Medicine for Diseases of Digestive Tract အစာလမ္း ေလနာေရာဂါေဆးမ်ား

• Helicobacter pylori (H. pylori) causes many ulcers အစာလမ္းေလနာေရာဂါ၊ = Treatment to get rid of H. pylori usually takes about 2 to 3 weeks ; Antacids = Aluminium Hydroxide and Oxide 250-1500 mg TDS; Bismuth Salts 530 mg QID; Calcium Carbonate 1250-1500; Magnesium Oxides and Hydroxides 200-400 mg TDS; H2 blockers = Ranitidine 150 mg TDS Oral/IV/IM; Cimetidine (HCl) 400 mg BD Oral; Proton Pump Inhibitor = Omeprazole; Amisulpride 0.714-4.285 mg/kg Daily Oral; Atropine (Sulphate) 0.5 to 1.0 mg IV/IM; Diclofenac (Na) 75 mg deep IM or 25-75 mg BD Oral

• Duodenal ulcer အစာလမ္း အူသိမ္၏အစပိုင္းရွိ ေလနာေရာဂါ၊ = Bismuth Salts 530 mg QID; Cimetidine (HCl) 400 mg BD Oral; Famotidine 20-40 mg Oral; Lansoprazole 15-30 mg Daily Oral; Nizatidine 150 mg OD or BD; Omeprazole 20-40 mg Daily Oral; Pirenzepine (di HCl) 0.238-0.714 mg/kg TDS; Propantheline (Br) 15 mg TDS; Ranitidine 150 mg TDS Oral/IV/IM

• Esophagitis, Heartburn, Gastroesophageal Reflux အစာလမ္း အစာၿမိဳျပြန္ေရာင္ျခင္း၊ ရင္ပတ္ပူျခင္း။ အစာေျခရည္အထက္ တက္ျခင္း။ = Mild cases = Antacids, Cemetidine 200-400 mg, Ranitidine and Nizatidine 75-150 mg, Famotidine 10-20 mg; Moderate cases = Ranitidine and Nizatidine 150 mg, Famotidine 20 mg or Cemetidine 400-800 mg BD; Omeprazole or Rabeprazole 20 mg, Lansoprazole 40 mg OD; Severe cases = Omeprazole or Rabeprazole 20 mg, Lansoprazole 30 mg OD, Pantoprazole or Esomeprazole 40 mg OD or BD

• Stress Gastritis အစာလမ္း-အစာအိမ္ေရာင္ျခင္း၊ စိတ္-အလုပ္ ရႈပ္၍ ေရာင္ျခင္း၊ = Cimetidine 900-1200 mg, Ranitidine 150 mg or Famotidine 20 mg infusion

• Active ulcers and NSAID Gastric/Duodenal Ulcers အကိုက္ေပ်ာက္ေဆးမ်ားေၾကာင့္ ျဖစ္ေသာ အစာအိမ္ေလနာ၊ ရုတ္တရက္ ျဖစ္သည့္ ေလနာ၊ = (1) Omeprazole 20 mg or Rabeparzole 20 mg, Lansoprazole 15-30 mg, Pantoprazole 40 mg 30 minutes before meals BD; Clarithromycin 500 mg BD

Amoxacillin 1 Gm BD or Metronidazole 500 mg BD (2) Omeprazole 20 mg, Rabeparzole 20 mg, Lansoprazole 30 mg, Pantoprazole 40 mg 30 minutes before meals; Bismuth subsalicylate 2 QID (3) Trtracycline 500 mg QID/Metronidazole 250 mg QID; Ranidine Bismuth citrate 400 mg BD; Claithromycin 500 mg BD (4) Amoxacillin 1 Gm/Tretracycline 500 mg/Metronidazole 500 mg BD; After 10-14 days course of above; Omeprazole 20 mg or Rabeparzole 20 mg, Lansoprazole 15-30 mg, Pantoprazole 40 mg 30 minutes before meals OD (or) Ranitidine and Nizatidine 300 mg, Famotidine 40 mg and Cimetidine 800 mg HS x 4-8 weeks

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