The first step in the treatment of stomach ulcer is the reduction of stomach acid. When acid secretion is suppressed, pepsin, an enzyme that can become active only in an acid environment, is also inactivated.
Today, ulcer treatment can be done quite successfully thanks to drugs that suppress gastric acid secretion strongly. Your doctor will decide how long the active drug treatment will continue.
In addition to reducing acid secretion, the second thing to do in ulcer treatment is to treat this bacteria in patients with HP in their stomachs.
This treatment is usually done using 1 or 2 week treatment regimens that include at least two types of antibiotics. Your doctor will decide which treatment regimen to choose. HP treatment is especially important for the prevention of ulcer recurrence.
Treating the bacteria alone is insufficient to treat ulcers, a sufficient period of suppression of gastric acid is required for the ulcer to heal (usually 6-8 weeks).
Stomach ulcers usually require longer treatment. Stomach ulcers should be checked endoscopically after treatment and the patient should not be left unfollowed until they are completely healed.
In patients with ulcers, aspirin and/or antirheumatic drugs should be discontinued. These drugs can only be used when necessary under the supervision of a doctor.
It would be appropriate to make some changes in the lifestyles of patients, such as quitting smoking and reducing alcohol consumption, while drug therapy is ongoing in gastric ulcer.
Ulcer recurs more frequently in patients who continue to smoke. Since spicy, spicy, acidic and caffeine-containing foods and beverages and alcohol may cause an increase in complaints during the active periods of ulcer, their consumption may be restricted in the early stages of treatment.
Apart from this, it is not necessary to apply a special diet in the patient with ulcer. Patients who like to drink milk may be allowed to drink 1-2 glasses of milk a day. It is undesirable to drink milk at frequent intervals for treatment purposes. In patients living a stressful life, approaches to reduce stress can be helpful in treatment.
Today, surgical treatment is applied only when complications such as bleeding, obstruction and perforation occur that do not respond to medical and endoscopic treatment.