Medications for Peptic Ulcers
Hello, I have a gastric ulcer and gastroesophageal reflux disease (GERD) and have been taking Nexium for a month.
Recently, I took anti-inflammatory medication for a throat inflammation, and today my stomach pain has started again.
I heard about a product called "Alginic Acid" that can protect the gastric mucosa and is not absorbed by the body, nor is it an antacid; it is simply a mucosal protectant.
I am considering purchasing it from a pharmacy to use alongside my current medication, as my chronic hoarseness from the reflux significantly affects my daily life and work, and Nexium hasn't improved my condition.
I want to know if it would have any additive effects and if it would conflict with Nexium or lead to excessive medication, especially since I am going abroad in two days and am worried about worsening stomach pain.
My next appointment is in two months, and I can't wait that long to ask my doctor, as it's difficult to get an appointment at a large hospital.
Thank you.
K, 20~29 year old female. Ask Date: 2016/09/05
Dr. Liao Lingmei reply Pharmacology
Hello: "Ai Wei Ni" is usually taken after meals or before bedtime, and there are no specific contraindications for this medication.
"Nai Shi En" should be taken on an empty stomach.
There are no concerns regarding interactions between "Nai Shi En" and "Ai Wei Ni." Wishing you health and happiness!
Reply Date: 2016/09/05
More Info
Managing stomach ulcers, particularly in the context of gastroesophageal reflux disease (GERD), requires a nuanced understanding of the medications available and their interactions. Alginic acid, often found in products like "Gaviscon," is a compound that can provide symptomatic relief for conditions like GERD by forming a gel-like barrier that floats on top of the stomach contents. This barrier can help prevent acid from refluxing into the esophagus, thereby alleviating symptoms such as heartburn and throat irritation.
In your case, where you have a history of stomach ulcers and are currently taking Naproxen (奈適恩), it is crucial to approach the situation with caution. Naproxen is a non-steroidal anti-inflammatory drug (NSAID) that can irritate the gastric mucosa and potentially exacerbate ulcer symptoms. Therefore, the introduction of alginic acid as a mucosal protectant could be beneficial, as it does not interfere with the gastric acid secretion process and can help protect the stomach lining.
Alginic acid works by creating a viscous gel that adheres to the mucosal surface, providing a physical barrier against irritants and acid. This can be particularly helpful if you are experiencing pain due to your ulcer or if your throat irritation is a result of acid reflux. Since alginic acid is not absorbed into the bloodstream, it is generally considered safe to use alongside other medications, including NSAIDs like Naproxen. However, it is always advisable to consult with a healthcare professional before combining treatments, especially when dealing with a complex condition like ulcers and reflux.
Regarding your concern about potential interactions or "over-medication," it is important to note that while alginic acid can provide symptomatic relief, it does not replace the need for ulcer treatment. If your ulcer is active, it is essential to continue using proton pump inhibitors (PPIs) or H2 blockers as prescribed, as these medications are critical in reducing gastric acid production and promoting healing.
In terms of dietary and lifestyle modifications, consider adopting a diet that minimizes irritants. Soft, bland foods can be easier on the stomach, and avoiding spicy, acidic, or fried foods may help reduce symptoms. Eating smaller, more frequent meals can also alleviate pressure on the stomach and reduce the likelihood of reflux.
If you are planning to travel soon and are concerned about your symptoms worsening, having alginic acid on hand could provide some peace of mind. However, if your symptoms persist or worsen, it is crucial to seek medical attention as soon as possible, even if it means visiting a different healthcare facility or seeking urgent care.
In summary, alginic acid can be a helpful adjunct in managing symptoms related to GERD and stomach ulcers, particularly when used alongside other treatments. However, it is essential to maintain communication with your healthcare provider regarding your treatment plan and any new medications you wish to introduce. Always prioritize your health and well-being, especially when dealing with chronic conditions like ulcers and reflux.
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