Medicines that coat the stomach. The best medicines for the stomach

Enveloping agents are a group of substances of pharmaceutical and natural origin, interacting with water, creating colloidal solutions that protect the mucous membrane of the digestive system. Thus, gastric and intestinal coating agents can counteract the absorption of irritating substances.

Most often, these drugs are used to treat gastritis or ulcers. These diseases can often be accompanied by simple symptoms such as heartburn and belching of air. Sometimes it is caused by air or food trapped in the esophagus. In adults, this more often occurs as a result of a full stomach. In this case, just burp and everything will pass. In other cases, these symptoms indicate that an inflammatory process is beginning in the stomach or intestines. Heartburn and belching of air in themselves are not a disease and do not pose any danger. But to get rid of it, you need to eliminate its cause, in other words, you need to treat gastritis or ulcers. The enveloping and intestinal tract will help with this.

Classification

At the moment, there are many medications that can be divided into two groups: natural and pharmaceutical.

Medicines of natural origin

Products of plant origin are slightly different in some ways. After administration, they almost completely enter the gastric tract without dissolving in the circulatory system. In addition, they not only protect the mucous membrane, but also help reduce pain during inflammatory processes, and also have a positive effect on the condition of peptic ulcers. Most medicinal herbs can form a protective film on the walls of the stomach or intestines.

Many coating agents for the stomach and intestinal tract contain starch. Such drugs include:

  • - starch from potato juice and corn;
  • - flax seeds;
  • - oats and oat flakes;
  • - comfrey;
  • - liquorice root.
  • - white clay;
  • - marshmallow root;
  • - Lyubka bifolia;
  • - spotted orchis.

The most optimal version for the treatment of gastrointestinal diseases is potato or corn starch. It dissolves in hot water, forming a colloidal mixture. Otherwise, dissolution occurs very slowly. This substance is used both internally and as an enema. In pharmacies, starch is sold in the form of a powder, which is recommended to be stored in a dry place. Before taking it, dissolve it in warm water - 1 tablespoon per 100 ml of water.

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Many recommend using it as an enveloping agent for gastritis and ulcers. flax seeds. In warm water, they secrete mucus, which is the ingredient used in the treatment. This solution must be consumed hot. To prepare, take one teaspoon of seeds and pour 0.25 liters of boiling water. Then boil for another 15 minutes, then strain and drink an hour before meals. You can buy flaxseeds at the pharmacy.

It can also be used in the treatment of gastrointestinal diseases. spotted orchis root, a component of which is starch. For a medicinal decoction, it is necessary to grind 5 grams of the root, and then place it in a thermos and pour boiling water in a volume of 200 ml. Then leave for 3-4 hours and boil for 10 minutes. Before taking the mixture must be filtered and taken 70 ml 3 times a day before meals.

No less useful for similar diseases and marshmallow root. The recipe for preparing the mixture is similar to the previous one. To prepare the serum, you will need 10 grams of the crushed ingredient, which is also poured with boiling water in a thermos, but in a volume of 250 ml. You need to take 10 ml 4 times a day before meals.

Pharmaceutical coating preparations

Recently, medicines of natural origin are increasingly used in traditional medicine, due to their healing and analgesic properties. However, for greater effect, experts recommend combining both classes of enveloping substances so that they quickly penetrate both into the stomach and intestines. Today the following drugs are well known:

  • - Phosphalugel;
  • - Almagel;
  • - Vikair;
  • - Sucralfate;
  • - Magnesium oxide;
  • - Aluminum hydroxide.

Phosphalugel- This is a white gel, taken orally. It has an enveloping property, neutralizes acids, secretes an enzyme that breaks down proteins, and also removes toxins, gases and other harmful substances from the gastrointestinal tract. It can be used in acute infectious diseases caused by pathogenic microbes that enter the stomach with food. The drug itself has no toxic properties and therefore it is completely safe for both children and pregnant women.

Moreover, it does not have many side effects. Doctors advise taking it for acute gastritis and gastric ulcers. It is also useful for various types of poisoning. The drug is prescribed when symptoms appear that occur when the processes of digestion of food are disturbed and emptying from the stomach is slowed down. Although this medicine does not require a prescription, you should not abuse it.

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Almagel- a drug that is most often prescribed for acute ulcers or gastritis. It can be of different types, its analogue is Maalox. The medicine has an enveloping property and is included in the group of antacids. It is taken orally in the form of a suspension. Mostly, the drug does not produce carbon dioxide, which contributes to the release and accumulation of gases in the gastric cavity. It forms a protective layer and has reduced toxicity.

Appointment and doses in the course of treatment are defined by the attending physician. Before using the medication, the container with the contents, consisting of liquid and small, solid particles, must first be shaken. Almagel can be used not only for treatment, but also for prevention. It is prescribed to patients suffering from ulcerative and inflammatory bowel diseases, as well as for poisoning and low acidity of the stomach. It is strictly prohibited for children under one month of age, people with Alzheimer's disease and patients with renal failure.

Magnesium oxide also called white magnesia. This drug is not absorbed by the circulatory system, thereby reducing the effects of acids and preventing the release of carbon dioxide. Once in the intestines, the medication causes a feeling of weakness. Magnesium carbonate is prescribed for duodenal ulcers and gastritis. The drug can be contained in tablets and in powder form, which is taken immediately before meals, which makes the drug act quickly. After a meal it lasts much longer.

Sucralfate- anthracite medicine with an enveloping effect. The stomach enzyme, produced by the chief cells of the mucous membrane, slows down the secretion when exposed to this drug. Intended for use for ulcers and gastritis. It is sold in pharmacies in the form of tablets, which must be taken 1-2 pieces three times a day, washed down with water and without chewing.

Aluminum hydroxide- a powder that also has an enveloping effect and is used in the form of an aqueous suspension. Doctors advise taking the substance for duodenal ulcers, gastritis and various food poisoning. The drug delays the absorption and dissolution of gases in the digestive system. Dosage - from 5 to 10 grams of the drug no more than 6 times a day.

For heartburn, nausea, or stomach discomfort, people often use antacids. Patients with diseases of the digestive system also need them. The drugs coat the stomach, protecting it. You can purchase them without a prescription from a doctor. The choice of products is quite wide; read our detailed review.

Enveloping preparations are plant-based and synthetic. The substances included in antacid preparations create a protective barrier on the gastric mucosa and 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 taking these medications is indicated.

Antacids today come in different forms, so everyone can find one that is convenient for them: tablets, powders, suspensions in bottles or single-use packets.

Indications for use

Antacids are necessary for diseases of the gastrointestinal tract. The composition contains components that react with water, forming substances that envelop the stomach. This is why the drugs are so popular.

Enveloping agents are indicated for:

  • acute gastritis;
  • chronic gastritis;
  • stomach and duodenal ulcers;
  • heartburn;
  • inflammation of the pancreas;
  • reflux-esophagitis;
  • with inflammation of the gallbladder;
  • enteritis;
  • colitis;
  • one-time diet violation;
  • toxicosis of pregnant women;
  • burns.

Medicines have the following effects:

  • envelop the stomach, protecting it;
  • stop nausea and vomiting;
  • eliminate pain;
  • neutralize excess hydrochloric acid;
  • prevent reflux (reflux of bile from the duodenum into the stomach);
  • fight diarrhea.

Pharmacies offer a wide selection of medicines. To help you decide, let's look at the most popular drugs.

Things to remember

  • Constantly taking antacids without a doctor's prescription can negatively affect your health.
  • If you often have to resort to such drugs for nausea, to eliminate heartburn or for epigastric pain, do not delay visiting your doctor for a diagnosis and treatment. Such symptoms indicate the presence of gastrointestinal disease. If you ignore them, the disease will worsen and it will be much more difficult to cure.
  • For ulcers, gastritis and other pathologies of the stomach and intestines, antacid drugs are used as part of complex therapy (more to neutralize the unpleasant symptoms of the disease).
  • Children and pregnant women should take enveloping drugs with caution. Some of them are contraindicated for these categories of people. Consult your physician before use.

What are

Any medicine tends to be absorbed or not absorbed into the stomach.

Suction

If the components of the medicine interact with hydrochloric acid, they partially penetrate into the blood. The benefits of using such medications include rapid relief from heartburn. But the effect is short-lived.

Such products are characterized by the so-called “acid rebound”: antacids react with hydrochloric acid, resulting in the release of carbon dioxide. The stomach stretches, and hydrochloric acid begins to be produced with renewed vigor, heartburn appears again. In addition, these drugs are adsorbed in the intestines, causing the formation of edema. Side effects also include increased blood pressure, belching and bloating. Such products include, for example, soda.

