pomegranate seeds, cook with rock sugar divided into 3 to 4 times a day.
Alternatively, combining 5 pureed aloe vera leaves with 1⁄2 liters of honey has the effect of promoting health, neutralizing gastric acid and soothing irritation in the mucosa, quickly cutting off stomach upset. thick.
2.4. Ginger soothes stomach pain Ginger has a very effective role in soothing stomach pain because it has a stimulating effect on digestion, anti-inflammatory, reduces bloating, indigestion, anti-nausea, inhibits spasmodic activity of the stomach. intestinal smooth muscle. Ginger also helps reduce excess acid, increase blood flow to nourish and regenerate damage in the gastrointestinal mucosa. With fresh ginger root, peeled and pureed, cook with 200ml of water for 5 minutes, filter the water, then stir in 2 tablespoons of pure honey, drink it after breakfast for about 30 minutes.
Folk remedies for stomach pain from ginger, although simple and safe, are not applicable to everyone, especially for those who have symptoms of stomach bleeding such as vomiting blood or black stools caused by ginger. may increase bleeding. In addition, ginger should not be used for people with high fever or heatstroke.

There are many ways to relieve stomach pain, can apply folk remedies to treat transient pain caused by irregular eating or stress causing imbalance of gastric juice. However, you should not be subjective, because persistent stomach pain will have very dangerous complications, so when you have symptoms, you should go to a gastroenterologist to be examined, treated and reduced by a doctor. upset stomach, improve quality of life.
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