In cases where gastroenterologists diagnose an increased acidity level in a patient, it is natural practice to prescribe a coating for the stomach and intestines. Such drugs, creating an additional layer on the walls of organs, not only protect them from adverse effects, but also contribute to rapid pain relief.
When are enveloping agents used
The composition of preparations with enveloping properties includes components that interact with H2O to create colloids and suspensions. The main action of both natural and chemical elements is the same - they reduce the susceptibility of nerve endings, protecting them from negative influences. The indications for the appointment of such funds are:
- The presence of heartburn.
- Various gastritis and ulcerative pathology.
- Enteritis and colitis.
- Diagnosing pancreatitis.
- Exposure to chemicals that led to burns of the gastric mucosa and other pathologies.
The main property of enveloping preparations for the stomach is the almost complete absence of their absorption, as a result of which they do not penetrate into the bloodstream. Therefore, there is a possibility of using both natural components, as well as their synthesized analogues.
Natural and pharmaceuticals
If we consider the natural components used to envelop the organ, almost all of them have starch and its components in the composition. These natural preparations include:
- flax-seed;
- licorice root;
- starch derived from potatoes and corn;
- oatmeal, oats;
- comfrey plant.
In folk medicine, these funds are actively used in the treatment of gastritis and ulcerative pathology, since they have proven to be a quick elimination of pain and inflammation. Oatmeal alone is worth it - if you cook such porridge in water, you can not only control your weight, but also help your stomach.
However, a certain difficulty arises here - substances penetrate into the intestines later than into the stomach. Therefore, it is recommended to carry out complex treatment using folk recipes against the background of therapy with pharmaceuticals. Today, the pharmaceutical industry provides the consumer with a variety of formulations with an enveloping effect. Especially in demand are:
- White magnesia, the basic component of which is magnesium carbonate.
- Aluminum hydroxide.
- Almagel and Fosfalugel.
- Vikair.
- Sukralfat.
Some simple recipes
If there is a problem with the stomach, heartburn suffers, but there is neither time nor energy to run to the pharmacy, you can use simple recipes of traditional medicine:
- Before use, starch is diluted in warm water, for 100 ml of liquid, take one large spoonful of the substance. This drink is an excellent protector of the gastric layer.
- Flaxseeds in a warm liquid secrete mucus, it is this that must be used for treatment. It is simple to prepare a solution - pour 250 ml of boiling water over a small spoonful of seeds and keep on fire for another 15 minutes, then filter and drink a warm solution 60 minutes before meals.
- You can use spotted orchis, which includes starch, mucus. For a medicinal broth, grind 5 grams of root, pour the powder into a thermos, pour 200 ml of boiling water, leave for three hours, then boil it on fire for 10 minutes, filter the composition and take 70 ml before meals three times a day.
- Marshmallow root is also effective, to prepare a drink, the root is crushed to a powder, 10 grams of which are poured into 250 ml of boiling water in a thermos. After the remedy is infused, it is taken 10 ml before meals up to four times a day.
These drugs reduce the feeling of pain, prevent, when applied topically, the effect of irritating agents on tissues and the sensitive nerve endings located in them. The effect is manifested only in direct contact with mucous membranes, skin or wound surfaces. By causing the formation of a protective film on the surface of the tissue or by absorbing irritating agents, they have a local anti-inflammatory and analgesic effect, which allows them to be widely used in diseases of the mucous membranes. Unlike local anesthetics, they do not have a selective effect on sensitive nerve endings and conductors and cannot be used to reduce pain during painful manipulations and operations.
Astringents when applied to mucous membranes, skin. the wound surfaces cause the compaction of the surface layer of the tissue (tanning effect) with a decrease in its permeability due to nonspecific physicochemical changes in cell colloids, extracellular fluid, mucus, exudate. Interacting with proteins, they form insoluble albuminates (coagulation). A dense elastic film is formed that protects tissues from the effects of irritating substances, reduces pain, contributes to narrowing of capillaries, reducing hyperemia, thickening the vascular wall, reducing glandular secretion and enzyme activity. A decrease in tissue permeability blocks exudation. By reducing the activity of enzymes, the drugs extinguish the "metabolic fire" in the focus of inflammation. The combination of these effects explains the local anti-inflammatory effect of astringents. By coagulating plasma proteins, they help stop capillary bleeding. Coagulation of microbial cell proteins provides antimicrobial effect.
