Medicines covering the stomach. The best medicines for the stomach

Enveloping agents - a group of substances of pharmaceutical and natural origin, interacting with water, create colloidal solutions that protect the mucous membrane of the digestive system. Thus, coating agents for the stomach and intestines can counteract the absorption of irritants.

Most often, these drugs are used in the treatment of gastritis or ulcers. These diseases can often be accompanied by simple symptoms such as heartburn and belching. Sometimes its cause is air or food trapped in the esophagus. In adults, it more often occurs as a result of a full stomach. In this case, it is enough to burp and everything will pass. In other cases, these symptoms indicate that an inflammatory process is starting in the stomach or intestines. By itself, heartburn and belching of air is not a disease and does not pose any danger. But in order to get rid of it, it is necessary to eliminate its cause, in other words, it is necessary to treat gastritis or an ulcer. This will help enveloping and intestinal tract.

Classification

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

Medicines of natural origin

Vegetable products differ somewhat in some features. After ingestion, they almost completely enter the gastrointestinal 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 coatings for the stomach and intestinal tract contain starch. Such drugs include:

  • - starch from potato juice and corn;
  • - flax seeds;
  • - oats and oatmeal;
  • - comfrey;
  • - liquorice root.
  • - white clay;
  • - marshmallow root;
  • - two-leafed love;
  • - spotted orchid.

The most optimal version for the treatment of gastrointestinal diseases is starch from potatoes or corn. It dissolves in hot water, forming a colloidal mixture. Otherwise, dissolution is very slow. This substance is used both inside and in the form of 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 in a pharmacy.

It can also be used in the treatment of gastrointestinal diseases spotted orchis root containing starch as a component. 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. After insist 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 in 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. To date, the following drugs are well known:

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

Phosphalugel- It 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.

Plus, it doesn't have many side effects. Doctors advise taking it for acute gastritis and ulcers of the gastric cavity. 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 for patients suffering from ulcerative and inflammatory bowel diseases, as well as for poisoning and low acidity of the stomach. It is strictly forbidden to take children under one month old, people with Alzheimer's disease and patients with kidney failure.

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

Sucralfate- anthracite medicine with an enveloping effect. An enzyme in the stomach, produced by the chief cells of the mucosa, slows down excretion when exposed to this drug. It is intended for use with ulcers and gastritis. It is sold in pharmacies in the form of tablets, which must be consumed 1-2 pieces three times a day, washed down with water and not chewed.

aluminum hydroxide- powder, which 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.

People often use antacids for heartburn, nausea, or stomach discomfort. Patients with diseases of the digestive system, they are also necessary. Drugs envelop the stomach, protecting it. You can buy them without a prescription from a doctor. The choice of funds is quite wide, read a detailed review in our material.

Enveloping preparations are plant-based and synthetic. The substances that make up antacids 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 subject to other irritating factors (stress, poor nutrition), then these medications are indicated.

Antacids today are produced in different forms, so everyone can find the one that is convenient for him: tablets, powders, suspensions in bottles or single packs.

Indications for use

Antacids are needed for diseases of the gastrointestinal tract. The composition contains components that react with water, while forming substances that envelop the stomach. This is what makes these drugs so popular.

Enveloping agents are indicated for:

  • acute gastritis;
  • chronic gastritis;
  • stomach ulcer and duodenal ulcer;
  • 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.

Medicines do the following:

  • 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 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 adversely affect health.
  • If you often have to resort to such drugs for nausea, heartburn or epigastric pain, do not put off a visit to the doctor for diagnosis and treatment. Such symptoms signal the presence of a gastrointestinal disease. If they are ignored, 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 with enveloping preparations for children and pregnant women. Some of them are contraindicated for these categories of persons. Before use, consult your doctor.

What are

Any medicine tends 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 such medications include the rapid elimination of heartburn. But the effect is short-lived.

Such drugs are characterized by the so-called "acid rebound": 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 adsorbed in the intestines, causing the formation of edema. Side effects are also increased pressure, belching and bloating. Such products include, for example, soda.

The active substances of these drugs can be:

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

This group of drugs:

Non-absorbable

Non-absorbable antacid drugs are most effective and have fewer side effects.