The active substances of these drugs may be:

  • magnesium oxide;
  • sodium bicarbonate;
  • magnesium and calcium carbonate.

Drugs in this group:

Non-absorbable

The most effective are non-absorbable antacid medications, which also have fewer side effects.

Non-absorbable medications neutralize hydrochloric acid, bile and pepsin. When they enter the stomach, they envelop it and protect it from irritating factors. The therapeutic effect occurs within 15 minutes and lasts up to 4 hours.

Different enveloping agents have their own mechanism of action, based on their composition:

  • Medicines that coat due to aluminum phosphates. The most popular product from this group is Phosphalugel. Its effect depends on the initial level of acidity. The higher it is, the more effective the medicine.
  • Antacids containing magnesium and aluminum. These include Almagel.
  • Combined medications. 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 non-absorbable coating agents for the stomach and intestines are popular:

  • almagel;
  • phosphalugel;
  • Maalox;
  • altacid;
  • sucralfate;
  • gastracid;
  • gastal;
  • relzer;
  • aluminum;
  • gaviscon;
  • palmagel;
  • rutacid;
  • magalfil.

Almagel is an antacid that neutralizes the secretion of enzymatic juice in the stomach. Under its influence, less hydrochloric acid is produced, and the level of pepsin is normalized. Among the disadvantages, the drug removes phosphorus, so it is not recommended for long-term use by people with problems of bones and joints.

Almagel is produced in the form of a suspension, which greatly facilitates application and accelerates the effect. Indicated for:

  • gastritis;
  • ulcers;
  • esophagitis;
  • increased level of acidity;
  • bloating;
  • pain;
  • enteritis;
  • poisoning;
  • nausea;
  • heartburn.

When taking anti-inflammatory or glucocorticoid drugs, Almagel should be used to prevent ulcers. The reception lasts no more than 2 weeks, you need to drink the product 5-10 g before meals.

Phosphalugel

Phosphalugel is an antacid substance that coats the walls of the stomach and has an adsorbing effect. The medicine is indicated for:

  • gastritis and ulcers;
  • gastroesophageal reflux;
  • non-ulcerative dyspepsia syndrome;
  • intestinal disorder;
  • functional bowel diseases;
  • diarrhea.

Antacid medication should not be used in case of serious kidney disease or individual intolerance to the components.

Adults and children under 6 years of age are prescribed the medicine 1-2 packets 2-3 times a day. Babies up to 6 months - 1 tsp. Children from 6 months - ½ sachet.

Take the drug before or after meals as follows:

  • for reflux and hernia - after meals and at night;
  • for ulcers - 1-2 hours after a meal;
  • for gastritis and dyspepsia - before meals;
  • for intestinal diseases - on an empty stomach and 1 time at night.

If pain occurs, you can resume taking it.

Maalox is sold as a suspension. The antacid contains peppermint leaf oil. Among the shortcomings - it reduces the absorption of phosphorus, therefore it is not recommended for the elderly and patients with joint problems.

  • exacerbation of ulcers;
  • acute or chronic gastritis;
  • hiatal hernia;
  • reflux esophagitis;
  • heartburn;
  • epigastric pain.

An antacid drug is not prescribed for:

  • renal failure;
  • individual allergies to components;
  • fructose intolerance;
  • in childhood and adolescence up to 15 years;
  • hypophosphatemia.

The medicine is taken in 15 ml doses. one hour after eating. If pain occurs, you can take 1 sachet. But it should be noted that the maximum dose per day is 90 ml.

Depending on the disease, the dosage is determined:

  • for reflux esophagitis, use 30-60 ml. after meal;
  • for ulcers - 15 ml. half an hour before meals.

Treatment should not exceed 2-3 months.

The following side effects may occur:

  • hypersensitivity to components;
  • allergy;
  • rarely - constipation, diarrhea;
  • hypermagnesemia (increased magnesium levels).

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 about 4 hours.

  • heartburn;
  • belching;
  • dyspepsia;
  • gastroesophageal reflux;
  • toxicosis of pregnant women.
  • individual intolerance;
  • age up to 12 years;
  • phenylketonuria.

It is taken up to 4 times a day, 2-4 tablets after meals and at bedtime, up to 7 days.

Sucralfate refers to drugs that have an enveloping effect. Pharmacology is as follows: under its influence, the production of pepsin slows down, and the acid in the stomach binds. The antacid is effective for 6 hours. The medicine is indicated for:

  • heartburn;
  • ulcers;
  • erosive and ulcerative lesions of the gastrointestinal tract;
  • reflux esophagitis.

The medicine is contraindicated in:

  • kidney diseases;
  • dysphagia;
  • internal bleeding of the gastrointestinal tract;
  • allergies to components.

List of side effects:

Adults are prescribed up to 1 g per day. The dose must be divided into 4 doses. The maximum allowed consumption is up to 12 g per day. The course lasts up to 6 weeks. In especially severe cases - 3 months.

Natural antacids

The use of medical drugs is not always necessary. With prolonged use or less pronounced symptoms, we advise you to pay attention to natural antacids.

  • The easiest and cheapest way to combat heartburn is to drink warm water (preferably mineral water)
  • Bananas pacify stomach pain and fight the symptoms of heartburn.
  • The use of 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 combat heartburn.
  • Cinnamon is an excellent natural antiseptic and antacid.
  • Herbal tea made from mint, lavender and anise (if desired with the addition of honey) will perfectly cope with a burning sensation in the sternum.
  • Dill seeds in a volume of ½ tsp. after eating they will help cope with heartburn and discomfort in the stomach.
  • Flax seed is often used to prevent ulcers and gastritis. It is used in the form of a mucous solution. For preparation you need: 1 tsp. crushed seeds per ½ tbsp. water. Consume warm 30 minutes before meals. The product envelops the walls of the stomach, protecting it.
  • The peel of a grapefruit, chewed for heartburn, will help to cope with unpleasant symptoms.
  • 1 tbsp. l. crushed walnuts once a day - good prevention of heartburn.
  • Freshly squeezed potato juice, taken before meals, 2 tbsp. l. - also a wonderful remedy.

Enveloping drugs have a positive effect on the gastrointestinal tract and irritating factors no longer bring negative consequences. The funds have been tested, as a result of which a beneficial effect has been proven for people suffering from frequent heartburn, gastritis and ulcers. Before choosing a medication for yourself, you should consult a doctor, as there are contraindications for use. And also you need to individually select the dosage.

Medicines for the stomach and intestines

As a rule, in the presence of a pathological process in the digestive system, the patient must take several types of medications, some of which eliminate symptoms, others have a therapeutic effect. For example, in case of inflammation of the stomach tissue, it is necessary to take medications that will protect the organ from the aggressive effects of hydrochloric acid, agents that normalize the digestive process, as well as medications that will eliminate the cause of inflammation.

Thus, the list of pills that need to be taken daily is impressive. Many of the medications irritate the mucous membrane, therefore, as part of complex therapy or for prevention, enveloping agents for the stomach and intestines are prescribed. Pathologies of the gastrointestinal tract (GIT) are manifested by abdominal and dyspeptic syndrome.

To eliminate severe pain, non-narcotic analgesics are used, and after the condition improves, they switch to antispasmodics. Enzyme preparations, antacids, enveloping agents, and antifoam agents help relieve dyspepsia. Medicines to restore gastrointestinal functions should be prescribed by a doctor, since only a specialist can develop the correct treatment regimen, select the best remedy, determine the dosage of the drug and, if necessary, adjust it.

What medications can relieve abdominal pain?

To relieve pain, analgesics or antispasmodics are most often used. Depending on the nature of the pathological process, the use of enzyme preparations, agents that reduce the amount of hydrochloric acid in the stomach, defoamers, sorbents or choleretic agents may be required. Of the analgesics, the most popular drugs are Analgin, Paracetamol and products based on them.

Analgin (metamizole sodium) has an analgesic, antipyretic and slightly anti-inflammatory effect. The active substance inhibits cyclooxygenases, reduces the production of endoperoxides, prostaglandins, bradykinins, free radicals, interferes with the conduction of impulses and reduces the sensitivity of areas of the brain that perceive a painful stimulus.

Analgin is used for acute pain after injury or surgery, for colic, and at high temperatures. The drug is prescribed depending on the severity of the pain syndrome and individual sensitivity to it. For children 10–14 years old, a single dose of 8–14 mg/kg is recommended; adults can take up to 1000 mg (2 Analgin tablets) at a time. The maximum simultaneous dose can be taken no more than 4 times a day.

