Drugs
The discovery of a new drug (cimetidine) that inhibits the flow of digestive acids and enzymes and thereby permits ulcers to heal has markedly changed ulcer therapy. Blocking drugs are now widely used in treating ulcers.
Another new approach is to administer drugs (e.g., sucralfate) that actually form a protective coating over the ulcer, giving it a chance to heal without disrupting the flow of gastric acids. Until the introduction of these new drugs, the approach had been to give drugs that neutralize acids already present rather than block acid secretion.
Many older drugs remain an important and valuable part of ulcer therapy, particularly the antacids. As acid neutralizers, they not only relieve discomfort, but actively promote duodenal ulcer healing. Selected patients also may be treated with slow down stimulation of secretions and other involuntary functions. In any instance, treatment should be tailored to the needs of an individual patient--something only your phyisician is equipped to do.
Surgery
For the majority of ulcer patients, the sucess of dietary therapy, drug therapy or a combination of the two makes surgery unnecessary. But an estimated 10 to 15 percent of ulcer patients do eventually require surgery. Indications for surgery usually include perforation, obstruction due to scarring and bleeding. Intractable pain also may justify surgical intervention, but usually only after other treatment alternatives have been tried.
Summing Up
While the causes of ulcers are still not completely understood, new therapies have dramatically improved the outlook for most ulcer patients. These include a more liberal attitude towards diet, new drugs and improved diagnostic procedures. Stopping smoking and attempting to avoid undue stress also are recommended for ulcer patients.