These properties allow the use of astringent drugs in the treatment of inflammatory processes in the oral cavity.
Astringents are divided into 2 groups:
1. Astringents of inorganic nature (salts of heavy metals).
2. Astringents of organic nature (herbal preparations).
Heavy metal salts, such as lead acetate, bismuth subnitrate(basic bismuth nitrate), aluminum acetate(alum), zinc oxide, silver nitrate, have a tanning effect, dry the mucous membrane. Astringents of organic nature do not have a pronounced tanning effect; they dry out fabrics to a lesser extent.
Astringents are found in many plants: sage leaf, oak bark, St. John's wort herb, chamomile flowers, blueberry and bird cherry, tea leaves, arnica flowers, Potentilla, serpentine, burnet rhizomes etc. Infusions and decoctions of these plants are used for rinsing, "baths", lotions for inflammatory diseases of the oral cavity, for tonsillitis, pharyngitis, burns, skin cracks. For diseases of the gastrointestinal tract, they are prescribed internally.
From plants containing astringents, original official preparations with pronounced anti-inflammatory, deodorant, antimicrobial effects are obtained, for example, salvin(from sage leaves), romazulan(from chamomile flowers). These drugs can be used topically for diseases of the mucous membrane of the oral cavity and periodontium by irrigation, lubrication of the mucous membrane, the introduction of turunda moistened with the drug into the periodontal pockets, etc.
Tannin-gallatin acid, obtained from tanning (ink) nuts, is readily soluble in water, alcohol, glycerin. Has a pronounced astringent effect. A solution of tannin is used for gastric lavage in the treatment of poisoning, since it precipitates many alkaloids and heavy metal salts.
The resulting compounds are unstable and must be removed from the stomach (repeated lavages) and from the lower intestines (enemas).
A significant amount of tannin is contained in tea leaves, therefore, in case of poisoning, a strong tea infusion can be used for washing, as well as an anti-inflammatory agent for catarrhal inflammatory processes of the mucous membranes (mouth, nose, eyes, etc.).
For bowel diseases, it is often prescribed tanalbin(protein-bound tannin), from which tannin it is released gradually (as the protein is digested), exerting an effect over a large part of the intestine. The appointment of tannin under these conditions is ineffective, since it loses its activity already in the stomach, combining with food proteins. For intestinal infections, the drug is also used tansal, which, along with tannin, contains phenyl salicylate, which has an antimicrobial effect.
Enveloping agents are indifferent substances that can swell in water to form colloidal solutions - mucus. When applied, a layer of mucus is formed on the surface of the tissue, which protects sensitive nerve endings from irritation and has a nonspecific analgesic and anti-inflammatory effect. In addition, various chemical substances can be adsorbed on large colloidal particles, as a result, their absorption is delayed. The most widely used plant polysaccharides ( mucus from potato and rice starch, leaves and flowers of mallow, decoctions of the root and leaves of marshmallow, comfrey, flax seeds, oats, egg white solution etc.). Colloidal solutions with enveloping properties can also form some inorganic substances, for example, magnesium trisilicate, (algeldrat (
Coating drugs are drugs that cover mucous membranes and tissues, forming a viscous film over them, which protects sensitive nerve endings from irritation.
Slime starch (MucilagoAmyli) It is a colloidal solution of starch in hot water. Wheat ( Amylum Tritici), corn ( Amylum Maydis), rice ( Amylum Oryzae) or potato ( Amylum Solani) starch.
It is used orally in the treatment of gastroduodenitis (reduces pain, belching) and in the form of enemas for proctitis, sigmoiditis, Crohn's disease. Sometimes starch mucus is prescribed in conjunction with drugs that have an irritating effect on the gastrointestinal mucosa.
NE: not described.
EF: mucus 2% extemporaneous preparation.
Flax seed slime (MucilagosemenisLini) Flax seeds infused in hot water ( Linum usitatissimum L. ). It is administered orally in the treatment of gastroduodenitis (¼-½ glass) 4-6 times a day, as well as in conjunction with drugs that have an irritating effect on the gastrointestinal tract.
NE: not described.
EF: mucus 1:30 extemporaneous preparation.
