The prevention of gastric ulcer

Terminator Helicobacter pylori
Helicobacter pylori infection is the persistence of high rates of peptic ulcer recurrence of the important reasons. Therefore, patients should first find out whether or not associated with Helicobacter pylori infection. If indeed Helicobacter pylori infection and must be the eradication. Since the eradication of Helicobacter pylori infection have a variety of treatment, apply to different patients, so it is not appropriate self-medication, doctors must be carried out under the guidance of formal treatment. Here to remind readers that although some patients had Helicobacter pylori infection, but still possible recurrence. Or again after the eradication of Helicobacter pylori infection caused ulcer recurrence.

The need to maintain treatment
So far, "no acid, no ulcer" point of view is still the guiding ideology for the treatment of peptic ulcer. The gastroscopy. Not diagnosed as a stomach infection with Helicobacter pylori (or duodenum) ulcer, conducting regular anti-ulcer treatment of 4-8 weeks, to turn into a period of maintenance treatment, to increase stomach PH value. This is the prevention of recurrence of the most important method. Usually, the dose of treatment is half the regular dose. For example, peptic ulcers in patients with active, to use H2 receptor antagonist treatment. To tagamet for example, 400 mg per day, sooner or later each time, continuous medication 4-8 weeks, the symptoms improve after the change of treatment, dosage is 400 milligrams, every night before bed time. Maintenance treatment of the short time the 6-12 months (short-term maintenance treatment), 5-6 in a long while, or even longer (long-term maintenance treatment). At present, most doctors take short-term maintenance treatment. It was also suggested that more economic and convenient form of intermittent treatment, that is, in the formal anti-ulcer treatment of 4-8 weeks, the more Taiwan ulcer after withdrawal, a relapse again when self-medication for 4-8 weeks. According to the author's experience, peptic ulcer healing just after the intermittent use of treated patients, the recurrence rate higher. As the regular recurrence of peptic ulcers, not only affects the patient's quality of life and work efficiency, and a small number of patients may relapse several times because of ulcers caused by malignant ulcers, loss outweigh the gain. Therefore, peptic ulcer patients in Taiwan after the ulcer should adopt the more short-term maintenance treatment, and thereafter, the proposed use of intermittent maintenance therapy, developed symptoms when self-medication 4-8 weeks, the symptoms disappeared after the withdrawal.
H2 receptor antagonists, such as high-security, but there is still a small number of patients after medication may be sleepy, tired, slow, directional barriers, increased male breast, leukopenia and increased serum aminotransferase, and other adverse reactions. If adverse reactions, should be timely to go to the hospital treatment, such as that by the H2, due to receptor antagonist, stopping shortly after the general to return to normal.

5 attention
To minimize the recurrence rate of peptic ulcer, should also pay attention to the following five points:

① reduce induced factors, including smoking cessation, do not drink alcohol, strengthen self-care, attention to dietary laws of life. At the same time, taking as little as possible damage to the gastric mucosa have the drug, such as the need to take, should be served H2 receptor antagonists acid or alkaline agents, the protection of gastric mucosa, such as proton pump inhibitors.
② Where ulcer disease recurrence more often, ulcer healing slowly, and had complications (as gastrointestinal bleeding, ulcer perforation, pyloric obstruction) patients should insist on the maintenance treatment.

③ of age, have more serious systemic disease or be accompanied by the frequent use of non-steroidal anti-inflammatory drugs (such as aspirin and indomethacin, etc.) patients should be given to maintenance therapy.
④ to have symptoms of ulcer disease recurrence, in principle, should be carried out gastroscopy, to determine whether recurrence, it is still benign ulcers. To guard against a handful of benign gastric ulcer in the repeated destruction and regeneration of chronic stimulation of malignant transformation.
⑤ maintenance therapy in earnest at the same time or shortly after stopping a recurrence of ulcer disease, should be timely to go to the hospital referral, to know whether there with Helicobacter pylori infection or other diseases, so as not to delay diagnosis and proper treatment.