How is your treatment working?

For most acid-related conditions, medical treatment is highly effective.You can usually expect rapid relief of symptoms.

If you have damaged the lining of your gullet (oesophagus), stomach or duodenum, this should be on the way to healing within the first few months.Your doctor has probably discussed what you can expect from treatment in your particular case. It is important to tell your doctor if your condition does not improve or if you have any unexpected or troublesome side-effects from your treatment.

Fortunately, the drugs used to treat problems in the upper part of the digestive system are generally effective and well tolerated. However, you may have to continue to take your medicine even if you feel much better. If you have had heartburn or an ulcer, there is a risk that your condition will return if gastric acid attacks the area again. For this reason, you may already be taking a “maintenance” course of treatment. It is important to stick to your maintenance course. If you stop, the gastric acid will no longer be suppressed and it may cause further damage, even if you do not feel any symptoms immediately.

If you have been given a course consisting of antibiotics and an acid-suppressing drug to eradicate H. pylori, the bacterium usually associated with ulcers, you must take the whole course. It is likely that you will feel less pain from the injured site within a few days. However, you must continue to take all the antibiotics and acid-suppressing drug, as some bacteria may still be alive and these survivors may be more difficult to eradicate in the future if they are allowed to live to fight another day.

Nobody knows better than you whether your condition is improving or getting worse.

However you may find it useful to keep a record of your symptoms, what they were like and what you were doing when they occurred. If you have the same sort of symptoms but they become less severe and less frequent, that is a good sign that you are on the mend. Your doctor will probably want to see you if your symptoms do not improve or if you experience new symptoms or a different kind of pain. If you have any of the symptoms listed on this page you should seek medical advice straight away.

Other symptoms:

  • Unintentional weight loss of more than 3 kg (about half-a-stone)
  • Significant loss of appetite
  • Persistent vomiting or vomiting with blood
  • Worsening symptoms, especially if you have a previous history of a stomach ulcer or stomach operation
  • Black, sticky, tar-like stools
  • Food sticking in your throat
  • Pain on swallowing

You should seek medical advice straight away if you have any of these symptoms.