Metamizole sodium is the active ingredient in the following drugs: Analgin-Ultra, Spazdolzin for children, Baralgin M, Spazmalgon, Bral, Bralangin, Spazgan, Plenalgin. Paracetamol is available in syrup, tablets, suppositories, and solution for infusion. It is prescribed to eliminate moderate pain and febrile syndrome in acute infectious and infectious-inflammatory diseases.

To take the analgesic, adults, elderly people and adolescents over 12 years of age are prescribed 1-2 tablets if the dosage of the tablet is 500 mg, or 2.5-5 tablets if the dose is 200 mg, with an interval of 4 hours. The maximum daily dose is 4000 mg. Children 6–12 years old are given 1 tablet (200 mg) or half a tablet with a dosage of 500 mg. For children, the daily dose should not exceed 2000 mg.

Paracetamol syrup can be prescribed to children over 2 years of age. Give 5-10 ml of syrup to children aged 2-6 years, children 6-12 years old 10-20 ml of medicine, and adults and adolescents - 20-40 ml. You can take the product once every four hours. If paracetamol is used as an antipyretic, then the maximum duration of therapy is 3 days, and if as an analgesic, then no more than 5 days.

Among antispasmodics, drugs based on drotoverine and papaverine are most often recommended. They have a similar mechanism of action: they relax smooth muscles and dilate blood vessels, which normalizes pressure in the internal organs and clears away stagnant secretions or feces. Antispasmodics are recommended for spasms of the abdominal organs, urinary tract, and spasms of peripheral vessels.

Papaverine is not prescribed for babies under 6 months of age. The product is available in the form of a solution, suppositories and tablets of 40 and 10 mg. Adults are advised to drink 40–60 mg 3 or 4 times a day, children from 6 months to 2 years are given half a tablet (5 mg), children 3–4 years old are recommended to take Papaverine 5–10 mg, and children 5–6 years old a small tablet of 10 mg is prescribed.

A contraindication to the use of Drotaverine is children under one year of age. Adults are prescribed 1–2 tablets (dosage 40–80 mg) three times a day, children 1–6 years old, a quarter or half a tablet, children 6–12 years old, half a tablet (20 mg) 2 or 3 times a day.

List of antispasmodics: No-shpa, Avisan, Spasmocystenal, Bendazole, Duspatalin, Plantex, Spazoverin, Platyfillin. Among the homeopathic remedies, Spascuprel, Nux vomica gomaccord, and Gastrikumel have an antispasmodic effect.

How to normalize the acidity of gastric juice

Hydrochloric acid promotes digestion, has a bacterial effect, triggers the synthesis of hormones that stimulate the secretion of bile, intestinal and pancreatic juice. If too much hydrochloric acid is produced, the walls of the stomach become inflamed, heartburn, sour belching, and digestive disorders appear.

It is also necessary to reduce the acidity of gastric juice to ensure functional rest of the pancreas or gall bladder. To neutralize hydrochloric acid, you need to take antacids. Drugs from this group are divided into absorbable and non-absorbable.

The former penetrate the bloodstream and begin to act within 3-5 minutes, the latter are not absorbed into the gastrointestinal tract and reduce the acid level after half an hour. Both of them last no more than 4 hours. A representative of absorbable antacids is Rennie. It contains calcium and magnesium carbonate, which contribute to the rapid neutralization of hydrochloric acid and thereby have a protective effect.

Indications for use are heartburn, belching, periodic stomach pain, a feeling of fullness and heaviness in the abdomen, flatulence, and dyspepsia. The medication is prescribed for adults and adolescents over 12 years of age, 1–2 tablets (they need to be chewed). You can take a maximum of 16 tablets per day.

Absorbable antacids also include Vikalin and Vikair. Non-absorbable antacids are considered safer because they do not penetrate the bloodstream and do not affect internal organs.

Names of drugs from this group: Maalox, Almagel, Gastal, Phosphalugel, Gastratsid, Relzer. Some antacids contain additional components that are designed to protect the gastric mucosa, relieve pain, or remove air bubbles.

For example, Almagel Neo contains aluminum hydroskid, magnesium hydroxide, simethicone. The drug is prescribed for diseases that occur with increased or normal acidity of gastric juice and with excessive gas formation in the intestines.

Depending on the type of pathology, 1 or 2 sachets of the drug are prescribed four times a day, an hour after meals. The daily dosage is up to 6 sachets, in this quantity you can take the product for no more than a month. In the complex therapy of acid-related diseases, longer-acting agents are used than antacids. These are H2-histamine receptor inhibitors and proton pump inhibitors.

Histamine H2 receptor blockers are divided into 3 generations. The first includes Cimetidine (Histodil, Tagamet), which needs to be taken 3-4 times a day, but it has antiandrogenic activity (suppresses the level of male sex hormones).

Ranitidine (Gistac, Zantac, Zantin, Ranisan) belongs to the second generation; it should be taken 1-2 times a day. It has fewer contraindications and side effects. The most advanced drugs in this group are based on famotidine (Kvamatel, Famocid, Famo, Ulfamid).

Famotidine is available in tablets of 20 and 40 mg. It suppresses the basal production of hydrochloric acid and does not allow histamine, gastrin and acetylcholine to stimulate the production of a new portion of acid. The drug increases the stability of the gastric mucosa, as it increases the formation of protective mucus, the secretion of bicarbonates, and indirectly the drug accelerates tissue regeneration.

After using the medication, the effect is noticeable within an hour and reaches a maximum after three hours. Depending on the severity of the pathology, 1-2 tablets are prescribed 1 or 2 times a day. Proton pump inhibitors suppress the production of hydrochloric acid for a long time. This group of drugs includes capsules Omeprazole (Omez, Zerotsid, Losek, Omegast), Lansoprazole (Lansocap, Lancerol), Rabeprazole (Pariet). They need to be taken once a day.

Enveloping agents for the stomach and intestines: medications and folk recipes

Pathologies of the gastrointestinal tract are currently found in many people. Illnesses cause a lot of unpleasant and very painful sensations. Enveloping agents that protect the mucous surface of the digestive tract will help alleviate the condition. The selection of these drugs in pharmacies is quite large. Let's take a closer look at the most effective means, their composition and mechanism of action.

What are coating drugs?

With heartburn, stomach or duodenal ulcers, or gastritis, a number of unpleasant symptoms appear, which can only be relieved with the help of special medications from the group of antacids. Adsorbent, astringent, enveloping agents contain substances that can normalize the level of acidity and create a protective barrier for the mucous surface of the gastrointestinal tract from the effects of enzymatic juice.

The therapeutic effect of such drugs is achieved thanks to components that, upon contact with water, form colloidal compounds and suspensions. When the resulting substances are distributed in the stomach cavity and other parts of the digestive tract, it is possible to significantly reduce the sensitivity of nerve endings.

Classification

Enveloping agents are divided into two types - absorbable and non-absorbable. The former are considered older and are now rarely used to treat gastrointestinal problems. They have a quick but short-term therapeutic effect. The active components of such drugs, after interaction with hydrochloric acid, are partially absorbed through the walls of the stomach and penetrate into the systemic bloodstream. Absorbable coating agents include medications such as burnt magnesia, magnesium calcium carbonate, Rennie, and Tums.

Non-absorbable coating agents

Non-absorbable antacids are modern means to combat high acidity and symptoms of ulcers, heartburn, and esophagitis. After use, such drugs do not cause an increase in the production of hydrochloric acid (unlike absorbed drugs). The most pronounced therapeutic effect is achieved by coating agents for the stomach, which contain aluminum cation. The optimal combination of substances in the composition is magnesium and aluminum hydroxides. Popular and effective drugs are the following:

Most non-absorbable coating drugs contain several active ingredients. A significant advantage of medications is their prolonged analgesic effect and the ability to remove toxic substances from the body.

Adsorbent drugs

Adsorbent agents will help protect nerve endings located on the mucous membranes from the negative effects of irritating substances. They prevent or slow down the absorption of toxic substances, thereby reducing the risk of poisoning the body. Some drugs in this category have a high enveloping ability. These funds include "Smekta", "Polysorb", "Enterosgel".

In addition to their main purpose, adsorbents have a positive effect on the condition of the mucous membrane of the digestive tract, protecting it from hydrochloric and bile acids, pathogenic microorganisms. Taking adsorbents is indicated for intestinal upset, food poisoning, intestinal colic, ulcers, flatulence, gastritis, duodenitis.