Non-absorbable drugs 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 the composition:

  • Medicines that are coated with aluminum phosphates. The most popular remedy from this group is Phosphalugel. Its action depends on the initial level of acidity. The higher it is, the more effective the medicine.
  • Antacids containing magnesium and aluminum. Almagel is one of them.
  • 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 non-absorbable coatings for the stomach and intestines are popular:

  • almagel;
  • phosphalugel;
  • maalox;
  • Altacid;
  • sucralfate;
  • gastracid;
  • gastal;
  • relzer;
  • alumag;
  • gaviscon;
  • palmagel;
  • rutacid;
  • magalfil.

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. Among the shortcomings - the drug removes phosphorus, therefore it is not recommended for long-term use for people with problems of bones and joints.

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

  • 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. Reception lasts no more than 2 weeks, you need to drink the drug 5-10 g before meals.

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;
  • intestinal disorder;
  • functional bowel diseases;
  • diarrhea.

Antacid medicine should not be used for serious kidney disease and individual intolerance to the components.

Adults and children under the age of 6 years are prescribed a medicine for 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 should be 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;
  • with bowel diseases - on an empty stomach and 1 time at night.

If pain occurs, you can resume taking.

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 an ulcer;
  • acute or chronic gastritis;
  • hiatal hernia;
  • reflux esophagitis;
  • heartburn;
  • pain in the epigastrium.

Antacids are not prescribed for:

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

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

Depending on the disease, determine the dosage:

  • 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 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 lasts 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 disease;
  • 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 to use up to 12 g per day. The course lasts up to 6 weeks. In especially severe cases - 3 months.

natural antacids

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

  • The easiest and cheapest way to deal with heartburn is to drink warm water (preferably mineral water)
  • Bananas soothe stomach pains, 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 a wonderful 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 the amount of ½ tsp. after eating will help to cope with heartburn and discomfort in the stomach.
  • Flax seed is often used to prevent ulcers and gastritis. It is used as a mucus solution. For cooking you need: 1 tsp. crushed seeds for ½ tbsp. water. Consume warm 30 minutes before meals. The tool envelops the walls of the stomach, protecting it.
  • The peel of a grapefruit, chewed for heartburn, will help to cope with unpleasant symptoms.
  • 1 st. l. crushed walnuts 1 time per day - a good prevention of heartburn.
  • Freshly squeezed potato juice, taken before meals, 2 tbsp. l. - also a wonderful tool.

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 drugs, some of which eliminate the symptoms, others have a therapeutic effect. For example, with inflammation of the tissues of the stomach, it is necessary to take drugs that will protect the organ from the aggressive effects of hydrochloric acid, drugs that normalize the digestive process, as well as drugs that will eliminate the cause of inflammation.

Thus, the list of pills to be taken daily is impressive. Many of the drugs 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, defoamers help to stop dyspepsia. Medicines to restore the functions of the gastrointestinal tract should be prescribed by a doctor, since only a specialist can develop the correct treatment regimen, choose the best remedy, determine the dosage of the drug and, if necessary, adjust it.

What medicines to eliminate abdominal pain

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

Analgin (metamisole sodium) has an analgesic, antipyretic and slightly anti-inflammatory effect. The active substance inhibits cyclooxygenases, reduces the production of endoperoxides, prostaglandins, bradykinins, free radicals, prevents the conduction of impulses and reduces the sensitivity of brain regions that perceive pain stimuli.

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

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

Take an analgesic for adults, the elderly and adolescents from 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 for 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 medication, and adults and adolescents - 20-40 ml each. You can take the remedy 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.

Of the 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 cleanses 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, babies from 6 months to 2 years old are given half a tablet (5 mg), children 3-4 years old Papaverine is recommended 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 take 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, Spazmotsistenal, Bendazol, Duspatalin, Plantex, Spazoverin, Platifillin. Of the homeopathic remedies, Spascuprel, Nux vomica homaccord, Gastricumel 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 separation of bile, intestinal and pancreatic juice. If too much hydrochloric acid is produced, then the walls of the stomach become inflamed, heartburn appears, belching sour, and digestive disorders.

Also, lowering the acidity of gastric juice is required to ensure the functional rest of the pancreas or gallbladder. To neutralize hydrochloric acid, you need to take antacids. Drugs from this group are divided into absorbable and non-absorbable.

