What medicine should gastric ulcer take and what should you pay attention to? What should I eat at ordinary times?

At present, the principle of treating peptic ulcer is to eliminate Helicobacter pylori and inhibit gastric acid secretion, so that the ulcer can be cured, breaking the tradition of "three treatments and seven treatments" to treat gastric diseases. Omeprazole (or Losec)-Inhibits gastric acid secretion. The specific usage is as follows: omeprazole 20 mg twice a day, amoxicillin 1g twice a day, clarithromycin 500 mg twice a day, and the course of treatment is two weeks. Administration time: Take the medicine before meals 1 hour or after meals 1 hour. Taking drugs on an empty stomach can fully act on the gastric mucosa to ensure the concentration of drugs in the stomach; 65438+ 0 hour after meal, because the stomach has been emptied at this time, the drug is prevented from being mixed into the food bag after dissolution, and the concentration of the drug in the stomach can also be ensured, forming a protective barrier. Prevention and treatment of ulcer disease from diet (1) Eat nutritious and digestible food. Usually, foods with rich nutrition, less dregs, easy to chew and digest should be selected. If the ulcer is serious or there is a small amount of stomach bleeding, it is advisable to adopt a liquid diet, such as milk, batter and rice porridge. Not only can this provide more nutrition for patients, but milk can also neutralize stomach acid and help stop bleeding. But don't eat broth, chicken soup and sweets, because they will promote the secretion of gastric acid, which is not good for the healing of ulcers. (2) Eat less or no fried food, and avoid cold, hard and overheated food. Fried or fried food or cold, hard and overheated food is not only difficult to digest, but also promotes excessive gastric acid secretion and directly damages the ulcer surface. In addition, too hot food will dilate blood vessels and easily cause stomach bleeding. Irritating food, such as pepper, curry, excessive salt, soy sauce, spices, vinegar, acid, candy, coffee, strong tea, cigarettes, etc. It can stimulate ulcers and gastric mucosa and increase the acidity of gastric juice, so it should also be avoided as much as possible. (3) Eat regularly to avoid hunger and satiety; Develop good eating habits. Eat on time every day and have basic rations for every meal. Eating too much will overload the stomach. Eating too little, food can not fully neutralize gastric acid, which may lead to self-digestion of gastric wall or pain caused by ulcer stimulated by gastric acid. Chew slowly when eating, which is easy to digest. Prevention of recurrence of duodenal ulcer: duodenal ulcer is a chronic and recurrent disease. The vast majority of patients with bulbar ulcer can be cured after 6 weeks of treatment with Hz receptor orange antagonists, such as TAVIMEI (cyanogen), ranitidine and famotidine, but about 80% patients relapse within 1 year after drug withdrawal. How to prevent recurrence of spherical ulcer? This has to start with the occurrence of ulcer disease. Nowadays, it is believed that ulcer disease is mainly caused by gastric acid and pepsin attacking the bulbar mucosa, and the attack force of the former exceeds the defense force of the latter. Modern ulcer treatment strategies mainly focus on two aspects: reducing gastric acid secretion and improving mucosal resistance to invasion. Relevant medical experts believe that patients with HP (Helicobacter pylori) positive bulbar ulcer can be treated with H2 receptor orange antibody combined with antibacterial drugs (such as gentamicin oral tablets, Maizilin -S granules and colloidal bismuth). Patients with HP-negative bulbar ulcer can be treated with Hz receptor blocker combined with mucosal protective agent (such as sucralfate). Refractory duodenal ulcer can be treated with proton pump inhibitor Losec for 4-6 weeks. The combined application of the above drugs is of great benefit to reduce the recurrence rate of bulbar ulcer. After ulcer healing, in order to prevent recurrence, we can take a long-term half dose of H2 receptor antagonist every night for 6 months-1 year or even longer. This daily maintenance therapy is suitable for elderly patients with a history of chronic ulcer bleeding and frequent recurrence (more than twice a year). For patients aged 18-60 who have been diagnosed with ulcer by gastroscope in recent 3 years and have an acute attack at least once a year, symptomatic self-treatment (SSC) can be adopted after short-term treatment. Pay attention to the maintenance of the spleen and stomach at ordinary times: (l) Emotional factors have a great influence on appetite, digestion and absorption. Therefore, to maintain the spleen and stomach, we must first maintain a good mood. According to research, bad emotions can lead to loss of appetite, abdominal distension, fever and indigestion. And a good mood is conducive to the normal activities of the gastrointestinal system. (2) Diet is the key to maintain the spleen and stomach. Therefore, the diet should be regular, eat regularly and quantitatively, and not overeating. Vegetarian-based, mixed with meat and vegetables. Eat vegetables and fruits regularly to meet the needs of the body and keep the stool unobstructed. Eat less irritating and indigestible food, such as hot and sour, fried, hard and sticky food, and try to eat less raw and cold food. (3) pay attention to cold and warmth. As the saying goes, "Ten stomach diseases and nine cold". This is really an experience. Therefore, it is important to pay attention to the