Polyvinox (Polyvinox, Vinylin, Schostakowski Balsam) It is a viscous syrupy liquid with a specific smell and taste. In contact with wound defects, forms a sticky film over them.
Promotes cleansing, regeneration and epithelialization of wounds, while it creates conditions unfavorable for the reproduction of microorganisms.
Reduces secretion, acidity and proteolytic activity of gastric juice.
Application and dosage regimen:
Outwardly, in the treatment of boils, carbuncles, trophic ulcers, purulent wounds, burns and frostbite, mastitis is used in pure form (perse), as well as in the form of a 20% oil solution or 3-5% ointment (with the addition of 0.75% silver nitrate) ...
Inside for gastric ulcer and duodenal ulcer, gastritis on the first day, 3 capsules or 1 teaspoon at night 5-6 hours after the last meal, then 5 capsules or 1 dessert spoon daily for 15-20 days.
Rectally through a rectoscope, 25-40 ml for 3-9 days with dysentery, colitis, Crohn's disease.
NE: hypersensitivity to the drug.
F 
B: balm in bottles of 100.0 and capsules of 1.4 g. Means for oral administration should contain no more than 8% moisture, while for external use it is allowed to use a balm with a moisture content of up to 15%.
Sucralfate (Sucralfate, Venter, Alcucral) MD: In an acidic environment, at pH<4,0 распадается на ионы алюминия и сульфат сахарозы. Ионы алюминия денатурируют белки слизи и нейтрализуют соляную кислоту. Сульфат сахарозы соединяется с белками некротизированных тканей и, спонтанно полимеризуясь, образует плотную пленку полигликозилированных протеинов, которая является барьером для воздействия агрессивных факторов на слизистую оболочку ЖКТ.
Enveloping action - the polymer formed in the acidic environment of the stomach protects ulcerative defects by firmly covering them for 6 hours. Sucralfate practically does not interact with normal mucous membranes.
Antacid (acid-neutralizing) effect is not very pronounced; in its strength, sucralfate is noticeably inferior to traditional means based on aluminum hydroxide. An essential feature of the antacid effect of sucralfate is its controllability. Since the release of free aluminum occurs only in a medium with an acidity of pH less than 4.0, sucralfate is not able to neutralize the pH of the medium above 4.0.
Gastrocytoprotective action - associated with the ability of polyglycosylated mucus proteins, formed when taking sucralfate, to inactivate pepsin, bile acids.
Absorbent action. In the intestine, a gel-like film of sucralfate adsorbs bile acids, waste products of microorganisms. In addition, when aluminum interacts with phosphate ions, insoluble aluminum phosphate is formed.
Application and dosage regimen. Sucralfate is used in the treatment of gastric ulcer and duodenal ulcer, including for symptomatic, steroid, steroid ulcers, ulcerative and erosive lesions caused by the use of NSAIDs, as well as for gastroesophageal reflux disease (retrograde reflux of bile into the lumen of the stomach or gastric juice into the esophagus). Usually it is taken 500-1000 mg 4 times a day 30-40 minutes before meals and at night, or 1000-2000 mg 2 times a day, morning and evening. The course of treatment is 6 to 12 weeks.
Sometimes sucralfate is used in patients with hyperphosphatemia due to hemodialysis in end-stage chronic renal failure.
On the part of the gastrointestinal tract, dry mouth, stool disorders are noted.
Despite the fact that the systemic absorption of aluminum from sucralfate is only 0.02%, it can sometimes have a neurotoxic effect in sensitive patients in the form of dizziness, drowsiness, headache and back pain.
It should be remembered that sucralfate forms insoluble complexes with fluoroquinolones, tetracyclines, theophylline and phenytoin, so its administration is incompatible with oral administration of these drugs. On the contrary, antisecretory drugs (H 2 -histamine receptor blockers, H + / K + -ATPase blockers) reduce the activity of sucralfate by increasing the pH of the gastric juice.
PV: tablets of 500 and 1000 mg, granules of 1000 mg in sachets, gel 1000 mg in sachets of 5 ml
Diosmectite (Diosmectit, Smecta) Diosmectite molecules have a discoid-crystalline structure - an aluminum octahedron in the center is surrounded by silicon tetrahedrons on the sides. The molecules are combined into layers 1 nm thick, which, in turn, form scaly particles with a size of 1–2 µm. Inside the aluminum octahedra, some of the atoms are replaced by iron or magnesium, such a replacement leads to the appearance of an excess negative charge inside the layer and an excess positive charge between them.