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

Indications for use are heartburn, belching, recurrent pain in the stomach, a feeling of fullness and heaviness in the abdomen, flatulence, dyspepsia. A medication is prescribed for adults and adolescents over 12 years old, 1-2 tablets each (they need to be chewed). A maximum of 16 tablets can be taken per day.

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

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

For example, Almagel Neo contains aluminum hydroxide, 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 remedy are prescribed four times a day, one hour after meals. The daily dosage is up to 6 sachets, in this amount you can take the remedy for no more than a month. In the complex therapy of acid-dependent 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 must be taken 3-4 times a day, but it has antiandrogenic activity (suppresses the level of male sex hormones).

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

Famotidine is available in 20 mg and 40 mg tablets. It suppresses 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 resistance of the gastric mucosa, as it increases the formation of protective mucus, the secretion of bicarbonates, and indirectly, the agent accelerates tissue regeneration.

After using the drug, the effect is noticeable after 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 medicines includes capsules Omeprazole (Omez, Zerocid, Losek, Omegast), Lansoprazole (Lansocap, Lancerol), Rabeprazole (Pariet). They need to be taken once a day.

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

Pathologies of the gastrointestinal tract are currently found in many people. Ailments deliver 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 choice of these drugs in pharmacies is quite large. Let us consider in more detail the most effective means, their composition and mechanism of action.

What are coating preparations?

With heartburn, a stomach or duodenal ulcer, gastritis, a number of unpleasant symptoms appear, which can only be stopped with the help of special medicines from the antacid group. 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 due to the components that, when in contact with water, form colloidal compositions and suspensions. With the distribution of the obtained substances in the cavity of the stomach 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 circulation. Absorbable coating agents include drugs such as burnt magnesia, magnesium and calcium carbonate, Rennie and Tams.

Non-absorbable coating preparations

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

Most non-absorbable coating preparations have several active ingredients in the composition. A significant advantage of medicines is a prolonged analgesic effect and the ability to remove toxic substances from the body.

Adsorbent preparations

Adsorbents will help protect the 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 from 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, due to their anti-inflammatory and healing effects, will help to quickly get rid of discomfort and discomfort.

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

In 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 medicines - Vikalin, Bismuth nitrate, De-nol, Vikair - 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 drugs in the antacid category. The product is available in the form of a suspension and tablets. Depending on the type of pathology, you can choose the appropriate composition of the drug. The basic set of active ingredients - magnesium and aluminum hydroxides - contains Almagel suspension in green packaging. A medication is used to relieve the discomfort caused by heartburn. Active substances quickly neutralize the effect of hydrochloric acid. The drug itself and similar enveloping agents are not used to treat peptic ulcer.

In acute gastritis, duodenitis, reflux esophagitis, ulcers and enteritis, Almagel A in yellow packaging will be effective. The composition of 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 agent 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 the appointment

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. Preparing a 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 in a warm form one 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: an overview 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 aggression factors with insufficient protective properties. Enveloping agents for the stomach are a large group of drugs 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 effect of aggressive substances that make up the gastric juice. This provides an analgesic and anti-inflammatory effect.

Most enveloping substances have adsorbing and antacid properties. Drugs that envelop the gastric mucosa are divided into two groups.

Means based on natural ingredients:

Synthetic chemical compounds:

  • preparations based on colloidal bismuth;
  • products containing aluminum;
  • combined medicines.

Mechanism of action

Normally, to protect the mucosa in the stomach, a special mucus is synthesized - mucin. This is an insoluble organic substance designed to protect the epithelium of the stomach from the aggressive acidic environment of gastric juice. Violation of mucus production leads to exposure of the mucosa 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 by stimulating endogenous prostaglandins.
  3. Improve blood supply to the mucosa.

Enveloping preparations 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

Preparations of colloidal bismuth

Colloidal compounds of bismuth, when combined with hydrochloric acid of the stomach, 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 a course of 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;
  • Bisnol.

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 is tightly connected to 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;
  • period of pregnancy;
  • impaired renal function.

Preparations containing aluminum

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

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

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

Almagel has similar pharmacological properties with 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 composition of the drug includes the substance benzocaine, which has a pronounced analgesic effect.

Main contraindications: Alzheimer's disease, kidney failure, children under 10 years old, low blood phosphorus levels.

