Sunday, November 11, 2012

Stress-induced stomach ulcer

Gastric problem seems to be getting very prevalent these days. Dr. Joseph F. Montague, author of the book Nervous Stomach Trouble - "You do not get stomach ulcers from what you eat. You get ulcers from what is eating you."
To treat stomach ulcer, it is not just about taking medications (of course medications can play a part in reducing your stomach acid and treat any H. pylori infection). It also involves lifestyle adjustments and behavorial treatment such as time management, pacing and relaxing yourself and having regular meals. Also avoid eating food that are very spicy or oily. I ever heard from a doctor who said "The food you most hate to give up is the one that you should avoid when you have a stomach problem."

If you have a gastric problem that persists more than 2 weeks despite a course of gastric medicines or on and off for over 3 months despite medicines and lifestyle changes, you should see a doctor to check against any possibilty of ulcer or H.pylori infection.


Drug interactions to be aware of with gastric medications:
Omeprazole is a cyp2c19 and cyp3a4 enzyme inhibitor. Caution to be exercised when administering with other medicines such as plavix (clopidogrel)

Cimetidine is a multiple cyp enzymes inhibitor which can affect the level of other medicines in the body.
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