Duodenal Ulcer Treatment Guidelines

Excessive gastric acid secretion is a primary cause of duodenal ulcers, often leading to damage and erosion of the stomach lining. To manage this condition effectively, patients are typically prescribed medications that reduce acid production and protect the gastric mucosa. Proton pump inhibitors such as Omeprazole and Lansoprazole are commonly used, along with mucosal protectants like Sucralfate and Aluminum Magnesium Carbonate. These medications help to alleviate symptoms and promote healing of the affected tissues.

Combining Western and Traditional Remedies

In addition to conventional treatments, some patients may benefit from complementary traditional Chinese medicine options such as An Wei Yang or Zheng Wei tablets. These formulations are believed to support gastrointestinal health and may enhance symptom relief when used alongside standard pharmaceuticals. However, it is important to consult with a healthcare provider before incorporating any alternative therapies into your treatment plan.

Addressing H. pylori Infection

Diagnosis and Eradication Therapy

It is also common for individuals with duodenal ulcers to have an accompanying Helicobacter pylori (H. pylori) infection. This bacterial infection can be accurately diagnosed using a Carbon-14 breath test. If H. pylori is detected, a structured eradication therapy is recommended to eliminate the bacteria and prevent recurrence of ulcers.

The standard treatment regimen typically includes a proton pump inhibitor like Omeprazole, a bismuth compound such as Colloidal Bismuth Pectin, and two antibiotics—most commonly Amoxicillin and Clarithromycin. This quadruple therapy is usually administered for a period of 14 consecutive days. After completing the course, patients should schedule a follow-up test one month later to confirm successful eradication of the bacteria.