Stomach Ulcers: Signs of Improvement and Treatment Duration - Gastroenterology and Hepatology

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Understanding stomach ulcers, their signs of improvement, and treatment duration is crucial for effective management and recovery. Based on your description, it seems that you have been on a medication regimen for over two weeks, specifically using a medication like "治潰樂" (likely a proton pump inhibitor or similar), which is commonly prescribed for treating stomach ulcers.

Initially, you mentioned that you were unable to eat at all, but now you can eat about 70% of your capacity before feeling hungry again after two hours. This change is a positive sign and indicates that your condition may be improving. When dealing with stomach ulcers, it is essential to listen to your body. If you feel hungry, it is generally advisable to eat something light rather than waiting for the next meal, especially if you are experiencing discomfort or hunger pangs. Eating smaller, more frequent meals can help manage symptoms and provide your stomach with a steady supply of nutrients without overwhelming it.

Regarding the duration of treatment, your doctor has recommended a course of medication for three to four months. This duration is not uncommon, as healing stomach ulcers can take time, and the length of treatment often depends on the severity of the ulcer and the individual’s response to therapy. If your ulcer is classified as "mild," it may heal more quickly, but if it is more severe, the extended treatment period is necessary to ensure complete healing and to prevent complications such as bleeding or perforation.

It is also important to consider lifestyle modifications during your treatment. Avoiding irritants such as NSAIDs (non-steroidal anti-inflammatory drugs), alcohol, and smoking can significantly enhance healing. Additionally, a diet low in spicy, acidic, or fried foods can help reduce irritation in the stomach lining.

In terms of monitoring your progress, keep track of any changes in your symptoms. If you notice a significant decrease in pain, improved appetite, and a general sense of well-being, these are all indicators that your treatment is effective. However, if you experience worsening symptoms, such as increased pain, vomiting, or blood in your stool, it is crucial to contact your healthcare provider immediately.

In summary, your current improvement in appetite and ability to eat is a good sign, and it is advisable to eat when you feel hungry. The recommended treatment duration of three to four months suggests that your ulcer may be of moderate severity, and following your doctor's advice while making necessary lifestyle changes will aid in your recovery. Always keep an open line of communication with your healthcare provider to ensure that your treatment plan is tailored to your specific needs and to address any concerns you may have during your recovery process.