■Self-diagnosis

I usually like to eat spicy food and have a lot of work pressure. In recent months, I have had recurring episodes of stomach burning (heartburn) and acid reflux (acid vomiting). water), and sometimes upper abdominal pain (stomach pain), nausea, vomiting, loss of appetite, etc. Self-diagnosis of hyperacidity.

■Pharmacist’s Guidance and Tips

According to the patient’s main complaint, his judgment of the disease is correct. It is recommended that in addition to choosing recommended over-the-counter drugs, you should also pay attention to the following issues.

Learn to relax, avoid mental stress, and arrange your life regularly.

Reduce meal intake and obese people lose weight.

No smoking, no drinking, alcoholic or coffee-containing drinks, and no strong tea.

Avoid citrus fruits, chocolate, mint, greasy foods, onions and spicy foods.

Loosen your belt and do not lie down or go to bed for at least 2 to 3 hours after eating.

Elevate the upper part of the bed to prevent stomach contents from flowing back into the esophagus.

Avoid taking aspirin, ibuprofen, indomethacin, phenylbutazone and corticosteroids.

If you have regular upper abdominal pain (when hungry or after eating) or severe burning sensation, you should go to the hospital for medical treatment.

If you have acute or severe abdominal pain, you should go to the hospital for medical treatment.

■Use medication clearly and safely

Read the drug instructions carefully before taking medication, because the instructions are the best guidance and basis for patients to self-medicate.

Anti-gastric acid drugs should be used continuously for no more than 7 days. If symptoms are not relieved, a doctor or pharmacist should be consulted.

Aluminum-containing antacids such as Weishupine should be used with caution in patients with renal failure, Alzheimer's disease, and patients undergoing dialysis therapy. Women within 3 months of pregnancy should use with caution.

Bismuth-containing antacids are contraindicated in women with reduced renal function and pregnant women.

It is normal for the stool to turn black when taking medicines containing bismuth.

When patients with hepatic insufficiency and elderly patients take cimetidine, they may occasionally develop disorientation, drowsiness, anxiety and other mental states after taking the drug, which will disappear after stopping the drug.

Over-the-counter Chinese patent medicines for the treatment of this disease should be banned or used with caution in pregnant and lactating women.

■Available over-the-counter drugs

◆Western over-the-counter drugs:

Cimetidine is also known as cimetidine and Tagamet. This product can significantly inhibit gastric acid secretion and relieve stomach burning (commonly known as heartburn) and acid reflux caused by excessive gastric acid irritation of the gastric mucosa. Its dosage forms include: tablets, emulsions, chewable tablets, sustained-release tablets, and oral application.

The sustained-release tablets of ranitidine hydrochloride are called Shanweide. Its inhibitory effect on gastric acid secretion in the body is 5 to 10 times stronger than that of cimetidine, and it can also reduce the amount and concentration of pepsin in gastric juice. Its dosage forms include: tablets, capsules, oral solutions, and oral application.

Famotidine has a powerful and long-lasting inhibitory effect on gastric acid secretion. Both intensity and duration are superior to cimetidine. Its dosage form is tablet, for oral application.

Compound aluminum hydroxide is also called Weishuping. Composed of aluminum hydroxide and belladonna extract, it can neutralize gastric acid and relieve smooth muscle spasm. Used to relieve stomach pain and heartburn caused by hyperacidity. Its dosage form is tablet, for oral application.

Aluminum Magnesium Carbonate This product can neutralize gastric acid and has a long-lasting effect. Its dosage form is tablet, for oral application.

Compound bismuth aluminate tablets are also known as Weibizhi tablets. Each tablet contains 200 mg of bismuth aluminate, 300 mg of licorice extract powder, 400 mg of heavy magnesium carbonate, 200 mg of sodium bicarbonate, 25 mg of cascara bark, and 10 mg of fennel. It can neutralize gastric acid and protect gastric mucosa. Used for hyperacidity. Its dosage form is tablet, for oral application.