Side effects: nausea, vomiting, constipation, allergies.

Combined drugs

Vikalin contains bismuth subnitrate, sodium bicarbonate, rutin, magnesium carbonate, active calamus and buckthorn flavonoids. This composition provides anti-inflammatory, bactericidal, reparative, antispasmodic effect 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, with 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 secretion, the active component of calamus acts as an antispasmodic - relieves pain and muscle spasms.

Contraindications: hypoacid gastritis, kidney pathology, children under 18, pregnant and lactating, enterocolitis.

natural antacids

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

healing of ulcers.

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

Starch chemical composition refers to polysaccharides. In water, starch swells, forming a colloidal solution - a paste. This property is used in the treatment of inflammation of the stomach, caused by insufficient production of protective mucus by glandular cells - mucin. Starch has an analgesic, enveloping effect. In addition, it normalizes the process of gas formation, 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. With severe pain and spasms, oatmeal relieves pain.

Comfrey. The mucus formed when 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 enveloping agents are used together with other drugs 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. You will get a decoction that resembles jelly. Strain, 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 night before bed.

licorice root

Fry 2 small spoons of crushed root on a dry skorod, pour into 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 vegetable raw materials with a glass of water.

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

Starch

2 large spoons of starch are added per liter of liquid. Put on fire and, constantly stirring with a spoon, bring the mixture to a boil. After cooling, drink a cup before meals. It is not recommended to add jam or berries to jelly in the treatment of ulcers and gastritis.

To quickly relieve heartburn, a spoonful of dry starch is placed in the mouth and washed down gradually with warm water.

oats

Pour a glass of whole grains with a liter of cold boiled water. For fermentation, put 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 the liquid to the original volume. The broth will acquire the consistency of jelly. Grind the boiled grains so that the broth becomes homogeneous. Drink 2-3 glasses a day for a long period.

With increased acidity, the patient should start the day with oatmeal. The enveloping properties of this dish will protect the walls of the stomach during the day.

comfrey root

Steep a teaspoon of powdered root in a glass of boiling water. Insist 3-4 hours. Take a spoonful 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, carefully grind the mixture until smooth. Insist 2 weeks. Take a coffee spoon half an hour before meals for 14 days.

It is necessary to observe the doses of the prescribed enveloping agents for the stomach. Higher doses of the drug can lead to alkalization of gastric juice, which will cause a decrease in the digestive capacity of the stomach.

People often use antacids for heartburn, nausea, or stomach discomfort. Patients with diseases of the digestive system, they are also necessary. Drugs envelop the stomach, protecting it. You can buy them without a prescription from a doctor. The choice of funds is quite wide, read a detailed review in our material.

Enveloping preparations are plant-based and synthetic. The substances that make up antacids 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 subject to other irritating factors (stress, poor nutrition), then these medications are indicated.

Antacids today are produced in different forms, so everyone can find the one that is convenient for him: tablets, powders, suspensions in bottles or single packs.

Indications for use

Antacids are needed for diseases of the gastrointestinal tract. The composition contains components that react with water, while forming substances that envelop the stomach. This is what makes these drugs so popular.

Enveloping agents are indicated for:

  • acute gastritis;
  • chronic gastritis;
  • stomach ulcer and duodenal ulcer;
  • 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).

Effect

Medicines do the following:

  • 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 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 adversely affect health.
  • If you often have to resort to such drugs for nausea, heartburn or epigastric pain, do not put off a visit to the doctor for diagnosis and treatment. Such symptoms signal the presence of a gastrointestinal disease. If they are ignored, 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 with enveloping preparations for children and pregnant women. Some of them are contraindicated for these categories of persons. Before use, consult your doctor.

What are

Any medicine tends 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 such medications include the rapid elimination of heartburn. But the effect is short-lived.

Such drugs are characterized by the so-called "acid rebound": 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 adsorbed in the intestines, causing the formation of edema. Side effects are also increased pressure, belching and bloating. Such products include, for example, soda.

active substances These drugs may include:

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

This group of drugs:

  • Vikalin;
  • Vikair;
  • Rennie;
  • Bourget mix;
  • Tums;
  • magnesia.

Antacids from this group are intended for single or rare use, otherwise they can cause the progression of gastrointestinal diseases (for example, stomach and duodenal ulcers).

