Misonil 200 MCG Tablet is used for preventing stomach ulcers while you are under the medication of certain NSAID drugs; especially if you are at a greater risk or have a family medical history of ulcers. It can also help to decrease your risk of ulcer complications such as bleeding. The medication works by protecting the lining of the stomach, by lowering the acid amount that comes in contact with it. Misonil 200 MCG Tablet can also be combined with mifepristone, to be used for abortion. It is available in tablet form, to be taken orally.
Before being prescribed to Misonil 200 MCG Tablet, inform your doctor if you have conditions like a heart disease, kidney disease, ulcerative colitis, Crohn’s disease (inflammatory bowel disease), pregnant or trying to be pregnant, a breast-feeding mother or any allergies to medicines or food. You can take the medication with food. Make sure that you follow your doctor’s prescribed dose and do not stop taking it abruptly. In case you miss a dose, you can take it when you remember it but do not take two doses in a single time. If using it on children, ensure to talk to the paediatrician first as special care may be required.
The possible mild side effects of Misonil 200 MCG Tablet are dizziness, headache, mild diarrhea, nausea, stomach upset, cramps and irregularity in the menstrual cycle. These symptoms generally go away in a few days but you may seek your doctor’s opinion if it bothers you. However, if you suffer from symptoms such as chest pain, fainting spells, shortness of breath, severe diarrhea, an allergic reaction, unusual bleeding from the vagina or pelvic pain, seek medical supervision on an immediate basis.
You must avoid smoking or drinking while you are prescribed to Misonil 200 MCG Tablet. They can possibly cause more irritation in the stomach, making it susceptible to more damage. Also, do not have the medicine if you are pregnant or plan for pregnancy while while taking this medication.
Information given here is based on the salt and content of the medicine. Effect and uses of medicine may vary from person to person. It is advicable to consult a Obstetrician before using this medicine.
There are two methods by which abortion can be done:
Surgical or Medical Abortion for Unwanted Pregnancy
Surgical abortion is preferred if patient desires concurrent tubal ligation or IUCD (CuT) insertion. If a woman fulfills the criteria for selecting either method i.e. before 7 weeks, final choice has to be given to the woman.
Summary of choice between Surgical or Medical abortion in India
Advantages of Medical Abortion
Disadvantages of medical abortion
Advantages of Surgical Abortion
Disadvantages of surgical abortion
Related Tip: Why eating fish is essential for a healthy pregnancy??
Once the reality of the positive pregnancy test sets in, dreaming about the yet-to-arrive begins. Curiosity about gender, options for names, ways to manage, shopping ideas, etc., begin to get discussed. And then totally out of the blue the news comes that there is a miscarriage. This is one of the most depressing phases. It is very important for the family to be around and support each other. While the entire family is upset and hurt over the news, the mother needs most care as there is just not emotional but a huge physical component also to the episode. On the other hand, remember that miscarriages are extremely common, and is no indication of a fertility issue.
The first step would be to diagnose and confirm the miscarriage. After that, depending on whether it was complete or incomplete, some medical intervention might be required. In most cases, medications like misoprostol are given to expel the uterine contents. These help by clearing out the contents in about a couple of days' time. In some cases, a D and C might be required if your doctor suspects that medication will not suffice. This also helps identify if there is any issue in the uterus that could have caused the miscarriage.
While the above takes care of the physical part, the emotional component also requires cautious management. Needless to say, this is trickier than the earlier one.
As much as it is painful and traumatic, it is not very uncommon or unnatural. Get back on your feet, the sooner you do, the better.
