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Stomach pain ranges from dull, aching to sharp. The best pills for stomach pain can eliminate it, but it is important that only a doctor selects them, excluding conditions that are life-threatening and require emergency care.
Often people confuse the concepts of “stomach pain” and “abdominal pain”, although from the doctor’s point of view these are different areas and the causes of discomfort also vary greatly, as well as the degree of danger to health and life.
Pain in the stomach (sometimes referred to as discomfort in the pit of the stomach) is a sensation that is localized under the ribs, behind the sternum and upper abdomen, the so-called epigastric zone. Everything that hurts below this area, near the navel, on the sides and in the lower abdomen, does not apply to this complaint. In this case, they talk about pain in the abdomen or abdominal cavity.
Pain in the stomach occurs quite often, moreover, it is typically associated with food intake. Pain can occur before meals (on an empty stomach), immediately after it, or after 2 to 3 hours. Based on this description, the doctor may already suspect certain problems. If nausea, belching or heartburn occurs, this describes the condition even more accurately.
Often, if pains of similar localization occur, the problem is usually associated with the esophagus or stomach, the initial part of the small intestine (duodenum or duodenum). In addition, pain in the stomach can simulate damage to the pancreas, gallbladder (but not the liver, it has no pain receptors).
Best pills for stomach pain
Of course, the first and quite justified desire of a person, if there is pain in the stomach, is to take drugs that will alleviate the condition. But this is not always acceptable and justified, in some cases pain is a signal that immediate, including surgical care is needed, and pills will only delay its receipt, provoking complications.
Therefore, any sudden acute, sharp pain with fever, cold sweat, loss of consciousness, pallor, nausea or vomiting (especially with blood) is a reason for an immediate call for an ambulance and hospitalization. It is important to exclude bleeding from an ulcer, perforation of the stomach, acute poisoning and other life-threatening conditions.
If you have been suffering from esophagitis, gastritis or peptic ulcer, duodenitis for a long time, then stomach pains are familiar to you. They usually occur after certain foods (sour, spicy, or sweet foods), heartburn, overeating, stress, or smoking. In this case, the cause may be muscle spasm, irritation of the mucous membrane of the esophagus or stomach, inflammation, circulatory disorders (ischemia). After a complete examination and diagnosis, the doctor may prescribe pills for stomach pain. They will need to be taken either constantly, in courses or as needed, against the background of exacerbation or the onset of pain.
Top 10 best pills for stomach pain
Our rating is an overview and does not serve as a guide to action. Before taking this or that drug for stomach pain, you need to consult a doctor and find out its cause. Only a specialist can choose a treatment regimen, based on the results of the examination – consult your doctor before buying drugs.
Vikair
Vikair is available in the form of pink or mauve tablets with dark patches. It contains several active substances at once: bismuth nitrate, powder of calamus rhizomes and buckthorn bark, which have an astringent, laxative and antispasmodic effect. These components form a protective film on the gastric mucosa, providing anti-inflammatory and bactericidal action, reduce the acidity of gastric juice.
Vikair is prescribed for peptic ulcer of the stomach and duodenum, as well as for hyperacid gastritis. In the instructions, the manufacturer notes that during the treatment period, feces may turn black.
Contraindications : hypersensitivity to components, hypoacid gastritis, renal failure, age under 18, pregnancy, lactation.
Drotaverine
Drotaverine is available in the form of small round yellow tablets and contains the active ingredient of the same name. Drotaverine helps relieve spasms of the smooth muscles of the gastrointestinal tract, biliary tract and genitourinary system of both neurogenic and muscular origin, relieving pain in the abdomen, including in the stomach.
The instructions indicate that the drug can be used both for a single dose to relieve pain, and in the complex therapy of chronic diseases – cholecystitis, cholangitis, nephrolithiasis, cystitis, etc.
Usually the drug is well tolerated, but sometimes it can cause adverse reactions, such as headache, nausea, constipation or urticaria.
Contraindications : hypersensitivity to drotaverine, severe hepatic or renal insufficiency, lactation period, children’s age. Use during pregnancy is possible only after consulting a doctor.
Duspatalin
Duspatalin is available as white, round, enteric-coated tablets. It contains mebeverine, which belongs to the group of myotropic antispasmodics. By relaxing the smooth muscles of the gastrointestinal tract, the drug relieves abdominal pain, while not affecting the normal intestinal motility. Duspatalin is prescribed as a symptomatic treatment for pain, spasms, dysfunction and discomfort in the stomach and intestines.