Preparations for the treatment of the intestines

Long-term problems with stool can lead to the development of inflammatory processes in the intestines. The main symptom of the pathological condition is colic, which is often very painful. Astringents, thanks to their anti-inflammatory and healing effects, will help you get rid of discomfort and discomfort quite quickly.

The most effective astringents are bismuth-based preparations. The substance in the form of a white powder helps fight the symptoms of inflammation and heartburn. Bismuth dissolves only in hydrochloric acid.

For peptic ulcers, it is also recommended to take astringents based on bismuth, which forms a protective film on the mucous surface of the digestive organs and stimulates the production of gastric mucus. Bismuth-containing medications - “Vicalin”, “Bismuth nitrate”, “De-nol”, “Vicair” - inhibit the vital activity of Helicobacter pylori, but do not change the composition of gastric juice.

The drug "Almagel"

This is one of the most popular medications in the antacid category. The product is available in the form of a suspension and tablets. Depending on the type of pathology, you can select the appropriate composition of the drug. The basic set of active ingredients - magnesium and aluminum hydroxide - contains the Almagel suspension in green packaging. The medication is used to relieve discomfort caused by heartburn. The active substances fairly quickly neutralize the effect of hydrochloric acid. The drug itself and similar coating agents are not used to treat peptic ulcers.

For acute gastritis, duodenitis, reflux esophagitis, ulcers and enteritis, Almagel A in yellow packaging will be effective. The drug additionally contains benzocaine.

For the treatment of chronic pathologies of the digestive tract and ailments in the acute stage, accompanied by increased gas formation, it is recommended to use the drug “Almagel Neo”. The product has an enveloping, adsorbing and carminative effect. It is possible to eliminate the symptoms of flatulence due to the presence of simethicone in the composition.

"Phosphalugel": reviews, indications for use

The main active ingredient of this enveloping preparation in the form of a gel is aluminum phosphate (20%). The medication is available in sachets and has a pleasant orange flavor. "Phosphalugel" should be taken with increased formation of hydrochloric acid. The active components of the drug envelop the mucous membrane of the gastrointestinal tract, protecting it from aggressive factors, and promotes the regeneration of damaged areas.

Enveloping products with a similar composition can be used in the following cases:

  • gastritis (chronic, acute);
  • ulcerative lesions of the digestive tract;
  • non-ulcer dyspepsia syndrome;
  • functional diarrhea;
  • intoxication of the body with drugs, alcohol;
  • hernia;
  • bowel or stomach disorders.

In emergency cases, you can also take Phosphalugel. Reviews of experts suggest that the drug has a rapid therapeutic effect, unlike other drugs. The drug in the form of a gel can be used to treat babies from 6 months.

Folk recipes

You can cope with the symptoms of heartburn, ulcers and other pathologies of the digestive tract using folk methods. Flax seeds, starch, oatmeal, marshmallow root will help protect the mucous membrane. The most popular drink is made from potato starch. By the way, many pharmaceutical enveloping agents for the intestines and stomach contain this component in their composition. Making the drink is quite simple. It is enough to dilute a tablespoon of starch in 100 ml of warm water and drink the resulting mixture.

The mucus secreted by flax seeds has a pronounced enveloping effect. They can be used both for the treatment and for the prevention of ailments of the digestive system. To do this, pour boiling water (1 cup) flax seeds (1 tsp) and wait 15-20 minutes. After a while, the mixture will swell and become like jelly. The resulting mass must be filtered and the solution taken warm an hour before meals.

Traditional medicine offers quite effective enveloping remedies to combat diseases of the intestines and stomach. According to patient reviews, non-traditional methods of treating these ailments help get rid of pain and normalize digestion.

Enveloping agents for the stomach: a review of drugs, their therapeutic effect

Diseases of the digestive system associated with damage to the mucous membrane of the stomach and intestines in the form of erosions and ulcers develop under the influence of aggressive factors with insufficient protective properties. Enveloping agents for the stomach are a large group of medications that create a protective film on the mucous membrane of the organ.

Characteristics of enveloping agents

Enveloping drugs are high-molecular compounds that form colloidal solutions or emulsions upon contact with water. A thin film is created that protects the nerve endings of the mucous membranes from the irritating effects of aggressive substances that make up the gastric juice. This provides an analgesic and anti-inflammatory effect.

Most coating substances have adsorbent and antacid properties. Drugs that coat the gastric mucosa are divided into two groups.

Products based on natural ingredients:

Synthetic chemical compounds:

  • preparations based on colloidal bismuth;
  • products containing aluminum;
  • combination medications.

Mechanism of action

Normally, to protect the mucous membrane, a special mucus is synthesized in the stomach - mucin. This is an insoluble organic substance designed to protect the gastric epithelium from the aggressive acidic environment of gastric juice. Impaired mucus production leads to exposure of the mucous membrane and the formation of erosions and ulcers on it.

Therapeutic effect of enveloping substances:

  1. They bind pepsin and bile acids that enter the stomach during reflux.
  2. They produce a cytoprotective effect due to stimulation of endogenous prostaglandins.
  3. Improves blood supply to the mucous membrane.

Enveloping drugs are used for inflammatory and ulcerative lesions of the stomach and intestines:

  • heartburn;
  • acute gastritis;
  • chronic hyperacid gastritis;
  • peptic ulcer of the stomach and duodenum;
  • pancreatitis;
  • enterocolitis;
  • poisoning

Medicines

Colloidal bismuth preparations

Colloidal bismuth compounds, when combined with gastric hydrochloric acid, form a glycoprotein-bismuth complex, which settles mainly in the area of ​​eroded and ulcerated areas of the mucosa. The protective barrier does not allow hydrochloric acid, pepsin, food to reach the damaged areas, and the restoration of the mucosa is faster.

A feature of bismuth preparations is their low bioavailability. With course treatment after a month, the concentration of bismuth in the blood plasma barely reaches 50 μg / l. It takes 8 weeks to completely remove bismuth compounds from the body.

  • De-nol;
  • Vetrisol;
  • Bizmat;
  • Bisnall.

Side effects: headache, dizziness, alternating constipation and diarrhea. The stool is dark due to the formation of bismuth sulfide in the intestines.

Sucralfate is a complex aluminum-containing disaccharide that is not absorbed when taken orally. Polymerization occurs in the acidic environment of the stomach.

The resulting substance tightly combines with the proteins of the gastric mucosa, especially in the area of ​​erosions and ulcers. The protective layer in the body lasts up to 8 hours.

Side effects: dry mouth, stomach discomfort, nausea, stool disorders, local allergic reaction - hyperemia and itching of the skin.

  • children under 4 years old;
  • pregnancy period;
  • renal dysfunction.

Preparations containing aluminum

Phosphalugel– colloidal aluminum phosphate has an antacid, enveloping, sorbing and analgesic effect. The drug, neutralizing excess hydrochloric acid, preserves the environment in the stomach necessary for digesting food. Envelops the walls of the stomach, reduces pain, accelerates epithelial repair.

Contraindications: Alzheimer's disease, hypophosphatemia, severe kidney pathologies.

Side effects: nausea, vomiting, constipation, allergic reactions.

Almagel has similar pharmacological properties to Phosphalugel: antacid, enveloping, sorbing. By binding and eliminating damaging substances, aluminum and magnesium hydroxide cover the surface of the gastric mucosa with a film. The drug contains the substance benzocaine, which has a pronounced analgesic effect.

Main contraindications: Alzheimer's disease, kidney failure, children under 10 years of age, low levels of phosphorus in the blood.

Side effects: nausea, vomiting, constipation, allergies.

Combination drugs

Vikalin contains bismuth subnitrate, sodium bicarbonate, rutin, magnesium carbonate, active flavonoids of calamus and buckthorn. This composition provides anti-inflammatory, bactericidal, reparative, antispasmodic effects of the drug.

Side effects: nausea, vomiting, headache, allergic reactions: rash, urticaria.

Contraindicated in case of poor blood clotting, children under 18 years of age, hypoacid gastritis, renal failure, enteritis and colitis, during pregnancy and lactation.

Vikair– a combined drug: bismuth subnitrate forms a protective film, sodium bicarbonate and magnesium carbonate reduce the acidity of gastric secretions, the active component of calamus acts as an antispasmodic - relieves pain and muscle spasms.

Contraindications: hypoacid gastritis, kidney pathology, children under 18 years of age, pregnant and lactating women, enterocolitis.

