Studies have found that ibuprofen and meloxicam may be less likely to bother your stomach, while ketorolac, aspirin, and indomethacin are associated with a higher risk of GI problems. Read more about how to pick the right NSAID for your needs here.
If you have cardiovascular disease or risk factors for cardiovascular disease and require an NSAID your prescriber may recommend naproxen. Naproxen has been found to have the lowest risk (among NSAIDs) for cardiovascular events.
Consider a second medication.
Among the options: an acid-blocking drug like Prilosec; an acid-reducing drug like Zantac; a histamine blocker like Tagamet; or an ulcer-preventive drug like Cytotec. A few combination drugs do include an NSAID plus a stomach-protective drug; these are available by prescription only.
Patients with a history of peptic ulcer disease, Helicobacter pylori infection, or gastritis are also at risk. The various NSAIDs differ with regard to their risk of inducing upper GI bleeding and/or perforation. Commonly prescribed NSAIDs such as ibuprofen and diclofenac appear to have the lowest relative risk.
In addition, certain supplements can help provide relief from inflammation and pain. Common alternatives to NSAIDs include arnica, curcumin, and bromelain. Topical pain reliers—like capsaicin cream—may also help to provide relief.
1. Omega-3 fatty acids. Omega-3 fatty acids , which are abundant in fatty fish such as salmon or tuna, are among the most potent anti-inflammatory supplements. These supplements may help fight several types of inflammation, including vascular inflammation.
As NSAIDs can cause troublesome side effects, alternatives are often recommended first. The main alternative for pain relief is paracetamol, which is available over the counter and is safe for most people to take.
Studies have found that ibuprofen and meloxicam may be less likely to bother your stomach, while ketorolac, aspirin, and indomethacin are associated with a higher risk of GI problems. Read more about how to pick the right NSAID for your needs here.
The health care professional may recommend that nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin, Nuprin) be taken with food or with antacids. Doing this may lessen the chance of developing gastritis symptoms. Switching from aspirin or NSAIDs to another pain reliever may help as well.
Selective COX-2 inhibitors are less toxic to the GI tract (RR 1.9) than non-selective NSAIDs, with ibuprofen generally safer (RR 2.7) and more harmful are diclofenac (RR 4.0) or naproxen (RR 5.6).
Acetaminophen (paracetamol) may sometimes be an alternative to NSAIDs. It doesn't increase the risk of peptic ulcers and is often just as effective. But it has side effects too: For instance, it may cause liver damage if the dose is too high or if you take it regularly.
Drugs that reduce stomach irritation include misoprostol (Cytotec), or a proton pump inhibitor such as omeprazole (Prilosec), esomeprazole (Nexium), pantoprazole (Protonix), lansoprazole (Prevacid), or rabeprazole (Aciphex). These drugs can considerably reduce your risk of an ulcer and internal bleeding.
1. FATTY FISH. Fish like salmon, mackerel, sardines, and tuna give you protein and the omega-3 fatty acids EPA and DHA. These components reduce inflammation in the body.
#1 Doctor Recommended Pain Relief brand for those with stomach problems. TYLENOL® will not irritate the stomach the way naproxen sodium (Aleve®1), or even Ibuprofen (Advil®1, MOTRIN®) can. TYLENOL® can help relieve your pain while being gentle on your stomach.
Alcohol can irritate the mucous lining of your stomach. Consider switching pain relievers. If you use pain relievers that increase your risk of gastritis, ask your doctor whether acetaminophen (Tylenol, others) may be an option for you. This medication is less likely to aggravate your stomach problem.
Pain relievers commonly referred to as nonsteroidal anti-inflammatory drugs (NSAIDS) — such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve, Anaprox DS) — can cause both acute gastritis and chronic gastritis.
Lean protein food sources like beans, yoghurt, low-fat cheese, egg white, fish, skinned chicken works well to repair the inflamed stomach lining and boost stamina.
NSAID-induced toxicity in the small bowel can manifest with nausea, indigestion, constipation, diarrhea, and abdominal pain. Chronic exposure to NSAID can cause mucosal erythema, mucosal erosions and breaks, sub-epithelial hemorrhages, protein loss, anemia, strictures, and ulcerations.
Non-steroidal anti-inflammatory drugs (NSAIDs) cause gastric hypermotility, followed by microvascular disturbances and neutrophil activation, leading to gastric damage. Gastric hypermotility and subsequent vascular disturbances are associated with a prostaglandin (PG) deficiency caused by COX-1 inhibition.
Magnesium may reduce inflammation, improve muscle function, and lower stroke risk. 3 The nutrient has been shown to help people with certain health conditions, including type 2 diabetes and migraines. People with arthritis may also benefit from magnesium.
Curcumin has the most substantial evidence base for its anti-inflammatory effects compared with other herbal remedies. Turmeric is available in the form of capsules, tablets, teas, pastes, and extracts. Methods of taking turmeric will vary, depending on the intended use.
Bananas are versatile fruits with anti-inflammatory, antimicrobial, and antioxidant properties that can help counteract inflammation and support the body's immune system. People may benefit from an anti-inflammatory diet and avoiding pro-inflammatory foods.