MD: Diosmectite molecules have a very high adsorption capacity and fluidity, this is due to a combination of several factors:
The surface area of 1 g of the substance is 100 m 2, which allows it to establish multiple non-ionic bonds with mucus macromolecules;
Due to the presence of an excess positive charge, diosmectite adsorbs small molecules in them;
Simple ions are sorbed by diosmectite inside the crystal lattice due to the excess negative charge.
Enveloping action. Due to this effect, diosmectite acquires the ability to stabilize the mucous barrier of the gastrointestinal tract, prolonging the life of mucus and increasing its resistance to the action of acid protons.
Absorbent action. Diosmectite molecules bind and neutralize toxigenic bacteria (V. cholerae, E. coli), rotaviruses, bile salts, undigested sugars. As a result, excessive secretion of fluid into the intestinal lumen under the influence of toxins or high osmosis of the medium stops and the processes of water absorption are normalized.
Indications for use and dosage regimen. Diosmectite is used for:
Symptomatic treatment of acute and chronic diarrhea (including in children). In terms of the effectiveness of the antidiarrheal action, diosmectite is comparable to opiates.
Symptomatic elimination of pain in inflammatory diseases of the gastrointestinal tract (esophagitis, gastroduodenitis, enterocolitis).
Administered orally on an empty stomach, 3 sachets per day, dissolving their contents in 1 glass of water (for acute diarrhea, the dose can be doubled). In children's practice, for children under 3 years old, they use 1 sachet per year of life, in older children, diosmectite is used in the same doses as in adults.
NE: There are isolated reports of constipation when taking diosmectitis, which can be easily eliminated by reducing the dosage of the medicine.
FV: powder in sachets of 3.0 for the preparation of a suspension.
Reading 4 min. Views 992 Posted on 24/09/2017
Coating agents are substances that are capable of protecting tissues from irritants.
As a rule, these drugs have a high absorption capacity and impede the absorption of harmful substances in the gastrointestinal tract. They also have antiemetic and antipyretic effects.
Enveloping substances are used to reduce inflammatory processes, as well as, in combination with other drugs, are prescribed to reduce irritation, reduce the absorption of toxic products and drugs.
They are used for poisoning with salts of heavy metals and alkaloids, are used as a basis for the preparation of certain dosage forms.
Enveloping folk remedies
Herbal enveloping agents include the following preparations:
1. Potato starch.
It is used as an enveloping anti-inflammatory agent in the form of a paste (brewed with hot water).
Take 1-2 tbsp. l.
2. Provencal oil.
Drink 60 ml of Provencal oil 3 times a day (the highest grade of olive oil) as an enveloping agent.
The oil obtained from the oil cake from the first pressing of olives is called wood oil.
3. Almond oil.
Almond oil is taken orally 6-8 drops 3 times a day in the form of an emulsion as an enveloping and emollient.
Infusions
4. Infusion of fireweed.
2 tbsp. l. crushed leaves of narrow-leaved fireweed (ivan tea), brew 200 ml of boiling water, leave for 2 hours, drain.
Take 1 tbsp. l. 3-4 times daily before meals.
5. Infusion of comfrey.
Pour 40 g of crushed comfrey root with 1 liter of milk, then steam in the oven for 6-7 hours without boiling.
Drink 50 ml 4 times a day before meals as an enveloping agent for all types of inflammation of the mucous membrane, as well as for chest ailments.
Remember, in large doses, the plant is poisonous! Observe dosage!
6. Infusion of licorice.
2 tbsp. l. crushed licorice root (sweet root), brew 500 ml of boiling water, leave for 2 hours and strain.
Drink 100 ml 4 times a day after meals in case of poisoning, especially with mushrooms and meat products.
7. Infusion of thyme.
2 tbsp. l. chopped herb thyme (thyme), brew 200 ml of boiling water in a thermos, leave for 1 hour and strain.
Take 1 tbsp. l. with honey 3 times a day before meals as an enveloping agent.
8. Infusion of orchis.
2 tbsp. l. powder from root tubers of orchis (orchid family), dilute in 100 ml of cold boiled water. Then add 500 ml of boiling water and shake again until you get a thick, colorless mucus.