cold and warm weather. When the climate in spring and autumn is changeable, patients with deficiency cold and stomachache should pay attention to keep warm and avoid catching a cold; If it is diarrhea due to spleen deficiency, you can stick a warm belly button sticker at the navel, and at the same time eat less cold fruits and so on. If you feel cold in the upper abdomen, you can take ginger tea in time. (4) Insist on taking part in appropriate sports activities, such as walking, jogging, playing Tai Ji Chuan and practicing Qigong. Proper physical exercise can increase the gastrointestinal function of human body, strengthen gastrointestinal peristalsis, increase the secretion of digestive juice, promote the digestion of food and the absorption of nutrients, improve the blood circulation of gastrointestinal tract itself, promote its metabolism and delay the aging of digestive system. Before going to bed at night, you can also massage your upper and lower abdomen by hand and go back and forth for about 40 times. 0 times, can help the spleen transport, digestion, in addition to foul gas, has a good health care effect on the spleen and stomach. Do a good job of self-care. (l) Long-term medication must be adhered to: because gastric ulcer is a chronic disease, it is easy to relapse, and it must be adhered to for a long time to make it completely heal. Don't stop taking medicine suddenly when the symptoms get slightly better, or change to another medicine just a few days after taking one medicine. Generally speaking, a course of treatment takes 4 ~ 6 weeks. After the pain is relieved, I need to consolidate the treatment 1 ~ 3 months, or even longer. (2) Avoid mental stress: Gastric ulcer is a typical psychosomatic disease, and psychological factors have a great influence on gastric ulcer. Mental stress, emotional excitement or excessive anxiety have bad stimulation to the cerebral cortex, which weakens or loses the regulatory function of the subthalamic center, causing autonomic nervous dysfunction, which is not conducive to food digestion and ulcer healing. Keeping a relaxed and happy mood is the key to cure gastric ulcer. (3) Pay attention to the law of life and climate change: Patients with gastric ulcer should have a certain law of life and should not be overworked. Overwork will not only affect the digestion of food, but also hinder the healing of ulcers. Patients with ulcers must pay attention to rest and regular life. The outbreak of ulcer disease has a certain relationship with climate change, so patients with ulcer disease must pay attention to climate change and increase or decrease clothes and quilts in time according to the changes of solar terms. (4) Pay attention to food hygiene: Ignoring food hygiene, partial eclipse, overeating, excessive consumption of cold drinks and food, or liking irritating foods such as peppers, strong tea and coffee can all lead to gastrointestinal digestive dysfunction, which is not conducive to the healing of ulcers. Pay attention to food hygiene, do three meals a day regularly and quantitatively, moderately starve, chew slowly, which is a good habit to promote ulcer healing. (5) Avoid taking drugs harmful to gastric mucosa: some drugs, such as aspirin, dexamethasone, prednisone, indomethacin, etc. It can stimulate gastric mucosa and aggravate the condition of gastric ulcer, and should be avoided as much as possible. If you have to take it because of illness, or explain to the doctor, switch to other drugs, or follow the doctor's advice, cooperate with other auxiliary drugs, or take it after meals to reduce adverse reactions to the stomach. (6) Eliminating the causes of bacterial infection: In the past, it was thought that gastric ulcer was related to the disorder of gastric juice digestion and neuroendocrine function, so the traditional treatment methods were acid preparation, analgesia and analgesia. In recent years, according to the research of relevant scholars, some gastric ulcers are caused by bacterial infection, and the most common one is Helicobacter pylori. This kind of patient must be treated with antibiotics. It is recommended to eat less and eat more, and the food is mainly soft and loose. It is best to drink soup before meals, and drinking it after meals will also increase digestive difficulties. It is best not to eat for two or three hours before going to bed, otherwise it will easily affect sleep. If you feel empty, you can drink more water You should quit smoking and drinking, coffee, strong tea, carbonated drinks (soft drinks) and hot and sour food, which are the most harmful to your stomach. The spleen and stomach like dryness and hate cold, so cold food and spicy food must be quit, and hot food is better. For example, milk can form a protective film for the stomach. It is better to drink a glass of milk or hot water first every morning. Other vegetables and fruits are indispensable to the human body and should be sufficient. But it's best to cook it soft before eating, so that your stomach will feel better. Vegetables and peels are rich in fiber, which can be eaten in moderation, but not too much, which is not easy to digest, so melons and fruits can eat more. In fact, the best way to maintain the stomach is to rely on "nurturing", which can only be obtained from the improvement of living habits. Drink millet porridge and jujube porridge for several months in a row, and eat more jujube to strengthen the spleen. In addition, insisting on physical exercise can do some outdoor aerobic exercise, which is very helpful for the recovery of stomach diseases.