An Ulcer That Recurs And Does Not Improve Despite Treatment?

Illustration of An Ulcer That Recurs And Does Not Improve Despite Treatment?
Illustration: An Ulcer That Recurs And Does Not Improve Despite Treatment?

Hello doctor, I experienced a recurrence of stomach acid these two days, usually when I take stomach acid immediately take medication and warm water immediately gets better. But why these two days I took medicine and ate nothing routine, the results were nothing, I felt stomach puffiness, bloating, tightness to the chest, and bowel movements continuously. My question is whether stomach acid? How do I handle it?

1 Answer:

Good evening, thanks for the question

Symptoms of a burning sensation in the chest with a history of gastric disturbances previously leading to the condition of gastric acid flow into the esophagus or called Gastro Esofageal Reflux Disease (GERD).

GERD is a disorder in which the contents of the stomach reflux repeatedly into the esophagus, causing symptoms that interfere, which are usually more severe than the symptoms of ordinary stomach disorders.

Some risk factors for GERD are:

1. Medicines

2. Foods, such as fatty chocolate food, coffee, alcohol, and cigarettes.

3. Hormones, generally occur in pregnant and menopausal women.

5. Body Mass Index (BMI); the higher the BMI value, the higher the risk of GERD.

Signs and symptoms typical of GERD are regurgitation and a burning sensation in the chest. Regurgitation is a state of reflux that occurs shortly after eating, characterized by a sour and bitter taste on the tongue. While the burning sensation is felt at the solar plexus which can be accompanied by pain and

poignant. Both of these symptoms are generally felt when after eating or when lying down.

Other symptoms of GERD are bloating, nausea, fast satiety, belching, hypersalivation, painful swallowing to swallowing difficulty.

One of the treatments for GERD is lifestyle modification, which can be done by:

1. Lose weight if you are obese or maintain your weight according to the ideal BMI

2. Raise the head ± 15-20 cm / keep the head to remain elevated when lying down

3. Dinner no later than 2-3 hours before bedtime

4. Avoid foods that can stimulate GERD such as chocolate, caffeinated drinks, alcohol, and fatty-acid-spicy foods.

Therapy with drugs is given from a group of proton pump inhibitors (PPI) which is useful for suppressing the process of stomach acid formation. When compared with other drugs, PPI is proven to be the most effective in treating symptoms and healing esophageal sores. PPI-class drugs include omeprazole, pantoprazole, lansoprazole, esomeprazole, and rabeprazole 20 mg. PPI doses are generally given in the morning before breakfast.

Do it with your doctor for evaluation, physical examination, and treatment according to your medical indications.

Thus, hopefully can help

Dr. Farah

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