Take 2 tbsp. l. 3-4 times a day warm.
Decoctions
9. Broth of quince.
Pour 10 g of crushed quince seeds with 200 ml of hot water, bring to a boil and boil in a water bath for 20 minutes, leave for 10 minutes and strain.
The resulting slimy broth is drunk 70-100 ml 3 times a day before meals.
10. Broth of marshmallow.
2 tbsp. l. chopped roots of marshmallow (mallow, mallow, marshmallow) pour 200 ml of boiling water, boil over low heat for 30 minutes, leave for 10 minutes. and strain.
Drink 100 ml 3-4 times a day with meals hot.
11. Broth of oats.
Pour 30 g of chopped oat straw with 1 liter of water, bring to a boil and boil for 10 minutes, leave for 20-30 minutes. and strain.
Drink 50 ml 3 times a day before meals as an enveloping agent for diarrhea.
12. Plantain decoction.
1 tbsp. l. Pour 200 ml of water into crushed plantain seeds, bring to a boil and boil for 1 minute, leave for 30 minutes. and strain.
Take 2 tbsp. l. 3 times a day before meals as an enveloping agent for inflammatory processes, for gout, hemorrhoids.
13. Broth of violets.
2 tbsp. l. chopped grass violets tricolor (pansies, sisters) pour 200 ml of water, bring to a boil and boil for 2 minutes, leave for 1 hour, drain.
Drink 50 ml 3 times a day before meals as an enveloping agent for diarrhea and dysentery.
Attention! Overdose can cause vomiting, diarrhea, and an itchy rash!
14. Broth of tsetraria.
1 tbsp. l. chopped thallus of Icelandic cetraria (Icelandic moss) pour 400 ml of boiling water, boil for 3 minutes, leave for 30 minutes. and strain.
Drink 100 ml 4 times a day for 30 minutes. before meals as an enveloping agent for diarrhea and chronic constipation.
People often use antacids for heartburn, nausea, or stomach discomfort. Patients with diseases of the digestive system also need them. The drugs envelop the stomach to protect it. You can buy them without a doctor's prescription. The choice of funds is quite wide, read a detailed review in our material.
Coating preparations are plant-based and synthetic. The substances that make up the antacid preparations create a protective barrier on the gastric mucosa, neutralize hydrochloric acid. This gives the effect of protection and pain relief. Some of the drugs have antimicrobial and anti-inflammatory effects. If acidity is increased, the stomach is susceptible to other irritating factors (stress, poor nutrition), then these medications are indicated.
Antacids are produced today in different forms, so everyone can find the one that is convenient for him: tablets, powders, suspensions in bottles or disposable bags.
Indications for use
Antacids are necessary for diseases of the gastrointestinal tract. The composition contains components that react with water, thus forming substances that envelop the stomach. It is because of this that the drugs are so popular.
Coating agents are indicated for:
- acute gastritis;
- chronic gastritis;
- ulcers of the stomach and duodenum;
- heartburn;
- inflammation of the pancreas;
- reflux esophagitis;
- with inflammation of the gallbladder;
- enteritis;
- colitis;
- one-time violation of the diet;
- toxicosis of pregnant women;
- burns.
It is noteworthy that antacids can be used not only for gastritis and ulcers, but also externally (for burns and other skin lesions).
the effect
Medicines have the following actions:
- envelop the stomach, protecting it;
- stop nausea and vomiting;
- eliminate pain;
- neutralize excess hydrochloric acid;
- prevent reflux (throwing bile from the duodenum into the stomach);
- fight diarrhea.
The pharmacies offer a wide range of medicines. To help you decide, consider the most popular drugs.
Things to Remember
- Continuous use of antacids without a doctor's prescription can negatively affect health.
- If you often have to resort to such drugs for nausea, heartburn or epigastric pain, do not postpone a visit to the doctor for diagnosis and treatment. Such symptoms signal the presence of a gastrointestinal disease. If you ignore them, then the disease will worsen and it will be much more difficult to cure it.
- For ulcers, gastritis and other pathologies of the stomach and intestines, antacids are used as part of complex therapy (more to neutralize the unpleasant symptoms of the disease).
- Caution should be taken when enveloping drugs for children and pregnant women. Some of them are contraindicated for these categories of persons. Consult a physician before use.