Natural antacids

Licorice root syrup contains glycyrrhizic acid. This glycoside, when combined with water, foams and forms a gel. In the stomach, it stimulates the production of prostaglandins, promotes

healing of ulcerative defects.

Flax-seed. The mucus released when boiling the seeds covers the inflamed gastric mucosa, relieves pain, prevents eroded areas from coming into contact with the acidic contents of gastric juice, and accelerates the scarring of ulcers.

Starch According to its chemical composition, it belongs to polysaccharides. Starch swells in water, forming a colloidal solution - a paste. This property is used in the treatment of stomach inflammation caused by insufficient production of protective mucus by glandular cells - mucin. Starch has an analgesic and enveloping effect. In addition, it normalizes the process of gas formation and prevents flatulence.

Oats. The active components of the cereal have a healing effect on ulcerative defects, reduce the inflammatory process, and promote accelerated cell regeneration. For severe pain and spasms, oatmeal decoction relieves pain.

Comfrey. The mucus formed by decoction of the root contains a healing flavonoid - allantoin, which stimulates the development of new cells. Once in the stomach, it has an enveloping, healing and anti-inflammatory effect.

Traditional medicine recipes

Natural coating agents are used together with other medicines used in the treatment of stomach diseases.

Flax seeds

Pour 50 g of flax seeds into a liter of hot water. Put on fire, bring to a boil, stirring constantly. The result will be a decoction reminiscent of jelly. Strain and drink a cup 3 times a day between meals.

Pour a large spoonful of seeds crushed in a blender with a cup of boiling water. Leave to infuse for 8 hours. Do not strain, drink with seed particles every evening before bed.

Licorice root

Dry fry 2 small spoons of crushed root, add half a liter of boiling water, leave for 8 hours. After straining, drink 30 drops three times a day half an hour before meals.

Dilute a large spoonful of plant material with a glass of water.

Simmer in a water bath for 20 minutes. After 2 hours, squeeze out and strain. Take the decoction by spoon 4 times a day.

Starch

Add 2 large tablespoons of starch per liter of liquid. Place on the fire and, constantly stirring the mixture with a spoon, bring to a boil. After cooling, drink a cup before eating. It is not recommended to add jam or berries to jelly when treating ulcers and gastritis.

To quickly relieve heartburn, place a spoonful of dry starch in your mouth and gradually wash it down with warm water.

Oats

Pour a glass of whole grains with a liter of cold boiled water. For fermentation, place the solution in a warm place for 12 hours. Then boil the mixture for 30 minutes. After straining, the healing decoction is ready. Drink half a cup 30 minutes before meals until all symptoms disappear.

Pour a glass of oats into a container with a liter of water. Cook, stirring occasionally for 4 hours. When boiling, add liquid to the original volume. The broth will acquire the consistency of jelly. Grind the boiled grains until the broth becomes homogeneous. Drink 2-3 glasses a day for a long period.

If you have high acidity, the patient should start the day with oatmeal. The enveloping properties of this dish will protect the walls of the stomach throughout the day.

Comfrey root

Brew a teaspoon of powdered root in a glass of boiling water. Leave for 3-4 hours. Take a spoon 5 times a day half an hour before meals.

Grind the dry root into a fine powder, pour a tablespoon into a cup with 50 g of honey, and thoroughly grind the mixture until smooth. Leave for 2 weeks. Take a coffee spoon half an hour before meals for 14 days.

It is necessary to observe the doses of the prescribed gastric coating agents. Increased doses of the drug can lead to alkalization of gastric juice, which will cause a decrease in the digestive ability of the stomach.

For heartburn, nausea, or stomach discomfort, people often use antacids. Patients with diseases of the digestive system also need them. The drugs coat the stomach, protecting it. You can purchase them without a prescription from a doctor. The choice of products is quite wide; read our detailed review.

Enveloping preparations are plant-based and synthetic. The substances included in antacid preparations create a protective barrier on the gastric mucosa and 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 taking these medications is indicated.

Antacids today come in different forms, so everyone can find one that is convenient for them: tablets, powders, suspensions in bottles or single-use packets.

Indications for use

Antacids are necessary for diseases of the gastrointestinal tract. The composition contains components that react with water, forming substances that envelop the stomach. This is why the drugs are so popular.

Enveloping agents are indicated for:

  • acute gastritis;
  • chronic gastritis;
  • stomach and duodenal ulcers;
  • heartburn;
  • inflammation of the pancreas;
  • reflux-esophagitis;
  • with inflammation of the gallbladder;
  • enteritis;
  • colitis;
  • one-time diet violation;
  • toxicosis of pregnant women;
  • burns.

It is noteworthy that antacid drugs can be used not only for gastritis and ulcers, but also externally (for burns and other skin injuries).

Effect

Medicines have the following effects:

  • envelop the stomach, protecting it;
  • stop nausea and vomiting;
  • eliminate pain;
  • neutralize excess hydrochloric acid;
  • prevent reflux (reflux of bile from the duodenum into the stomach);
  • fight diarrhea.

Pharmacies offer a wide selection of medicines. To help you decide, let's look at the most popular drugs.

Things to remember

  • Constantly taking antacids without a doctor's prescription can negatively affect your health.
  • If you often have to resort to such drugs for nausea, to eliminate heartburn or for epigastric pain, do not delay visiting your doctor for a diagnosis and treatment. Such symptoms indicate the presence of gastrointestinal disease. If you ignore them, the disease will worsen and it will be much more difficult to cure.
  • For ulcers, gastritis and other pathologies of the stomach and intestines, antacid drugs are used as part of complex therapy (more to neutralize the unpleasant symptoms of the disease).
  • Children and pregnant women should take enveloping drugs with caution. Some of them are contraindicated for these categories of people. Consult your physician before use.

What are

Any medicine tends to be absorbed or not absorbed into the stomach.

Suction

If the components of the medicine interact with hydrochloric acid, they partially penetrate into the blood. The benefits of using such medications include rapid relief from heartburn. But the effect is short-lived.

Such products are characterized by the so-called “acid rebound”: antacids react with hydrochloric acid, resulting in the release of carbon dioxide. The stomach stretches, and hydrochloric acid begins to be produced with renewed vigor, heartburn appears again. In addition, these drugs are adsorbed in the intestines, causing the formation of edema. Side effects also include increased blood pressure, belching and bloating. Such products include, for example, soda.

Active substances 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 infrequent use, as otherwise they can cause the progression of gastrointestinal diseases (for example, gastric and duodenal ulcers).

Non-absorbable

The most effective are non-absorbable antacid medications, which also have fewer side effects.

Non-absorbable medications neutralize hydrochloric acid, bile and pepsin. When they enter the stomach, they envelop it and protect it from irritating factors. The therapeutic effect occurs within 15 minutes and lasts up to 4 hours.

Different enveloping agents have their own mechanism of action, based on their composition:

  • Medicines that envelop due to aluminum phosphates. The most popular product from this group is Phosphalugel. Its effect depends on the initial level of acidity. The higher it is, the more effective the medicine.
  • Antacids containing magnesium and aluminum. These include Almagel.
  • Combination medications. 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 non-absorbable ones are popular enveloping agents for the stomach and intestines:

  • almagel;
  • phosphalugel;
  • Maalox;
  • altacid;
  • sucralfate;
  • gastracid;
  • gastal;
  • relzer;
  • aluminum;
  • gaviscon;
  • palmagel;
  • rutacid;
  • magalfil.

Before purchasing the medicine, carefully read the instructions for use and contraindications. Some drugs have additional effects (for example, Almagel A is an anesthetic). Taking such medications without a doctor’s prescription for a long time is strictly prohibited.

Almagel

Almagel is an antacid that neutralizes the secretion of enzymatic juice in the stomach. Under its influence, less hydrochloric acid is produced, and the level of pepsin is normalized. Among the disadvantages, the drug removes phosphorus, so it is not recommended for long-term use by people with problems of bones and joints.

Almagel is produced in the form of a suspension, which greatly facilitates application and accelerates the effect. Indicated for:

  • gastritis;
  • ulcers;
  • esophagitis;
  • increased level of acidity;
  • bloating;
  • pain;
  • enteritis;
  • poisoning;
  • nausea;
  • heartburn.

When taking anti-inflammatory or glucocorticoid drugs, Almagel should be used to prevent ulcers. The reception lasts no more than 2 weeks, you need to drink the product 5-10 g before meals.

The defoamer has an adsorbing and enveloping effect. The drug acts for a long time, normalizes acidity and does not contribute to gas formation.

