Almost ~ above a daily basis, pharmacists come into contact with someone with a stomach ailment. That is crucial to find out what resulted in the patient's stomach upset and also then to market tips on just how to treat that (Table 1).

Stomach pain or Cramping

Gas, indigestion, or probably gastritis (an inflammation that the lining that the stomach) deserve to cause abdominal pain. The difficulty can result from overeating, or it can be a reaction come alcohol, caffeine, or even medication. Diet restrictions, such as taking only bland foods and also clear liquids, might relieve the symptoms.

Antacids, which are neutralizing agents, are regularly used to relieve the symptoms of heartburn (Table 2). For instance, the ingredient in Pepto-Bismol (bismuth subsalicylate) coats the esophagus, acts together a obstacle to reflux, and alleviates pain and also other symptoms. Pepto-Bismol is indicated for indigestion, heartburn, uncomfortable stomach, nausea, and diarrhea. Kids with flu-like symptoms should not take it, due to the fact that it have the right to lead come Reye's syndrome.

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Flatulence (Intestinal Gas)

Gas is a natural part of the cradle process. It have the right to be caused by beans and some fruits and other vegetables. Natural commodities to law gas include chamomile and peppermint. OTC formulations save on computer simethicone, a defoaming agent. In addition to simethicone, Flatulex, for example, contains activated charcoal, i m sorry absorbs substances the may cause gas and additionally relieves gas pain and also bloating. New formulations that antacids and also simethicone room now accessible (Table 3).

Beano, another product approved for dealing with flatulence, originates from the Aspergillus niger mold and also is a equipment of one enzyme well-known as alpha-Galactosidase. This enzyme breaks under oligosaccharides (which high-fiber foodstuffs contain) and also can be a prophylactic therapy for gas caused by high-fiber foods.


Diarrhea can occur as a result of a stomach virus, food poisoning, stress, and details medications, and also it have the right to lead to dehydration. Patients need to be counseled come drink lot of of clear fluids that execute not save on computer too lot sugar. In addition to diet restrictions, Pedialyte may be recommended for electrolyte lose (Table 4). If diarrhea lasts much longer than 48 hours, a physician have to be consulted.


Whereas plenty of factors contribute to heartburn, it normally is led to by a poorly functioning reduced esophageal sphincter, which permits the contents of the stomach to earlier up right into the esophagus. Pregnancy, obesity, smoking, caffeine, alcohol, chocolate, and spicy foods may cause or aggravate heartburn.

Antacids space first-line treatment (Table 2). Taken before a meal, they carry out relief for around 40 to 60 minutes, and also up to 3 hours if taken ~ a meal. Constant use of antacids containing aluminum, however, can reason constipation, and those include magnesium can reason diarrhea. Antacids can affect certain medications, so it is recipient to separate doses by at least 2 hours.

Gaviscon, comprise alginic acid and sodium bicarbonate, aluminum, and also magnesium, coats the stomach. Tablets have to be chewed and also taken with plenty the water.

Pepcid complete is a combination of famotidine (a histamine2-receptor antagonist ) and also magnesium hydroxide and also calcium carbonate. It uses the benefit of notice relief native the antacids and acid reduction from the H2RA. Specialists have uncovered that this combination offers more sustained relief.

Proton pump inhibitors (PPIs) have actually a much longer duration of action than H2RAs. Prilosec OTC, a 20-mg tablet, is the just PPI currently easily accessible over the counter.

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PPIs may communicate with certain drugs, such as warfarin and diazepam, however.