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PAS, Eto or Pto, FQs, E, Z
Gastritis (epigastric burning or cramp relieved by eating) or dyspepsia (epigastric pain or discomfort following meals, often accompanied by bloating, sensation of fullness and nausea) are frequent with PAS, Eto or Pto.
- For gastritis:
omeprazole PO: 20 mg once daily in the morning for 7 to 10 days. In severe or recurrent cases, dose may be increased to 40 mg once daily and the treatment may be prolonged for up to 8 weeks.
Histamine H2-antagonists (e.g. ranitidine) may be an alternative.
- For dyspepsia:
omeprazole PO: 10 mg once daily in the morning for 4 weeks
Haematemesis (vomiting of blood) and melena (black stools) are symptoms of a bleeding gastric ulcer and require urgent intervention.