Phosphalugel

Phosphalugel is an antacid substance that coats the walls of the stomach and has an adsorbing effect. The medicine is indicated for:

  • gastritis and ulcers;
  • gastroesophageal reflux;
  • non-ulcerative dyspepsia syndrome;
  • intestinal disorder;
  • functional bowel diseases;
  • diarrhea.

Antacid medication should not be used in case of serious kidney disease or individual intolerance to the components.

Adults and children under 6 years of age are prescribed the medicine 1-2 packets 2-3 times a day. Babies up to 6 months - 1 tsp. Children from 6 months - ½ sachet.

Take the drug before or after meals as follows:

  • for reflux and hernia - after meals and at night;
  • for ulcers - 1-2 hours after a meal;
  • for gastritis and dyspepsia - before meals;
  • for intestinal diseases - on an empty stomach and 1 time at night.

If pain occurs, you can resume taking it.

The suspension quickly neutralizes hydrochloric acid, while maintaining the digestion process.

Maalox

Maalox is sold as a suspension. The antacid contains peppermint leaf oil. Among the shortcomings - it reduces the absorption of phosphorus, therefore it is not recommended for the elderly and patients with joint problems.

Indicated for:

  • exacerbation of ulcers;
  • acute or chronic gastritis;
  • hiatal hernia;
  • reflux esophagitis;
  • heartburn;
  • epigastric pain.

An antacid drug is not prescribed for:

  • renal failure;
  • individual allergies to components;
  • fructose intolerance;
  • in childhood and adolescence up to 15 years;
  • hypophosphatemia.

The medicine is taken in 15 ml doses. one hour after eating. If pain occurs, you can take 1 sachet. But it should be noted that the maximum dose per day is 90 ml.

Depending on the disease, the dosage is determined:

  • for reflux esophagitis, use 30-60 ml. after meal;
  • for ulcers - 15 ml. half an hour before meals.

Treatment should not exceed 2-3 months.

The following side effects may occur:

  • 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 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 at bedtime, up to 7 days.

Gaviscon, according to the Romir research center, is the best drug for heartburn, named by the majority of surveyed gastroenterologists.

Sucralfate

Sucralfate refers to drugs that have an enveloping effect. Pharmacology is as follows: under its influence, the production of pepsin slows down, and the acid in the stomach binds. The antacid is effective for 6 hours. The medicine is indicated for:

  • heartburn;
  • ulcers;
  • erosive and ulcerative lesions of the gastrointestinal tract;
  • reflux esophagitis.

The medicine is contraindicated in:

  • kidney diseases;
  • 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 consumption is up to 12 g per day. The course lasts up to 6 weeks. In especially severe cases - 3 months.

Keep in mind that the antacid is available with a doctor's prescription.

Natural antacids

The use of medical drugs is not always necessary. With prolonged use or less pronounced symptoms, we advise you to pay attention to natural antacids.

  • The easiest and cheapest way to combat heartburn is to drink warm water (preferably mineral water)
  • Bananas pacify stomach pain 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 coats 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 combat heartburn.
  • Cinnamon is an excellent natural antiseptic and antacid.
  • Herbal tea made from mint, lavender and anise (with the addition of honey if desired) will perfectly cope with the burning sensation in the sternum area.
  • Dill seeds in a volume of ½ tsp. after eating they will help cope with heartburn and discomfort in the stomach.
  • Flax seed is often used to prevent ulcers and gastritis. It is used in the form of a mucous solution. For preparation you need: 1 tsp. crushed seeds per ½ tbsp. water. Consume warm 30 minutes before meals. The product envelops the walls of the stomach, protecting it.
  • grapefruit peel chewed during heartburn will help cope with unpleasant symptoms.
  • 1 tbsp. l. crushed walnuts once a day - good prevention of heartburn.
  • Freshly squeezed potato juice, taken before meals, 2 tbsp. l. - also a wonderful remedy.

Enveloping drugs have a positive effect on the gastrointestinal tract and irritating factors no longer bring negative consequences. The funds have been tested, as a result of which a beneficial effect has been proven for people suffering from frequent heartburn, gastritis and ulcers. Before choosing a medication for yourself, you should consult a doctor, as there are contraindications for use. And also you need to individually select the dosage.

As a rule, in the presence of a pathological process in the digestive system, the patient must take several types of medications, some of which eliminate symptoms, others have a therapeutic effect. For example, in case of inflammation of the stomach tissue, it is necessary to take medications that will protect the organ from the aggressive effects of hydrochloric acid, agents that normalize the digestive process, as well as medications that will eliminate the cause of inflammation.

Thus, the list of pills that need to be taken daily is impressive. Many of the medications irritate the mucous membrane, therefore, as part of complex therapy or for prevention, enveloping agents for the stomach and intestines are prescribed. Pathologies of the gastrointestinal tract (GIT) are manifested by abdominal and dyspeptic syndrome.

To eliminate severe pain, non-narcotic analgesics are used, and after the condition improves, they switch to antispasmodics. Enzyme preparations, antacids, enveloping agents, and antifoam agents help relieve dyspepsia. Medicines to restore gastrointestinal functions should be prescribed by a doctor, since only a specialist can develop the correct treatment regimen, select the best remedy, determine the dosage of the drug and, if necessary, adjust it.

What medications can relieve abdominal pain?

To relieve pain, analgesics or antispasmodics are most often used. Depending on the nature of the pathological process, the use of enzyme preparations, agents that reduce the amount of hydrochloric acid in the stomach, defoamers, sorbents or choleretic agents may be required. Of the analgesics, the most popular drugs are Analgin, Paracetamol and products based on them.

Analgin (metamizole sodium) has an analgesic, antipyretic and slightly anti-inflammatory effect. The active substance inhibits cyclooxygenases, reduces the production of endoperoxides, prostaglandins, bradykinins, free radicals, interferes with the conduction of impulses and reduces the sensitivity of areas of the brain that perceive a painful stimulus.

The drug begins to act 20–40 minutes after administration, the maximum effect appears after 2 hours.

Analgin is used for acute pain after injury or surgery, for colic, and at high temperatures. The drug is prescribed depending on the severity of the pain syndrome and individual sensitivity to it. For children 10–14 years old, a single dose of 8–14 mg/kg is recommended; adults can take up to 1000 mg (2 Analgin tablets) at a time. The maximum simultaneous dose can be taken no more than 4 times a day.

Metamizole sodium is the active ingredient in the following drugs: Analgin-Ultra, Spazdolzin for children, Baralgin M, Spazmalgon, Bral, Bralangin, Spazgan, Plenalgin. Paracetamol is available in syrup, tablets, suppositories, and solution for infusion. It is prescribed to eliminate moderate pain and febrile syndrome in acute infectious and infectious-inflammatory diseases.

Paracetamol tablets are contraindicated in children under 6 years of age.

To take the analgesic, adults, elderly people and adolescents over 12 years of age are prescribed 1-2 tablets if the dosage of the tablet is 500 mg, or 2.5-5 tablets if the dose is 200 mg, with an interval of 4 hours. The maximum daily dose is 4000 mg. Children 6–12 years old are given 1 tablet (200 mg) or half a tablet with a dosage of 500 mg. For children, the daily dose should not exceed 2000 mg.

Paracetamol syrup can be prescribed to children over 2 years of age. Give 5-10 ml of syrup to children aged 2-6 years, children 6-12 years old 10-20 ml of medicine, and adults and adolescents - 20-40 ml. You can take the product once every four hours. If paracetamol is used as an antipyretic, then the maximum duration of therapy is 3 days, and if as an analgesic, then no more than 5 days.

Paracetamol is contained in the following drugs: No-shpalgin, Brustan, Ibuklin, Citramol P, Panoxen, Pentalgin, Rinza, Coldrex, Fervex.

Among antispasmodics, drugs based on drotoverine and papaverine are most often recommended. They have a similar mechanism of action: they relax smooth muscles and dilate blood vessels, which normalizes pressure in the internal organs and clears away stagnant secretions or feces. Antispasmodics are recommended for spasms of the abdominal organs, urinary tract, and spasms of peripheral vessels.

Papaverine is not prescribed for babies under 6 months of age. The product is available in the form of a solution, suppositories and tablets of 40 and 10 mg. Adults are advised to drink 40–60 mg 3 or 4 times a day, children from 6 months to 2 years are given half a tablet (5 mg), children 3–4 years old are recommended to take Papaverine 5–10 mg, and children 5–6 years old a small tablet of 10 mg is prescribed.