What exist
It is common for any medicine to be absorbed or not absorbed into the stomach.
Absorbable
If the components of the drug interact with hydrochloric acid, then they partially penetrate into the blood. The benefits of using these medications include the rapid elimination of heartburn. But the effect is short-lived.
For such funds, the so-called "acid ricochet" is characteristic: antacids react with hydrochloric acid, as a result, carbon dioxide is released. The stomach stretches, and hydrochloric acid begins to produce with renewed vigor, heartburn appears again. In addition, these drugs are absorbed in the intestines, provoking the formation of edema. Side effects also include increased blood pressure, belching, and bloating. Such products include, for example, soda.
Active substances of these drugs may be:
- magnesium oxide;
- sodium bicarbonate;
- magnesium and calcium carbonate.
Drugs in this group:
- Vikalin;
- Vikair;
- Rennie;
- Bourget mixture;
- Tums;
- magnesia.
Antacids from this group are intended for single or rare administration, as otherwise they can cause the progression of gastrointestinal diseases (for example, stomach and duodenal ulcers).
Non-absorbable
Nonabsorbable antacid medications are most effective and have fewer side effects.
Non-absorbable medicines neutralize hydrochloric acid, bile and pepsin. When they enter the stomach, they envelop it and protect it from irritating factors. The healing effect occurs within 15 minutes and lasts up to 4 hours.
Different enveloping agents have their own mechanism of action, based on the composition:
- Medicines that envelop due to aluminum phosphates... The most popular remedy from this group is Phosphalugel. Its effect depends on the initial acidity level. The higher it is, the more effective the medicine is.
- Antacids containing magnesium and aluminum... These include Almagel.
- Combined medicines... In this case, there can be 2 variations: aluminum + magnesium + silicon and sodium + calcium. Such drugs create a mechanical barrier that prevents gastric juice from entering the esophagus.
The following are popular non-absorbable enveloping agents for the stomach and intestines:
- almagel;
- phosphalugel;
- maalox;
- altacid;
- sucralfate;
- gastracid;
- gastal;
- relzer;
- alumag;
- gaviscon;
- palmagel;
- rutacid;
- magalfil.
Before purchasing the medicine, carefully read the instructions for use and contraindications. Some drugs also have additional effects (for example, Almagel A is an anesthetic). It is strictly forbidden to take such funds without a doctor's prescription for a long time.
Almagel
Almagel is an antacid agent that neutralizes the secretion of enzymatic juice in the stomach. Under its influence, hydrochloric acid is produced less, and the level of pepsin is normalized. Of the disadvantages - the drug removes phosphorus, therefore it is not recommended for long-term use for people with bone and joint problems.
Almagel is produced in the form of a suspension, which greatly facilitates application and accelerates the effect. Shown at:
- gastritis;
- ulcers;
- esophagitis;
- increased acidity;
- bloating;
- pain;
- enteritis;
- poisoning;
- nausea;
- heartburn.
When taking anti-inflammatory or glucocorticoid drugs, Almagel should be used to prevent ulcers. Reception lasts no more than 2 weeks, you need to drink the remedy for 5-10 g before meals.
The defoamer has an absorbent and enveloping effect. The drug works for a long time, normalizes acidity and does not contribute to gas formation.
Phosphalugel
Phosphalugel is an antacid substance that envelops the walls of the stomach and has an adsorbing effect. The medicine is indicated for:
- gastritis and ulcers;
- gastroesophageal reflux;
- syndrome of non-ulcerative dyspepsia;
- bowel disorder;
- functional bowel diseases;
- diarrhea.
Antacid medicine should not be used in case of serious kidney disease and individual intolerance to the components.
Adults and children under 6 years of age are prescribed 1-2 sachets 2-3 times a day. Babies up to 6 months old - 1 tsp. Children from 6 months - ½ sachet.
Take the drug before or after a meal as follows:
- with reflux and hernia - after meals and at night;
- with an ulcer - 1-2 hours after a meal;
- with gastritis and dyspepsia - before meals;
- for bowel diseases - on an empty stomach and once at night.
If pain occurs, you can resume taking.
The suspension quickly neutralizes hydrochloric acid, while maintaining the digestion process.
Maalox
Maalox is sold as a suspension. The antacid contains peppermint leaf oil. Of the disadvantages - it reduces the absorption of phosphorus, therefore it is not recommended for the elderly and patients with joint problems.