In the instructions, the manufacturer indicates that the duration of the drug is not limited, however, before taking Duspatalin, you should consult your doctor. You should also consult a doctor if the condition worsens or does not improve after 2 weeks of use.
Contraindications : hypersensitivity to the components of the drug, intestinal obstruction, pregnancy, breastfeeding, age up to 18 years.
Gastrofarm
Gastrofarm is a round beige-brown tablets with a “marble” pattern. It contains dried live lactobacilli, proteins and lactic acid, which have a beneficial effect on the gastrointestinal mucosa: relieve pain and start healing processes. Also, the tool has an antacid effect, that is, it helps to neutralize the increased acidity of gastric juice.
Gastrofarm is taken for acute and chronic gastritis, accompanied by increased acidity of gastric juice, peptic ulcer of the stomach and duodenum.
Contraindications : hypersensitivity to the components of the drug, children under 3 years of age.
Gastal
Gastal is available in the form of round white lozenges for resorption with mint, orange or cherry flavor and belongs to the group of antacids. It contains a combination of aluminum hydroxide, magnesium carbonate and magnesium hydroxide. These substances help reduce the acidity of gastric juice and its damaging effect on the gastrointestinal mucosa, while not affecting intestinal motility.
Gastal helps relieve pain and discomfort in the stomach, fights sour belching and heartburn. The main indications for its use: gastritis, heartburn, dyspepsia, reflux esophagitis, as well as peptic ulcer of the stomach and duodenum.
Contraindications : hypersensitivity to the components, severe renal failure, Alzheimer’s disease, lactose intolerance, lactase deficiency or glucose-galactose malabsorption, children under 6 years of age. Before use during pregnancy and lactation, you should consult your doctor.
Trimedat
The drug Trimedat also belongs to antispasmodics and is available in the form of round white tablets, as well as powder for suspension. It contains the active ingredient trimebutine maleate, which relaxes the smooth muscles of the gastrointestinal tract, helping to relieve pain, cramps and discomfort in the abdomen, fights bloating and indigestion. Most often, Trimedat is prescribed for symptomatic therapy for cholelithiasis, irritable bowel syndrome, gastroesophageal reflux disease, etc.
Contraindications : hypersensitivity, pregnancy, lactase deficiency, lactose intolerance, glucose-galactose malabsorption, children under 3 years of age. Use during lactation is possible only after consulting a specialist.
Neobutin
Neobutin is available in the form of white round flat tablets, as well as granules for suspension. The active substance of the drug – trimebutine – helps relieve spasms and restore peristalsis of the gastrointestinal tract. Neobutin normalizes the functioning of the intestinal musculature in diseases of the gastrointestinal tract associated with motor disorders, and also has an analgesic effect.
Neobutin is indicated for the symptomatic treatment of pain, cramps and discomfort in the abdomen, bloating, and intestinal motility disorders. The instructions indicate that in rare cases, the drug can cause dry mouth, nausea, dizziness and headache.
Contraindications : children under 3 years of age, pregnancy, lactose intolerance or deficiency, hypersensitivity to components
Maalox
Maalox is available as an oral suspension in lemon and blackcurrant flavors, as well as mint flavored chewable tablets. The drug contains magnesium hydroxide and algeldrate, which neutralize the free hydrochloric acid of gastric juice. Maalox also has an enveloping effect, protecting the mucous membrane of the esophagus and stomach from damaging factors, helps relieve stomach pain and heartburn.
Maalox is indicated for peptic ulcer of the stomach and duodenum in the acute phase, acute and chronic gastroduodenitis. It can be used for abdominal pain, heartburn and belching due to dietary errors or certain medications. The manufacturer in the instructions advises to observe a 2-hour interval between the use of Maalox and other drugs, since it can affect their absorption.
Contraindications : hypersensitivity, severe renal failure, hypophosphatemia, fructose intolerance, age up to 15 years.
Buscopan
Buscopan is available in the form of rectal suppositories and white round coated tablets and belongs to the group of m-anticholinergics. Buscopan has a local antispasmodic effect on the smooth muscles of the gastrointestinal tract, biliary and urinary tract. As indicated in the instructions for the drug, the effect can occur within 15 minutes.
Buscopan is indicated for renal, intestinal, biliary colic, cholecystitis, as part of complex therapy for gastric and duodenal ulcers in the acute phase. The drug should not be used for more than 3 days in a row without consulting a doctor.
