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Do I need to stop taking the medication that caused an ulcer?

If there have been complications (bleeding or perforation), the drug should be discontinued and not used again.

Are there any alternatives to NSAIDs or aspirin?

Only in rare medical conditions such medication is justified resume. In such cases, the ulcer will be treated as indicated. The medication that triggered the ulcer should be changed as follows:

- NSAIDs: a preparation to be used at low risk at the lowest possible dose.

- Aspirin should be used at doses of 75-100 mg, the lowest possible.

These drugs can be combined with an inhibitor of acid pump.

Alternatively, you can combine an NSAID with misoprostol, which protects the gastric mucosa and thus counteracts the deleterious effect of NSAIDs and aspirin on this mucosa.How is bleeding ulcer?

A bleeding ulcer is a serious situation that requires urgent hospital treatment. It often requires blood transfusion.

NSAIDs, aspirin and anticoagulants (drugs that decrease the power of the blood clotting) will be suspended immediately.

There will be an urgent gastroscopy:

- Diagnose the cause of bleeding.

- Assess the risk of further bleeding.

- Inject a substance into the mucosa near the ulcer to minimize the possibility of a new bleeding.

- Stop, if possible, active arterial bleeding.

In such circumstances, the patient will remain hospitalized for several days after bleeding. In some cases, when there is heavy bleeding that can not be stopped during the endoscopy, emergency surgery is needed. During the meeting, tie any small vessel that is bleeding ulcer and stitched. Surgery is very effective in treating severe bleeding that can not be stopped or controlled by less invasive measures.

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