What To Do If Stomach Ulcer Medication Doesn't Work After Two Months

If you've been taking medication for a stomach ulcer for two months and haven't seen any improvement, it's important to evaluate the situation carefully. First, consider whether you have been following your specialist's prescription accurately. Have you reduced the dosage or missed doses on your own? If so, it's crucial to start adhering strictly to the prescribed treatment plan moving forward.

Second, check whether you have an underlying Helicobacter pylori (H. pylori) infection. This type of bacterial infection is a common cause of stomach ulcers and can significantly impact treatment effectiveness. It is recommended to undergo a carbon-13 or carbon-14 breath test for accurate diagnosis. If H. pylori is detected, immediate eradication therapy should be initiated. The standard treatment is quadruple therapy, which includes a proton pump inhibitor (PPI), bismuth, and two antibiotics, for a duration of 10 to 14 days.

Third, assess your lifestyle and dietary habits. Are you consuming spicy, cold, or irritating foods? Do you drink strong tea, coffee, high-fat foods, or preserved foods regularly? These can all delay ulcer healing. It's essential to adopt a bland, balanced diet and maintain regular meal times. Avoid overeating and make healthier food choices to support your recovery.

If oral medications are not effective, switching to intravenous treatment may be considered. In addition, regular follow-up with endoscopic examinations is necessary until the ulcer has fully healed. Always consult with your healthcare provider before making any changes to your treatment plan.