Peptic Ulcer Definition:
When the lining of the lower oesophagus, small intestine, or stomach develops open pores it is called peptic ulcer. It usually forms due to inflammation caused by erosion of stomach acids. It differs from erosion due to its deeper extension into the lining and stimulates the inflammatory reaction more from the tissues involved. There are several symptoms that you may observe, such as:
- pain in the upper abdomen, which will give you dull, sharp or hunger-like feeling
- heartburn, or acid reflux
- feeling discomfort
It is a fairly common health problem but can lead to internal bleeding if left untreated. This may sometimes bring to the situation that will require blood transfusions in the hospital. The formation of peptic ulcer is related to H. pylori bacteria in the stomach and NSAIDs (nonsteroidal anti-inflammatory medications) in about 50 per cent of patients. The remaining number of patients suffers from the disease due to numerous causes like severe physiological stress, drugs, genetic factors, smoking, but many times the cause remains unknown. A peptic ulcer is a type of recurrent disease, which means it can recur even after being healed unless it is treated to prevent recurrence. The pain of ulcer may not show a relation with the presence or severity of ulceration. The condition is diagnosed by endoscopy or upper GI series. It is treated to relieve the patient from pain, heal the condition and prevent complications. There are three forms of peptic ulcer:
- oesophagal ulcer: develops inside the oesophagus
- gastric ulcer: develops on the stomach lining
- duodenal ulcer: develops in the upper section of small intestines
Peptic Ulcer Symptoms:
The symptoms of peptic ulcer vary according to its types. People suffering from ulcers experience abdominal discomfort and minimal indigestion that occurs after having meals, or no discomfort at all. Many people complain of hunger pain or upper abdominal burning which extends to the chest from naval, ranging from mild to severe. The pain occurs after one to three hours of having the meal, or in some cases may wake you up at night. The symptoms often get relived from the food or antacids that defuse the stomach acid. The ulcer disease pain poorly correlates with the severity or presence of active ulceration. While some people experience persistent pin even after the complete healing of ulcer by medication, others have no pain at all. The disease often comes and go naturally and unexpectedly without letting the person know that it is present unless a serious issue occurs like perforation or bleeding. It is to be noted that poor appetite, nausea and vomiting are uncommon symptoms of peptic ulcers, and burping and bloating are not peptic ulcer symptoms.
Causes of Peptic Ulcer:
Earlier it was believed that excess of acid is the main cause of ulcer disease. According to that, the treatment was emphasized on neutralizing and inhibiting the stomach acid secretion. While acid is still considered important for the ulcer formation and its primary treatment is still suppression, the two most crucial initiating causes of the disease are the chronic use of nonsteroidal anti-inflammatory medications (NSAIDs) that includes aspirin, and infection in the stomach due to a bacterium called Helicobacter pylori (H. pylori). Smoking cigarette is also the main reason for the cause of ulcers as well as failure in the healing of the disease. A very common infection is H. pylori which have affected more than a billion people worldwide.
Usually, the infection persists for many years, resulting in ulcer disease in 10 per cent to 15 per cent of those infected. More than 80 per cent of patients with duodenal and gastric ulcers have been found with H. pylori in the past. As the appreciation, diagnosis and treatment of this infection are increasing, the occurrence of infection with H. pylori and the proportion of ulcers caused due to bacterium has decreased. According to an estimation presently only 20 per cent of ulcers are accompanying the bacterium. The mechanism which helps H. pylori to cause ulcers is complex. But the bacterium can be eliminated by antibiotics which have clearly shown healing of the disease and prevention from recurrence.
Medications like NSAIDs cause ulcers by meddling with the production of stomach prostaglandins. These medications are used for treating painful inflammatory conditions, such as arthritis, in the body. Some examples of this category of medications are aspirin, naproxen, etodolac and ibuprofen. The linings of the stomach, duodenum and oesophagus are resisted from damage by the acidic digestive juices of the stomach with the help of prostaglandins, a substance produced by the body.
When a person smokes cigarette it not only causes the disease but also increases the risk of complications from it, such as obstruction, perforation and bleeding. It is also a leading cause of failure of the treatment for ulcers.
How is it diagnosed?
If the doctor suspects that you might have a peptic ulcer then he will initiate your diagnosis with a physical examination and some tests to know the causes of peptic ulcer.
- He will check your belly and ask if you have had feelings of bloating, pain or tenderness. With the help of his stethoscope, he will listen to any sounds that your stomach might be making.
- You will be then asked to get some tests done to look for the symptoms of H. pylori bacteria. The doctor will take samples of your blood, stool, or breath for these.
- In cases of old age and symptoms that include loss of appetite or weight loss, your doctor may use a long, flexible tube to look down your throat and into your stomach for symptoms of an ulcer. This device is called an endoscope, which can also collect a small sample of tissue from an ulcer for testing in a laboratory.
Prevention from Peptic Ulcer:
If you are worried about acquiring the disease then you must know what is the preventive measure for peptic ulcers. You need to be careful while taking painkillers. People, who are suffering from arthritis or other conditions that cause chronic pain, take NSAIDs for weeks or even months to ease their swelling and pain. Medications like these have the probability to affect the mucus which protects your stomach against acid. It makes you more likely to acquire peptic ulcers. your chances of having the disease increases if you are above 65 years of age, take more than one NSAID, infected with H. pylori bacteria, take selective serotonin reuptake inhibitor (SSRI) and have had the disease in the past. To lower the chances while taking NSAIDs you need to:
- Lower the dose in order to control your symptoms
- Stop its consumption as soon as it is no longer needed
- It is recommended to take the medicine with food
- Do not have alcohol while taking these medicines
You can take medicine while you are on NSAIDs to reduce the amount of acid that your stomach produces. Such types of drugs include proton pump inhibitors (PPIs) such as pantoprazole (Protonix), esomeprazole (Nexium) and omeprazole (Prilosec OTC), and H2 blockers like ranitidine (Zantac) and famotidine (Pepcid). Drugs like misoprostol (Cytotec) can also be taken so as to boost the protective mucus amount that your stomach produces.
