Patient's question:
State one, when it's time to eat, she says her stomach hurts. She feels like vomiting after eating sweet things. She also feels like vomiting after looking up information for a long time.Past treatment history and effectiveness: She has visited big and small hospitals, but doctors only prescribed many stomach medicine and anti-inflammatory drugs, which did not improve the condition. She cares about how...
Doctor's answer:
This could be gastritis or a stomach ulcer. It is recommended to undergo a gastroscopy for a thorough examination and diagnosis before treatment. You should take Domperidone before meals, and at the same time, adopt the following methods:Four-drug therapy: Drug combination, dosage, and administration:
- Potassium bismuth citrate 240mg to be taken on an empty stomach.
- Amoxicillin 750mg + Metronidazole 400mg (to be taken after meals).
- Omeprazole 20mg to be taken on an empty stomach, twice a day (once in the morning and once in the afternoon), for a 7-day course.
After two courses, you should focus on taking Potassium bismuth citrate alone for 6 weeks, with the same dosage and administration as before. Note: Amoxicillin requires a skin test.
This regimen can completely eradicate Helicobacter pylori and protect the gastric mucosa. Be patient with the treatment to prevent recurrence.
Dietary restrictions:
- Strictly avoid alcohol, coffee, spicy, cold, and raw foods.
- Reduce the intake of starchy foods such as potatoes, taro, vermicelli, rice noodles, sweet potatoes, and cold noodles.
- Eat small, frequent meals at regular intervals. Avoid overly hard or indigestible foods.