Weidele is also known as Weisule. Each tablet contains 0.175g of basic bismuth nitrate, 0.2g of magnesium carbonate, 0.1g of sodium bicarbonate, and 0.0125g of rhubarb. This product has the functions of regulating hyperacidity, astringing and protecting ulcer surfaces. Its dosage form is tablet, for oral application.

Each tablet of this product is composed of 0.0125 grams of magnesium trisilicate, 0.05 grams of aluminum hydroxide, and 0.25 grams of alginic acid. Can neutralize stomach acid. Used for hyperacidity and chronic gastritis. Oral application.

This category of over-the-counter drugs also includes: aluminum glycolate, pirenzepine hydrochloride, aluminum and magnesium suspension, compound calcium carbonate chewable tablets, compound vitamin U, compound ranitidine capsules, bismuth magnesium bicarbonate Sodium tablets, compound belladonna aluminum hydroxide powder, compound basic bismuth nitrate tablets, compound vitamin U belladonna bismuth magnesium tablets, aluminum magnesium suspension, vitamin U belladonna aluminum magnesium capsules, etc.

◆Chinese patent medicine over-the-counter medicine:

Xiangsha Yangwei Pills The main ingredients are Acosta, Amomum villosum, Atractylodes, Cyperus rotunda, etc. It can warm and neutralize the stomach. Used for not wanting to eat, feeling full and stuffy in the epigastrium, and acid reflux. oral.

The main ingredients of Modified Zuojin Pills are Coptis chinensis (roasted with ginger), scutellaria baicalensis, Bupleurum chinensis, Acosta sinensis, Cyperus rotundus (roasted with vinegar), Corydalis corydalis (roasted with vinegar), etc. It can soothe the liver and stomach. It is used for belching, acid vomiting, and stomach pain. Eat less.

The main ingredients of Chaishao Liujun Pills are Codonopsis pilosula, Pinellia ternata, Bupleurum, white peony root, tangerine peel, etc. It can soothe the liver and relieve depression. Used for weak spleen and stomach, vomiting and acid swallowing. oral.

Chinese patent medicines that belong to this category include: Gong Baole, Compound Xiangsha Granules, Jianpi Tablets, Weibing Pills, Xiangsha Hewei Pills, Xiaojianzhong Granules, Dingkou Lizhong Pills, and Yangweishu Capsules. , Qi stagnation and stomach pain granules, Weisu granules, Dinggui Wenwei Powder, Baikou Tiaozhong Pills, Kaixiong Shunqi Pills, Compound Yuanhu Analgesic Tablets, etc.

■The best choice for self-medication

◆Western medicine: For general hyperacidity, heartburn, and mild pain, compound aluminum hydroxide tablets (Weishuping) can be taken orally, once for adults. Take 2 to 4 tablets, 3 times a day, chew it half an hour before meals or when stomach pain occurs. If the condition is severe and the effect of taking Weishuping is not good, you can take cimetidine (Taweimei) instead, 0.2 grams (1 tablet) for adults, twice a day. No more than 0.8 grams in 24 hours.

◆Chinese patent medicines: If patients wish to take Chinese patent medicines, they must be selected according to the theory of Chinese medicine and the syndrome.

Cold and dull pain in the stomach, severe illness on an empty stomach, preference for warmth and massage, fear of cold, vomiting of water, and loose stools are stomach pains caused by deficiency of the spleen and stomach. Xiangsha Yangwei Pills can be taken orally, 9 grams per time for adults, twice a day. Other dosage forms include: concentrated pills, granules, capsules, oral liquids, and emulsions.

Stomach bloating and pain, pain running through the back, and worse when angry. This is stomach pain caused by liver qi invading the stomach. Weishu granules can be taken orally, 15 grams per time for adults, 3 times a day, 15 days as a course of treatment, and can be taken for 1 to 3 courses. (