Non-absorbable

Non-absorbable antacid drugs are most effective and have fewer side effects.

Non-absorbable drugs 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 the composition:

  • Medications that envelop through aluminum phosphates. The most popular remedy from this group is Phosphalugel. Its action depends on the initial level of acidity. The higher it is, the more effective the medicine.
  • Antacids containing magnesium and aluminum. Almagel is one of them.
  • Combination 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 non-absorbable enveloping agents for the stomach and intestines:

  • almagel;
  • phosphalugel;
  • maalox;
  • Altacid;
  • sucralfate;
  • gastracid;
  • gastal;
  • relzer;
  • alumag;
  • gaviscon;
  • palmagel;
  • rutacid;
  • magalfil.

Before purchasing a medicine, carefully read the instructions for use and contraindications. Some drugs have additional effects (for example, Almagel A - analgesic). 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. Among the shortcomings - the drug removes phosphorus, therefore it is not recommended for long-term use for people with problems of bones and joints.

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

  • 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. Reception lasts no more than 2 weeks, you need to drink the drug 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 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;
  • intestinal disorder;
  • functional bowel diseases;
  • diarrhea.

Antacid medicine should not be used for serious kidney disease and individual intolerance to the components.

Adults and children under the age of 6 years are prescribed a medicine for 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 should be 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;
  • with bowel diseases - on an empty stomach and 1 time 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. Among the shortcomings - it reduces the absorption of phosphorus, therefore it is not recommended for the elderly and patients with joint problems.

Shown at:

  • exacerbation of an ulcer;
  • acute or chronic gastritis;
  • hiatal hernia;
  • reflux esophagitis;
  • heartburn;
  • pain in the epigastrium.

Antacids are not prescribed for:

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

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

Depending on the disease, determine the dosage:

  • 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 occur:

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

The drug stays in the stomach for a long time, has a long-term 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 gastroenterologists surveyed.

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 lasts 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 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 especially severe cases - 3 months.

Keep in mind that antacids are sold by prescription from a doctor.

natural antacids

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

  • The easiest and cheapest way to deal with heartburn is to drink warm water (preferably mineral water)
  • Bananas soothe stomach pains, 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 combat heartburn.
  • Cinnamon is a wonderful 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 the amount of ½ tsp. after eating will help to cope with heartburn and discomfort in the stomach.
  • Flax seed is often used to prevent ulcers and gastritis. It is used as a mucus solution. For cooking you need: 1 tsp. crushed seeds for ½ tbsp. water. Consume warm 30 minutes before meals. The tool envelops the walls of the stomach, protecting it.
  • grapefruit peel, chewed with heartburn, will help to cope with unpleasant symptoms.
  • 1 st. l. crushed walnuts 1 time per day - a good prevention of heartburn.
  • Freshly squeezed potato juice taken before meals 2 tbsp. l. - also a wonderful tool.

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 drugs, some of which eliminate the symptoms, others have a therapeutic effect. For example, with inflammation of the tissues of the stomach, it is necessary to take drugs that will protect the organ from the aggressive effects of hydrochloric acid, drugs that normalize the digestive process, as well as drugs that will eliminate the cause of inflammation.

Thus, the list of pills to be taken daily is impressive. Many of the drugs 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, defoamers help to stop dyspepsia. Medicines to restore the functions of the gastrointestinal tract should be prescribed by a doctor, since only a specialist can develop the correct treatment regimen, choose the best remedy, determine the dosage of the drug and, if necessary, adjust it.

What medicines to eliminate abdominal pain

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

Analgin (metamisole sodium) has an analgesic, antipyretic and slightly anti-inflammatory effect. The active substance inhibits cyclooxygenases, reduces the production of endoperoxides, prostaglandins, bradykinins, free radicals, prevents the conduction of impulses and reduces the sensitivity of brain regions that perceive pain stimuli.

The drug begins to act 20-40 minutes after ingestion, the maximum effect of it appears after 2 hours.

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

Metamizole sodium is the active ingredient in the following preparations: Analgin-Ultra, Spazdolzin for children, Baralgin M, Spazmalgon, Bral, Bralangin, Spazgan, Plenalgin. Paracetamol is available in syrup, tablets, suppositories, 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.

