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MEDICAL MYTHS
(never blindly believe everything you read or everything you hear ... even in what is noted in this blog)
4 º MYTH: IN TIME TO TAKE OR ANTIULCER ANTIGASTRÍTICOS
Here we will have to give a brief description of the operation elemental stomach.
We said that the stomach is the second portion of the 'digestive tracts. " That is after the esophagus and is the widest of all tube. That he performs an important function namely, the food we eat is mixed there, for different periods depending on the quality of them, with a highly acidic humor to the same stomach makes, and that is called gastric juice. " With all that, after the time variable, it forms a slurry called chyme, which later passes more or less speed, according to which the chyme fat you have, the small intestine for absorption (digestion). That
as acid humor made him special cells that are in almost the entire inner surface of the stomach. But everything is so well thought out, that potent acid that does not attack the very wall that develops, the same wall produces a mucus lining that completely and that is resistant to the powerful corrosive agent. If the protective mucus is altered in some way (in quality or quantity), gastric juice attacks his own "factory" so that occur from small to large swells (that is gastritis), or directly destruction of the elements that form the wall (these are the ulcers), which is involved a bacterium called Helicobacter Pylori, which, according to recent studies and evidence, is the producer of them. Such bacteria must be destroyed with antibiotics and a strong decrease in gastric acidity (if thirty years ago someone had predicted that sometime gastric ulcers would be "cured with antibiotics," had gone to a psychiatric institute.)
has always known the pain or "heartburn" (burning, acid-derived word Piro = fire-), is fought by eating any food, especially dairy products, which absorb much of gastric deljugo
- especially dairy products, that being "alkaline (the opposite of acid) inhibit the
more quickly, the problem is alleviated.
For many decades, pharmacologists have studied substances to avoid these symptoms (or that were already removed when installed.)
They discovered that the calcium or magnesium hydroxide, prepared in convenient pill form could be carried in pockets or purses, rapidly inhibited the action of such corrosive acid. Later they added aluminum hydroxide, which is unique in almost replace the "protective mucus." (Formerly used baking soda, which, being alkaline nullified the action of acid gastric juice. But after it was discovered that the stomach obstinately tried to keep the acid when the bicarbonate inhibited, and compensated redoubling acid production, it outlawed. The same is happening now with the milk, which also be alkaline, though much less than soda, and produces the same reaction gastric him).
the late seventies, there is a revolution: a drug appears, the simetidina , which decreases the production of hydrochloric acid (the main component of "gastric juice"). A few years later, trying to eliminate the side effects of the drug, ranitidine establishing (still used). At the end of the eighties came to light so-called "pump inhibitors protons ", chemical products, acting molecularly prevent the correct formation of hydrochloric acid. The first was the omeprazole, followed by other "Prazoles" , all members of the same pharmaceutical family, trying to diminish, more and more side effects (as does the science of pharmacology).
Laboratories submitted to us, and we began to prescribe them. And it is here comes the reason for this talk: How to prescribe?
When each visitor received a doctor who introduced me to his "new and wonderful prazol, they listened to the patient debía consumirlos a la mañana y en ayunas.
-¡¿Cómo en ayunas y a la mañana, están locos?!- les protestaba (Si habré discutido con ellos…).
Paso a explicarle el porqué de mi acalorada cuestión.
Supongamos que un padeciente de gastritis toma, por ejemplo, un comprimido de pantoprazol de 20 miligramos (es la dosis usual) a las siete de la mañana (es la hora en la que uno suele estar en ayunas). El organismo, lentamente, lo va metabolizando y eliminando, de tal suerte que cuando llegan las 23:00 hs. y se va a dormir, en su cuerpo no quedan más que 5 o 6 miligramos.
La comida, cualquiera, produce un efecto antiácido al absorber gran parte This gastric juice to begin the first major step of digestion, as discussed above. Obviously the antacid effect is more or less long according to the quality of food or drink is consumed. That I know well who have or have had gastritis or ulcers, when they start the annoying symptoms (pain, burning ...), a snack or a drink of something are "miracle cure" for a while (the symptoms go away instantly).
Then at night, while we are sleeping, our stomach is empty for seven or eight hours, during that time there is nothing to mitigate the corrosive action of gastric juice so. Pantoprazole has that action, but at that time there is so little circulating in our economy, which, practically, the effect of any cause is negligible.
For all this: THE PRAZOLES BE TAKEN A WHILE BEFORE GOING TO SLEEP.
If anyone reading this is taking, or know someone who uses these drugs, rather than in the morning Take them before going to bed. In three or four days notice the huge difference in treatment outcome. Thirty
first delivery: "DA HYPERTENSION SYMPTOMS? WHAT?"
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