Gastrointestinal Disorders and Treatments Discussion Essay

Gastrointestinal Disorders and Treatments Discussion - Essay ExampleFor short treatment, PPIs are more effective compared to H2RAs (Karch, 2013). The 2 drugs act by repressing the convergenceion of dit from the stomach. The PPIs drugs sign up but do non prevent the risk of developing ulcers in people taking NSAIDs (Song, Zhu & Lu, 2015). on that point is evidence that a dose of 75mg ranitidine and famotidine 10mg helps to minimize gastric acidity for at least 12h at night though it is a lower dose than the one in the prescription product insert. The PPIs are more effective in the prevention of acute peptic ulcer bleeding and ulcer healing. However, a standard dose of H2RAs is efficient in the prevention of NSAID- induced injury such as duodenal but not gastric ulcers (Mejia & Kraft, 2009).The PPIs are efficient in inhibition of gastric acid production. The commonly used drugs include rabeprazole, lansoprazole, omeprazole, pantoprazole and esomeprazole. These drugs are weak base s that require an acidic surrounding to obstruct H+K+ -ATPase and act as prodrugs. The PPIs also reduce pepsin secretion that acts to minimize mucosa harm. Moreover, the morning sexually transmitted disease of PPIs enhances acid repression that is in contrast with H2RAs that works well at night. The drugs effect increase with repeated administration where by day three a steady state happens and the amount of pumps that is inhibited for more than two hours get to 70%. An increase in enzyme recruitment promotes progressive acid suppression. Nevertheless, taking the drugs when required does not generate sufficient acid inhibition and does not give a regular clinical reaction.PPIs and H2RAs should not be used together because of their minimum inhibitory impact. If there is a need for concomitant treatment, it is well(predicate) to provide enough intervals in the administration of the two drugs. The H2RAs are safe to use and can be obtained over-the-counter. However, for elderly patie nts in the intensive care unit suffering from renal and hepatic difficulties, it