Treatment of Peptic Ulcer:
The treatment depends on the signs of a peptic ulcer and its causes. Your doctor will prescribe medications if the tests show that you have H. pylori infection. The medications are required to be taken for up to two weeks. These include PPIs that help to reduce acid in stomach and antibiotics that will assist in killing infections. There is the probability of experiencing minor side effects from antibiotic regimens such as diarrhoea or a stomach disorder. You need to talk to your doctor if these side effects do not get better over time or cause significant discomfort. In the case of H. pylori infection, your doctor may suggest PPI, like Prevacid or Prilosec, for eight weeks so as to lower the stomach acid and help to heal your disease. The stomach acid and ulcer pain can also be reduced with acid blockers like famotidine (Pepcid) and ranitidine (Zantac). To coat your stomach in order to reduce the signs of peptic ulcers your doctor may also prescribe sucralfate (Carafate).
Patients suffering from peptic ulcers usually function quite comfortably. Though it recurs, if taken prevention from beforehand the ulcers probably heal completely even without medications. This is why ulcer complications are related to major problems resulting from the disease. Patients complaining about bleeding ulcers may experience weakness, melena (passage of black tarry stools), vomiting blood (hematemesis) and a sense of light-headedness. The disease, if left untreated can worsen over time. It can lead to various health complications, such as:
- Internal bleeding: Patients with bleeding ulcers can lead to significant loss of blood and will require an immediate blood transfusion. The site of bleeding is established by performing endoscopy so that active ulcer bleeding can be stopped with the help of specialized endoscopic instruments. The symptoms of a bleeding ulcer consist of dizziness, black stool and light-headedness.
- Perforation: The lining of the small intestine or stomach acquires a hole that causes an infection. A sign of a perforated ulcer can be understood when you experience sudden and severe abdominal pain.
- Scar tissue: After an injury, a thick tissue develops known as scar tissue. It makes the passage of food difficult through your digestive tract. Some common signs of scar tissue are vomiting and loss of weight. When such complications occur it requires surgery for the treatment.
With so many myths surrounding the peptic ulcer, it is important for you to know about the nature of the disease so that you receive proper treatment instead of believing various theories that don’t even have any scientific backing. Below given are some of the common facts related to the myths of peptic ulcers that will help to take the right decisions regarding your health.
- Spicy food is the main reason for causing ulcers. The fact is it has not yet been proved that spicy foods could lead to peptic ulcers. But consuming an extremely spicy diet on having ulcers in your stomach can lead to aggravation of the existing condition.
- Peptic ulcers cannot be treated. This is not true. When the disease is diagnosed at an early stage it can be treated and completely healed. Depending on the causes the doctor performs the treatment. It is important to continue with the course of medication till its completion even if you feel better. Having a balanced diet that has a lower amount of spice helps to prevent the pain related to an ulcer. Avoiding alcohol, positive change in lifestyle with proper medications are enough to avert recurrence of ulcers.
- A peptic ulcer is triggered by stress. The fact is, stress is not responsible for causing the formation of an ulcer. In most of the cases, the disease is caused due to a bacterium called H. pylori. If a patient is diagnosed with no presence of bacterial infection then the cause for the disease could be regular and excessive consumption of non-steroidal anti-inflammatory drugs, such as aspirin, ibuprofen, etc. The ulcer can only be aggravated by stress by stimulating stress hormones but does not cause the formation of ulcers.
Although peptic ulcers can be healed completely, it can recur if no changes are brought into a lifestyle. Some patients get relief from gastric obstruction when the contents of the stomach are suck out with a tube for 72 hours. But patients with persistent obstruction will need surgery. You must maintain a healthy lifestyle by quitting to smoke cigarettes and use of other tobacco products. Avoid drinking alcohol and start eating a balanced diet like fruits, vegetables and whole grains as these will prevent you from developing a pelvic ulcer. Don’t ignore the situations like a pain in the upper abdomen and heartburn, and seek a doctor’s advice for proper treatment.
1. Low in fat with no cholesterol
2. Contains essential heart friendly omega-3 fats
3. An excellent source of fiber
4. Is a good source of enriched calcium and vitamin b12
5. Is a complete protein, containing all the amino acids essential to human nutrition
7. Rich in probiotics in the form of fermented soy products, such as miso, tempeh, and soy yogurt
9. Whole soy foods such as tofu and tempeh form a nutrient rich alternative to meat.