A contraindication to the use of Drotaverine is children under one year of age. Adults are prescribed 1–2 tablets (dosage 40–80 mg) three times a day, children 1–6 years old, a quarter or half a tablet, children 6–12 years old, half a tablet (20 mg) 2 or 3 times a day.


Myotropic antispasmodics (Papaverine, No-shpa) are used for increased gastric motility and “stomach colic”

List of antispasmodics: No-shpa, Avisan, Spasmocystenal, Bendazole, Duspatalin, Plantex, Spazoverin, Platyfillin. Among the homeopathic remedies, Spascuprel, Nux vomica gomaccord, and Gastrikumel have an antispasmodic effect.

How to normalize the acidity of gastric juice

Hydrochloric acid promotes digestion, has a bacterial effect, triggers the synthesis of hormones that stimulate the secretion of bile, intestinal and pancreatic juice. If too much hydrochloric acid is produced, the walls of the stomach become inflamed, heartburn, sour belching, and digestive disorders appear.

It is also necessary to reduce the acidity of gastric juice to ensure functional rest of the pancreas or gall bladder. To neutralize hydrochloric acid, you need to take antacids. Drugs from this group are divided into absorbable and non-absorbable.

The former penetrate the bloodstream and begin to act within 3-5 minutes, the latter are not absorbed into the gastrointestinal tract and reduce the acid level after half an hour. Both of them last no more than 4 hours. A representative of absorbable antacids is Rennie. It contains calcium and magnesium carbonate, which contribute to the rapid neutralization of hydrochloric acid and thereby have a protective effect.

Indications for use are heartburn, belching, periodic stomach pain, a feeling of fullness and heaviness in the abdomen, flatulence, and dyspepsia. The medication is prescribed for adults and adolescents over 12 years of age, 1–2 tablets (they need to be chewed). You can take a maximum of 16 tablets per day.

Absorbable antacids also include Vikalin and Vikair. Non-absorbable antacids are considered safer because they do not penetrate the bloodstream and do not affect internal organs.

Names of drugs from this group: Maalox, Almagel, Gastal, Phosphalugel, Gastratsid, Relzer. Some antacids contain additional components that are designed to protect the gastric mucosa, relieve pain, or remove air bubbles.

For example, Almagel Neo contains aluminum hydroskid, magnesium hydroxide, simethicone. The drug is prescribed for diseases that occur with increased or normal acidity of gastric juice and with excessive gas formation in the intestines.

Depending on the type of pathology, 1 or 2 sachets of the drug are prescribed four times a day, an hour after meals. The daily dosage is up to 6 sachets, in this quantity you can take the product for no more than a month. In the complex therapy of acid-related diseases, longer-acting agents are used than antacids. These are H2-histamine receptor inhibitors and proton pump inhibitors.


After taking Almagel Neo, it is not advisable to drink or eat for half an hour

Histamine H2 receptor blockers are divided into 3 generations. The first includes Cimetidine (Histodil, Tagamet), which needs to be taken 3-4 times a day, but it has antiandrogenic activity (suppresses the level of male sex hormones).

Ranitidine (Gistac, Zantac, Zantin, Ranisan) belongs to the second generation; it should be taken 1-2 times a day. It has fewer contraindications and side effects. The most advanced drugs in this group are based on famotidine (Kvamatel, Famocid, Famo, Ulfamid).

Famotidine is available in tablets of 20 and 40 mg. It suppresses the basal production of hydrochloric acid and does not allow histamine, gastrin and acetylcholine to stimulate the production of a new portion of acid. The drug increases the stability of the gastric mucosa, as it increases the formation of protective mucus, the secretion of bicarbonates, and indirectly the drug accelerates tissue regeneration.

After using the medication, the effect is noticeable within an hour and reaches a maximum after three hours. Depending on the severity of the pathology, 1-2 tablets are prescribed 1 or 2 times a day. Proton pump inhibitors suppress the production of hydrochloric acid for a long time. This group of drugs includes capsules Omeprazole (Omez, Zerotsid, Losek, Omegast), Lansoprazole (Lansocap, Lancerol), Rabeprazole (Pariet). They need to be taken once a day.

How to protect the gastrointestinal mucosa

Enveloping drugs, interacting with water, form colloidal solutions that protect the mucous tissues of the esophagus, stomach and intestines from the aggressive effects of hydrochloric acid and enzymes. These funds participate in the normalization of the gastrointestinal tract, as they allow the mucous membrane to recover. For the symptomatic treatment of heartburn and pain due to pathologies of the gastrointestinal tract, the following medications may be prescribed.

Phosphalugel

Reduces the level of hydrochloric acid, has enveloping and adsorbing properties, reduces the aggressiveness of pepsin, binds bile acids. The active substance captures only excess acid, which is due to its buffering properties, while maintaining conditions for normal digestion.

Hydrochloric acid levels change within 30 minutes after taking the product. By stimulating the synthesis of prostaglandins, they increase the secretion of mucus and bicarbonates, which protect the stomach tissue. The medicine is not prescribed to children under 12 years of age. It is recommended to use 1-2 sachets of Phosphalugel 2 or 3 times a day after meals or when heartburn or pain occurs.

Almagel

Contains aluminum hydroxide, magnesium hydroxide. It has an antacid, enveloping, adsorbing effect. Protects stomach tissues, protects them from inflammatory and erosive lesions. The effect after taking appears after 3-5 minutes. The action lasts for three hours (until the stomach is empty).

The drug is prescribed as part of complex therapy for acid-related diseases, as well as to reduce stomach irritation during drug treatment. To prevent the inflammatory process, 5–15 ml of suspension is prescribed 15 minutes before taking medications.

For therapeutic purposes, adults and adolescents over 15 years of age take the medicine 5–10 ml of liquid 3 or 4 times a day 60 minutes before meals or at night; children 10–15 years old are prescribed 5 ml. After achieving the desired effect, the dosage is reduced, but use continues for 15–20 days.

Vikair

This is a combined drug that has an antacid, antispasmodic, enveloping effect. The bismuth nitrate included in its composition forms a protective film on the gastric mucosa, thereby providing anti-inflammatory, bactericidal and reparative effects.

The medicine also contains calamus (relaxes the muscles) and buckthorn (provides a laxative effect), therefore the passage of feces through the intestines improves. The drug is taken 1–1.5 hours after a meal, 1–2 tablets, frequency of administration – 3 times a day, duration – 30–60 days.

Contains sucralfate, which has an anti-ulcer effect. By interacting with the proteins of the affected tissue at the site of erosion or ulcer, the product forms a protective layer that for a long time protects the necrotic area from the aggressive effects of acid and enzymes. The drug inhibits the activity of pepsin. For the prevention of peptic ulcers, 1 tablet is prescribed twice a day; in case of exacerbation of an ulcer, 1 tablet is prescribed four times a day, half an hour to an hour before meals.


Duration of treatment with Venter - 4-6 weeks

Aluminum hydroxide

It is an antacid and has adsorbing and enveloping properties. Neutralizes free hydrochloric acid without causing its secondary hypersecretion. Raises the pH of gastric juice to 3.5–4.5 and maintains it at this level for several hours.

For prophylactic purposes, take 5–10 ml of the suspension before taking aggressive drugs (medicines, alcohol). The drug is prescribed 0.6–1.2 g (in the form of chewable tablets) or 5–10 ml of suspension 1–2 hours after meals. Duration of therapy – from 6 weeks.

De-Nol

The active ingredient is bismuth. After taking the drug, a film forms on the walls of the stomach, which protects the tissues from aggressive substances. In addition, the medicine increases the synthesis of prostaglandin and stimulates the production of mucus and bicarbonates. De-Nol also has a bactericidal effect against Helicobacter.

It is recommended to take 1 tablet 4 times a day half an hour before meals or at night for 4-8 weeks. Folk remedies can also be used to restore the mucosa. Decoctions and infusions are made from medicinal plants (oats, comfrey, licorice root, flaxseeds), white clay, and starch.

Medicines for the stomach and intestines have a number of contraindications and, with long-term use, can cause unwanted side effects. Therefore, before treating the digestive tract with medications, you need to consult a specialist and find out the cause of the pathological process.

Diseases of the digestive system associated with damage to the mucous membrane of the stomach and intestines in the form of erosions and ulcers develop under the influence of aggressive factors with insufficient protective properties. Enveloping agents for the stomach are a large group of medications that create a protective film on the mucous membrane of the organ.

Enveloping drugs are high-molecular compounds that form colloidal solutions or emulsions upon contact with water. A thin film is created that protects the nerve endings of the mucous membranes from the irritating effects of aggressive substances that make up the gastric juice. This provides an analgesic and anti-inflammatory effect.