If the pain continues or worsens while taking the medicine, fever, nausea, vomiting, lowering blood pressure, blood in the stool, you should immediately seek medical advice.
Contraindications : hypersensitivity, myasthenia gravis, intestinal obstruction, pregnancy and lactation, mechanical stenosis of the gastrointestinal tract, angle-closure glaucoma, megacolon, fructose intolerance, children under 6 years of age.
No-shpa
No-shpa is a small round yellow or yellow-green tablets. The drug contains the antispasmodic drotaverine, which has a relaxing effect on the smooth muscles of the gastrointestinal tract, biliary tract and genitourinary system, and helps improve blood circulation to tissues. Due to this, No-shpa helps to relieve pain and cramps in the abdomen in various diseases of the gastrointestinal tract and the genitourinary system.
Sometimes the drug can cause dizziness and a decrease in blood pressure – this should be taken into account by those who drive a car.
Contraindications : hypersensitivity, severe liver or kidney failure, heart failure, children under 6 years of age, lactation, hereditary lactose intolerance, lactase deficiency, glucose-galactose malabsorption syndrome. The use of No-shpa during pregnancy requires specialist advice.
How to choose pills for stomach pain
Drugs are selected depending on the type of pain, its cause and the mechanism of action of the drug, as well as the patient’s age and existing concomitant diseases. It is important that the pills for stomach pain are prescribed by a doctor, only a specialist can take into account all the nuances. He can choose drugs from the following groups:
Antispasmodics. They help with spasm of smooth muscles and pain due to gastric ischemia (impaired circulation in small vessels). Usually, the pain due to spasm is dull, constant, or stabbing, which intensifies and then recedes depending on the position of the body or exposure to heat. Drugs can have a myotropic effect, that is, they directly affect the muscle fibers themselves, or neurotropic – they inhibit the transmission of impulses from nerve endings, which causes the muscles to relax. The drugs work especially well in the area of the upper part of the digestive tube – the esophagus, stomach and the initial section of the small intestine. The undoubted advantage is the fact that they do not mask the main reason why the pain occurs, and do not interfere with the diagnosis that the doctor conducts.
Analgesics. These drugs suppress pain in the brain coming from tissues and organs. They can help with both severe and mild to moderate pain, but do not eliminate its very cause, plus, they often interfere with the diagnosis by suppressing pain. They should be used only in extreme cases, and when the diagnosis is already known, no emergency interventions are required.
proton pump inhibitors. These are drugs that inhibit the synthesis of acid in the stomach, thereby reducing its irritating effect on the mucous membrane. They are indicated for gastritis and ulcers, especially when there is an exacerbation.
Antacids. They neutralize excess acid in the stomach, helping to manage heartburn and stomach pain. Enveloping the walls of the stomach, they help the mucosa to calm down, relieve its irritation.
Enveloping and astringent agents. They help in relieving pain associated with irritation and inflammation of the stomach wall due to excess acid. Forming a protective film covering the mucosa, they prevent the contents of the stomach from contacting the cells and irritating them.
Enzymes These drugs have practically no effect on the stomach itself, but they help to digest food as soon as possible, eliminating it from the stomach and thereby reducing the severity and discomfort, pain when overeating.
Motility stimulants. They are indicated for stagnation of the contents in the stomach and sluggish peristalsis. Due to their action, the stomach is emptied faster, and food does not irritate its walls.
Combination products usually contain several different components that have a complementary effect.
It is impossible to unambiguously name the best pills for stomach pain, depending on the different causes and diagnosis, the doctor will select his own drugs for each patient, and sometimes a combination of them.
Popular questions and answers
We asked questions about the causes of stomach pain and its elimination gastroenterologist, therapist Vera Samsonova.
Why can the stomach hurt?
● gastric ulcer, especially in the acute stage;
● infectious lesions of the walls of the stomach (microbial or viral pathology);
● functional disorders (so-called indigestion);
● mucosal erosions while taking certain medications;
food allergies;
● poisoning with various substances;
● stress and depression;
● polyposis and cancer of the stomach.
Sometimes pain in the stomach can occur due to other diseases and disorders. These include:
● damage to the heart and large vessels (sometimes myocardial infarction simulates a stomach ulcer);
● acute attack of pancreatitis;
● atypical clinic of appendicitis;
● damage to the diaphragm, hernia;
● inflammatory processes of the small and large intestine.
Only a doctor can determine the true cause of pain.
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