Metronidazole for peptic ulcer disease

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The principles of management of bleeding peptic ulcers outlined below are equally applicable to both gastric and duodenal ulcers. Why It Is Used Combination drug therapy that includes at least two antibiotics, an acid reducer, and sometimes a bismuth compound is recommended for people who have peptic ulcer disease and are known to be infected with Helicobacter pylori H. He or she may be able to lower your dose or change your medicine.

Prednisone and ketoconazole

In the intensive PPI regimen group, rebleeding recurred in It is not a substitute for medical advice, diagnosis or treatment. May also be used if first-line therapy fails. Predominance of mother-to-child transmission of Helicobacter pylori infection detected by random amplified polymorphic DNA fingerprinting analysis in Japanese families.

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Levofloxacin-containing triple and sequential therapy or standard sequential therapy as the first line treatment for Helicobacter pylori eradication in China. Documentation of H pylori cure with a noninvasive test, such as the urea breath test or fecal antigen test, is appropriate in patients with complicated ulcers.

Accupril hcl

Hemoclips have been used successfully to treat an acutely bleeding ulcer by approximating 2 folds and clipping them together.

Bismuth subsalicylate mg or subcitrate mg, metronidazole mg, and tetracycline mg, four times daily; and PPI twice daily.

Further Information

Concomitant H pylori infection in the setting of bleeding peptic ulcers should be eradicated, as this lowers the rate of rebleeding.

Severe belly pain or nausea. Endoscopic evaluation of the bleeding ulcer can decrease the duration of the hospital stay by identifying patients at low risk for rebleeding. Vaginal itching or discharge.

Approach Considerations

Royal College of Physicians and Surgeons of Canada. Intragastric pH with oral vs intravenous bolus plus infusion proton-pump inhibitor therapy in patients with bleeding ulcers. The patient took naproxen on a daily basis.

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Consultations Surgical consultation is recommended for all patients with bleeding ulcers, especially those patients who are at high risk of significant bleeding. This is a day regimen of a PPI and amoxicillin 1 g twice daily, and levofloxacin mg Levaquin once daily. The appropriate surgical procedure depends on the location and nature of the ulcer. Life in the human stomach: However, use of a traditional NSAID and once-daily proton pump inhibitor PPI is comparable to a selective COX-2 inhibitor with respect to ulcer bleeding in patients with a history of peptic ulcer disease.

Endoscopy should be performed early in patients older than years and in patients with associated so-called alarm symptoms, such as dysphagia, recurrent vomiting, weight loss, or bleeding. Stomach Ulcer - I was recently diagnosed with peptic ulcers?

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