Most coating substances have adsorbent and antacid properties. Drugs that coat the gastric mucosa are divided into two groups.

Products based on natural ingredients:

Synthetic chemical compounds:

  • preparations based on colloidal bismuth;
  • products containing aluminum;
  • combination medications.

Mechanism of action

Normally, to protect the mucous membrane, a special mucus is synthesized in the stomach - mucin. This is an insoluble organic substance designed to protect the gastric epithelium from the aggressive acidic environment of gastric juice. Impaired mucus production leads to exposure of the mucous membrane and the formation of erosions and ulcers on it.

Enveloping drugs for the stomach and intestines increase the viability of epithelial cells of the digestive tract mucosa by influencing prostaglandins. Due to the active substances included in the preparations (aluminum oxide, bismuth salts, magnesium oxide), under the influence of hydrochloric acid, a durable polymer layer is formed, connected to protein exudates, which acts as a protective barrier.


Therapeutic effect of enveloping substances:

  1. They bind pepsin and bile acids that enter the stomach during reflux.
  2. They produce a cytoprotective effect due to stimulation of endogenous prostaglandins.
  3. Improves blood supply to the mucous membrane.

Indications

Enveloping drugs are used for inflammatory and ulcerative lesions of the stomach and intestines:

  • heartburn;
  • acute gastritis;
  • chronic hyperacid gastritis;
  • peptic ulcer of the stomach and duodenum;
  • pancreatitis;
  • enterocolitis;
  • poisoning

Medicines

Colloidal bismuth preparations

Colloidal bismuth compounds, when combined with gastric hydrochloric acid, form a glycoprotein-bismuth complex, which settles mainly in the area of ​​eroded and ulcerated areas of the mucosa. The protective barrier does not allow hydrochloric acid, pepsin, food to reach the damaged areas, and the restoration of the mucosa is faster.


A feature of bismuth preparations is their low bioavailability. With course treatment after a month, the concentration of bismuth in the blood plasma barely reaches 50 μg / l. It takes 8 weeks to completely remove bismuth compounds from the body.

  • De-nol;
  • Vetrisol;
  • Bizmat;
  • Bisnall.

Side effects: headache, dizziness, alternating constipation and diarrhea. The stool is dark due to the formation of bismuth sulfide in the intestines.

Sucralfate is a complex aluminum-containing disaccharide that is not absorbed when taken orally. Polymerization occurs in the acidic environment of the stomach.

The resulting substance tightly combines with the proteins of the gastric mucosa, especially in the area of ​​erosions and ulcers. The protective layer in the body lasts up to 8 hours.

Side effects: dry mouth, stomach discomfort, nausea, stool disorders, local allergic reaction - hyperemia and itching of the skin.

Contraindications:

  • children under 4 years old;
  • pregnancy period;
  • renal dysfunction.

Preparations containing aluminum

Phosphalugel– colloidal aluminum phosphate has an antacid, enveloping, sorbing and analgesic effect. The drug, neutralizing excess hydrochloric acid, preserves the environment in the stomach necessary for digesting food. Envelops the walls of the stomach, reduces pain, accelerates epithelial repair.


Contraindications: Alzheimer's disease, hypophosphatemia, severe kidney pathologies.

Side effects: nausea, vomiting, constipation, allergic reactions.

Almagel has similar pharmacological properties to Phosphalugel: antacid, enveloping, sorbing. By binding and eliminating damaging substances, aluminum and magnesium hydroxide cover the surface of the gastric mucosa with a film. The drug contains the substance benzocaine, which has a pronounced analgesic effect.

Main contraindications: Alzheimer's disease, kidney failure, children under 10 years of age, low levels of phosphorus in the blood.

Side effects: nausea, vomiting, constipation, allergies.

Combination drugs

Vikalin contains bismuth subnitrate, sodium bicarbonate, rutin, magnesium carbonate, active flavonoids of calamus and buckthorn. This composition provides anti-inflammatory, bactericidal, reparative, antispasmodic effects of the drug.

Side effects: nausea, vomiting, headache, allergic reactions: rash, urticaria.

Contraindicated in case of poor blood clotting, children under 18 years of age, hypoacid gastritis, renal failure, enteritis and colitis, during pregnancy and lactation.

Vikair– a combined drug: bismuth subnitrate forms a protective film, sodium bicarbonate and magnesium carbonate reduce the acidity of gastric secretions, the active component of calamus acts as an antispasmodic - relieves pain and muscle spasms.

Contraindications: hypoacid gastritis, kidney pathology, children under 18 years of age, pregnant and lactating women, enterocolitis.

Natural antacids

Licorice root syrup contains glycyrrhizic acid. This glycoside, when combined with water, foams and forms a gel. In the stomach, it stimulates the production of prostaglandins, promotes

healing of ulcerative defects.

Flax-seed. The mucus released when boiling the seeds covers the inflamed gastric mucosa, relieves pain, prevents eroded areas from coming into contact with the acidic contents of gastric juice, and accelerates the scarring of ulcers.

Starch According to its chemical composition, it belongs to polysaccharides. Starch swells in water, forming a colloidal solution - a paste. This property is used in the treatment of stomach inflammation caused by insufficient production of protective mucus by glandular cells - mucin. Starch has an analgesic and enveloping effect. In addition, it normalizes the process of gas formation and prevents flatulence.

Oats. The active components of the cereal have a healing effect on ulcerative defects, reduce the inflammatory process, and promote accelerated cell regeneration. For severe pain and spasms, oatmeal decoction relieves pain.

Comfrey. The mucus formed by decoction of the root contains a healing flavonoid - allantoin, which stimulates the development of new cells. Once in the stomach, it has an enveloping, healing and anti-inflammatory effect.


Traditional medicine recipes

Natural coating agents are used together with other medicines used in the treatment of stomach diseases.

Flax seeds

Pour 50 g of flax seeds into a liter of hot water. Put on fire, bring to a boil, stirring constantly. The result will be a decoction reminiscent of jelly. Strain and drink a cup 3 times a day between meals.

Pour a large spoonful of seeds crushed in a blender with a cup of boiling water. Leave to infuse for 8 hours. Do not strain, drink with seed particles every evening before bed.

Licorice root

Dry fry 2 small spoons of crushed root, add half a liter of boiling water, leave for 8 hours. After straining, drink 30 drops three times a day half an hour before meals.

Dilute a large spoonful of plant material with a glass of water.

Simmer in a water bath for 20 minutes. After 2 hours, squeeze out and strain. Take the decoction by spoon 4 times a day.

Starch

Add 2 large tablespoons of starch per liter of liquid. Place on the fire and, constantly stirring the mixture with a spoon, bring to a boil. After cooling, drink a cup before eating. It is not recommended to add jam or berries to jelly when treating ulcers and gastritis.

To quickly relieve heartburn, place a spoonful of dry starch in your mouth and gradually wash it down with warm water.

Oats

Pour a glass of whole grains with a liter of cold boiled water. For fermentation, place the solution in a warm place for 12 hours. Then boil the mixture for 30 minutes. After straining, the healing decoction is ready. Drink half a cup 30 minutes before meals until all symptoms disappear.

Pour a glass of oats into a container with a liter of water. Cook, stirring occasionally for 4 hours. When boiling, add liquid to the original volume. The broth will acquire the consistency of jelly. Grind the boiled grains until the broth becomes homogeneous. Drink 2-3 glasses a day for a long period.

If you have high acidity, the patient should start the day with oatmeal. The enveloping properties of this dish will protect the walls of the stomach throughout the day.

Comfrey root

Brew a teaspoon of powdered root in a glass of boiling water. Leave for 3-4 hours. Take a spoon 5 times a day half an hour before meals.

Grind the dry root into a fine powder, pour a tablespoon into a cup with 50 g of honey, and thoroughly grind the mixture until smooth. Leave for 2 weeks. Take a coffee spoon half an hour before meals for 14 days.

Gastric ulcer is a serious chronic disease that occurs cyclically with remissions and exacerbations. In each period, treatment tactics are different. It is the doctor’s prerogative to select medications that are most suitable for a given phase of the disease, and it is the patient’s job to strictly follow all the doctor’s instructions.


It is necessary to observe the doses of the prescribed gastric coating agents. Increased doses of the drug can lead to alkalization of gastric juice, which will cause a decrease in the digestive ability of the stomach.

Before using traditional medicine methods, consultation with a gastroenterologist is necessary.

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