Take an analgesic for adults, the elderly and adolescents from 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 for 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 medication, and adults and adolescents - 20-40 ml each. You can take the remedy 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 preparations: No-shpalgin, Brustan, Ibuklin, Citramol P, Panoxen, Pentalgin, Rinza, Coldrex, Fervex.

Of the 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 cleanses 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, babies from 6 months to 2 years old are given half a tablet (5 mg), children 3-4 years old Papaverine is recommended 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 take 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 "gastric colic"

List of antispasmodics: No-shpa, Avisan, Spazmotsistenal, Bendazol, Duspatalin, Plantex, Spazoverin, Platifillin. Of the homeopathic remedies, Spascuprel, Nux vomica homaccord, Gastricumel 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 separation of bile, intestinal and pancreatic juice. If too much hydrochloric acid is produced, then the walls of the stomach become inflamed, heartburn appears, belching sour, and digestive disorders.

Also, lowering the acidity of gastric juice is required to ensure the functional rest of the pancreas or gallbladder. To neutralize hydrochloric acid, you need to take antacids. Drugs from this group are divided into absorbable and non-absorbable.

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

Indications for use are heartburn, belching, recurrent pain in the stomach, a feeling of fullness and heaviness in the abdomen, flatulence, dyspepsia. A medication is prescribed for adults and adolescents over 12 years old, 1-2 tablets each (they need to be chewed). A maximum of 16 tablets can be taken per day.

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

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

For example, Almagel Neo contains aluminum hydroxide, 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 remedy are prescribed four times a day, one hour after meals. The daily dosage is up to 6 sachets, in this amount you can take the remedy for no more than a month. In the complex therapy of acid-dependent diseases, longer-acting agents are used than antacids. These are H2-histamine receptor inhibitors and proton pump inhibitors.


After taking Almagel Neo, it is undesirable to drink or eat for half an hour

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

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

Famotidine is available in 20 mg and 40 mg tablets. It suppresses 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 resistance of the gastric mucosa, as it increases the formation of protective mucus, the secretion of bicarbonates, and indirectly, the agent accelerates tissue regeneration.

After using the drug, the effect is noticeable after 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 medicines includes capsules Omeprazole (Omez, Zerocid, Losek, Omegast), Lansoprazole (Lansocap, Lancerol), Rabeprazole (Pariet). They need to be taken once a day.

How to protect the gastrointestinal mucosa

Enveloping preparations, 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 are involved in the normalization of the gastrointestinal tract, as they allow the mucosa to recover. For symptomatic treatment of heartburn and pain in pathologies of the gastrointestinal tract, the following drugs may be prescribed.

Phosphalugel

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

Indicators of hydrochloric acid change within 30 minutes after taking the remedy. By stimulating the synthesis of prostaglandins, they increase the secretion of mucus and bicarbonates, which protect the tissues of the stomach. 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 the tissues of the stomach, 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 agent is prescribed as part of the complex therapy of acid-dependent diseases, as well as to reduce stomach irritation during drug treatment. For the prevention of the inflammatory process, 5–15 ml of suspension is prescribed 15 minutes before taking medication.

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 the reception is continued for 15-20 days.

Vikair

This is a combination drug that has an antacid, antispasmodic, enveloping effect. Bismuth nitrate, which is part of it, 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 (gives a laxative effect), so the passage of feces through the intestines also improves. The drug is taken 1–1.5 hours after a meal, 1–2 tablets, the frequency of administration is 3 times a day, the duration is 30–60 days.

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


Duration of treatment with Venter - 4-6 weeks

aluminum hydroxide

It is an antacid agent, has adsorbing and enveloping properties. Neutralizes free hydrochloric acid, while not causing its secondary hypersecretion. Raises the pH of gastric juice to 3.5-4.5 and keeps it at this level for several hours.

For prophylactic purposes, take 5–10 ml of suspension before taking aggressive drugs (medicines, alcohol). The drug is prescribed in 0.6–1.2 g (in the form of chewable tablets) or 5–10 ml of suspension 1–2 hours after a meal. The duration of therapy is 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 drug increases the synthesis of prostaglandin and stimulates the production of mucus and bicarbonates. De-Nol also has a bactericidal effect against Helicobacter pylori.

It is advised 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, starch.

