Browse Guides  internal medicine  gastroenterology

Upper gastrointestinal bleed

Prevalence
Causes
Clinical features
Investigations
Therapy
Prevention
Prognosis
Therapy

Ulcers

Give antacids a

Why?

  • Antacids help relieve symptoms and improve ulcer healing. a
  • Acid suppression reduces rebleeding and the need for surgery. a

Antacids helps ulcer healing and discomfort

Patient a Treatment Comparison Outcome CER RRR
(95% CI)
NNT
(95% CI)
active peptic ulcers, no H2 or proton pump antagonists  calcium carbonate placebo relief of discomfort
at 4 weeks
71% 29%
(1% to 65%)
5
(3 to 50)
      healing ulcer
at 4 weeks
68% 35%
(4% to 76%)
4
(2 to 21)

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   A   Townsend , CM   Ball
Reviewer   L   Friedman
CAT Writers   A   Townsend , CM   Ball , CJ   Wotton