Shown at:
- exacerbation of the ulcer;
- acute or chronic gastritis;
- hernia of the esophageal opening of the diaphragm;
- reflux esophagitis;
- heartburn;
- pain in the epigastrium.
An antacid drug is not prescribed for:
- kidney failure;
- individual allergy to components;
- intolerance to fructose;
- in children and adolescents up to 15 years old;
- hypophosphatemia.
The medicine is taken in 15 ml. an hour after eating. If pain occurs, you can use 1 sachet. But it should be noted that the maximum dose per day is 90 ml.
Depending on the disease, the dosage is determined:
- with reflux esophagitis, 30-60 ml are used. after meal;
- with an ulcer - 15 ml. half an hour before meals.
Treatment should not exceed 2-3 months.
The following side effects may appear:
- hypersensitivity to components;
- allergy;
- rarely - constipation, diarrhea;
- hypermagnesemia (increased magnesium levels).
The drug stays in the stomach for a long time and has a long-lasting protective effect.
Gaviscon
This drug has very few contraindications, has a beneficial effect on the cells of the esophagus, can be used during pregnancy, and has a protective effect. The effect appears after a few minutes and lasts for about 4 hours.
Indications:
- heartburn;
- belching;
- dyspepsia;
- gastroesophageal reflux;
- toxicosis of pregnant women.
Contraindications:
- individual intolerance;
- age up to 12 years;
- phenylketonuria.
It is taken up to 4 times a day, 2-4 tablets after meals and before bedtime, up to 7 days.
Gaviscon, according to the Romir Research Center, is the best heartburn drug named by most of the gastroenterologists surveyed.
Sukralfat
Sucralfate refers to drugs that have an enveloping effect. The pharmacology is as follows: under its influence, the production of pepsin slows down, and the acid in the stomach binds. The antacid works for 6 hours. The medicine is indicated for:
- heartburn;
- ulcers;
- erosive and ulcerative lesions of the gastrointestinal tract;
- reflux esophagitis.
The medicine is contraindicated for:
- kidney disease;
- dysphagia;
- internal bleeding of the gastrointestinal tract;
- allergies to components.
List of side effects:
- indigestion;
- constipation;
- gas formation;
- drowsiness;
Adults are prescribed up to 1 g per day. The dose must be divided into 4 doses. The maximum allowed to use up to 12 g per day. The course lasts up to 6 weeks. In severe cases - 3 months.
Be aware that the antacid medication is available with a prescription from your doctor.
Natural antacids
The use of medical drugs is not always necessary. With prolonged use or less severe symptoms, we advise you to pay attention to natural antacids.
- The easiest and cheapest way to fight heartburn is to drink warm water (better than mineral water)
- Bananas soothe stomach pains and fight the symptoms of heartburn.
- Usage potato or corn starch has a protective effect on the gastric mucosa. It practically does not dissolve in cold water, but in warm water it turns into an enveloping mixture. You can also eat starchy vegetables.
- Clove oil perfectly envelops the walls of the stomach and esophagus (2-3 drops per glass of water). It is also recommended to use ground cloves as a condiment to fight heartburn.
- Cinnamon is an excellent natural antiseptic and antacid.
- Herbal tea made from mint, lavender and anise (optionally with the addition of honey) will do an excellent job of burning the sternum.
- Dill seeds in the amount of ½ tsp. after eating will help to cope with heartburn and discomfort in the abdomen.
- Flax seed is often used to prevent ulcers and gastritis. It is used as a slimy solution. For cooking you need: 1 tsp. crushed seeds for ½ tbsp. water. Consume warm 30 minutes before meals. The product envelops the walls of the stomach, protecting it.
- Grapefruit peel chewed for heartburn can help relieve unpleasant symptoms.
- 1 tbsp. l. crushed walnuts 1 time per day is a good prevention of heartburn.
- Freshly squeezed potato juice, taken before meals for 2 tbsp. l. - also a wonderful remedy.
Coating preparations have a positive effect on the gastrointestinal tract and irritating factors no longer bring negative consequences. The products have been tested and proven to be beneficial for people suffering from frequent heartburn, gastritis and ulcers. Before choosing a medication for yourself, you should consult your doctor, since there are contraindications for use. And also you need to individually select the dosage.
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