Preparations for the stomach and intestines have a number of contraindications and, with prolonged 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 aggression factors with insufficient protective properties. Enveloping agents for the stomach are a large group of drugs 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 effect of aggressive substances that make up the gastric juice. This provides an analgesic and anti-inflammatory effect.

Most enveloping substances have adsorbing and antacid properties. Drugs that envelop the gastric mucosa are divided into two groups.

Means based on natural ingredients:

Synthetic chemical compounds:

  • preparations based on colloidal bismuth;
  • products containing aluminum;
  • combined medicines.

Mechanism of action

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

Enveloping preparations for the stomach and intestines increase the viability of the epithelial cells of the mucosa of the digestive tract, affecting prostaglandins. Due to the active substances that make up the preparations (aluminum oxide, bismuth salts, magnesium oxide), under the action of hydrochloric acid, a strong polymer layer is formed, connected with 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 by stimulating endogenous prostaglandins.
  3. Improve blood supply to the mucosa.

Indications

Enveloping preparations 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

Preparations of colloidal bismuth

Colloidal compounds of bismuth, when combined with hydrochloric acid of the stomach, 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 a course of 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;
  • Bisnol.

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 is tightly connected to 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;
  • period of pregnancy;
  • impaired renal function.

Preparations containing aluminum

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


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

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

Almagel has similar pharmacological properties with 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 composition of the drug includes the substance benzocaine, which has a pronounced analgesic effect.

Main contraindications: Alzheimer's disease, kidney failure, children under 10 years old, low blood phosphorus levels.

Side effects: nausea, vomiting, constipation, allergies.

Combined drugs

Vikalin contains bismuth subnitrate, sodium bicarbonate, rutin, magnesium carbonate, active calamus and buckthorn flavonoids. This composition provides anti-inflammatory, bactericidal, reparative, antispasmodic effect 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, with 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 secretion, the active component of calamus acts as an antispasmodic - relieves pain and muscle spasms.

Contraindications: hypoacid gastritis, kidney pathology, children under 18, pregnant and lactating, enterocolitis.

natural antacids

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

healing of ulcers.

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

Starch chemical composition refers to polysaccharides. In water, starch swells, forming a colloidal solution - a paste. This property is used in the treatment of inflammation of the stomach, caused by insufficient production of protective mucus by glandular cells - mucin. Starch has an analgesic, enveloping effect. In addition, it normalizes the process of gas formation, 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. With severe pain and spasms, oatmeal relieves pain.

Comfrey. The mucus formed when 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 enveloping agents are used together with other drugs 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. You will get a decoction that resembles jelly. Strain, 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 night before bed.

licorice root

Fry 2 small spoons of crushed root on a dry skorod, pour into 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 vegetable raw materials with a glass of water.

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

Starch

2 large spoons of starch are added per liter of liquid. Put on fire and, constantly stirring with a spoon, bring the mixture to a boil. After cooling, drink a cup before meals. It is not recommended to add jam or berries to jelly in the treatment of ulcers and gastritis.

To quickly relieve heartburn, a spoonful of dry starch is placed in the mouth and washed down gradually with warm water.

oats

Pour a glass of whole grains with a liter of cold boiled water. For fermentation, put 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 the liquid to the original volume. The broth will acquire the consistency of jelly. Grind the boiled grains so that the broth becomes homogeneous. Drink 2-3 glasses a day for a long period.

With increased acidity, the patient should start the day with oatmeal. The enveloping properties of this dish will protect the walls of the stomach during the day.

comfrey root

Steep a teaspoon of powdered root in a glass of boiling water. Insist 3-4 hours. Take a spoonful 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, carefully grind the mixture until smooth. Insist 2 weeks. Take a coffee spoon half an hour before meals for 14 days.

A stomach ulcer is a severe chronic disease that occurs cyclically with remissions and exacerbations. In each period, the tactics of treatment are different. It is the prerogative of the doctor to select the most suitable drugs for this phase of the disease, and it is up to the patient to strictly follow all the doctor's instructions.


It is necessary to observe the doses of the prescribed enveloping agents for the stomach. Higher doses of the drug can lead to alkalization of gastric juice, which will cause a decrease in the digestive capacity of the stomach.

Before applying the methods of traditional medicine, it is necessary to consult a gastroenterologist.

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