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Overview

Raciper Plus 75Mg/40Mg Capsule

Manufacturer: Sun Pharmaceutical Industries Ltd
Medicine composition: Levosulpiride, Esomeprazole
Prescription vs.OTC: Prescription by Doctor required

Raciper Plus 75Mg/40Mg Capsule falls under a class of medication known as antipsychotic (also familiar as neuroleptics or tranquilizers) medicines. It is mainly used for mental disorders such as hallucinations, schizophrenia, bipolar disorder, anxiety disorder, vertigo and irritable bowel syndrome. Recently it has also come to be used in the treatment of premature ejaculation as it is believed to be a cause of both psychological as well as organic shortcomings.

On using Raciper Plus 75Mg/40Mg Capsule the associated side effects that you may suffer from are lightheadedness, insomnia, irregular menstrual periods, fatigue, abdominal pain, drowsiness, lowered sexual desire, rapid or irregular heartbeat. In certain severe cases you may experience fever, uncontrollable sweating, gynecomastia (a disorder of the endocrine system where there is an enlargement of the male breast size). In the latter case it will be necessary for you to seek medical attention. Before using this medication it is advised that you consult your doctor and tell him/her if you:

  • Are pregnant, or are planning to become pregnant.
  • Are nursing a baby. In case of absolute necessity of using Raciper Plus 75Mg/40Mg Capsule, it is advised that breastfeeding be stopped.
  • Are taking any prescriptive or over the counter drugs, herbals medications or dietary supplements.
  • Had a recent surgery or are scheduled for one in the near future.
  • Have pheochromocytoma or gastrointestinal perforation.
  • Have a history of cancer-related disease.
  • Have a history of epilepsy or any other kind of seizures.
  • Are allergic to any medicine, food or substance.

The dosage of Raciper Plus 75Mg/40Mg Capsule will be as prescribed by your doctor as per the severity of your condition, your age, gender and overall medical history. But commonly a dose of 25 mg of Raciper Plus 75Mg/40Mg Capsule is prescribed which needs to be taken three times in a day. Results may start to show within an hour or two of using. In case of drug overdose notify your physician right away.

Gastroesophagal Reflux Disease
This medicine is used for the treatment of gastroesophagal reflux disease marked by increased irritation of the stomach caused by bile and acid.
This medicine is used for the treatment of irritable bowel syndrome marked by persistent stomach pain, flatulence, diarrhea, or constipation.
This medicine is not recommended for use if you have a known history of allergy to Raciper Plus 75Mg/40Mg Capsule or any other component present with it.
This medicine is not recommended for use if you suffer from epilepsy or have a history of convulsions.
This medicine is not recommended for use in patients suffering from bipolar disorder marked by frequent episodes of anxiety, agitation, depression, hallucinations etc.
This medicine is not recommended for use in patients having a tumor of the adrenal glands that causes a life threatening rise in blood pressure.
Gastrointestinal perforation
This medicine is not recommended for use if you have a condition where the food pipe and the gut is bleeding, obstructed, and perforated.
This medicine is not recommended for use if you have been diagnosed with breast cancer (malignant mastopathy).
In addition to its intended effect, Raciper Plus 75Mg/40Mg Capsule may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Drowsiness Moderate Common
Breast tenderness Moderate Common
Irregular menstrual periods Moderate Common
Gynacomastia Major Common
Cosntipation Moderate Less Common
Abdominal pain and cramps Moderate Less Common
Weight gain Moderate Less Common
Sleeplessness Minor Common
Unusual tiredness and weakness Moderate Common
Increased salivation Moderate Rare
Decrease in libido Minor Less Common
Fever Major Less Common
Excessive sweating Major Less Common
Change in heart rate Moderate Common
How long is the duration of effect?
The effect of this medicine lasts for an average duration of 5-8 hours upon oral administration.
What is the onset of action?
The effect of this medicine can be observed within 1-2 hours of oral administration.
Are there any pregnancy warnings?
Use of this medicine during pregnancy is not recommended unless absolutely necessary. It is advised to use this medicine only when the benefits outweigh the risks involved.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
Use of this medicine by breastfeeding women is not recommended. However, if it is absolutely necessary to use this medicine, then breastfeeding should be discontinued. Consult your doctor before using this medicine.
Below is the list of medicines, which have the same composition, strength and form as Raciper Plus 75Mg/40Mg Capsule, and hence can be used as its substitute.
Zydus Cadila
Vasu Organics Pvt Ltd
Macleods Pharmaceuticals Pvt Ltd
Signova Pharma Pvt Ltd
La Renon Healthcare Pvt Ltd
Emcure Pharmaceuticals Ltd
Edura Pharmaceuticals Pvt Ltd
Unichem Laboratories Ltd
Blue Cross Laboratories Ltd
Mankind Pharma Ltd
Missed Dose instructions
Take the missed dose as soon as you remember. If it is almost time for the next scheduled dose, then the missed dose can be skipped.
Overdose instructions
Contact a doctor if an overdose with Raciper Plus 75Mg/40Mg Capsule is suspected. Symptoms of an overdose may include excessive drowsiness, fall in blood pressure, agitation, coma etc.
India
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Heart Disease Moderate
This medicine should be used with caution in patients suffering from a disease of the heart and blood vessels. You may require an adjusted dose and safety monitoring to safely use this medicine.
Gastro-intestinal bleeding Major
This medicine should be used with extreme caution in patients suffering from perforation and bleeding of the stomach and the intestine. Report any instance of fever with chills, nausea, vomiting, presence of blood in stool to the doctor.
Prolactin imbalance Major
This medicine should not be used in patients having an abnormal level of the hormone prolactin. Breast cancer due to a high level of prolactin should be ruled out before treatment with this medicine is initiated.
Neuroleptic Malignant Syndrome (NMS) Major
Use of this medicine is not recommended if the patient suffers from Neuroleptic malignant syndrome. Introduction or reintroduction of this medicine should be done with caution in patients having a known history of this syndrome.
Asthma Moderate
This medicine should be used with caution if you have asthma. Report any instances of difficulty in breathing, wheezing, chest pain etc to the doctor immediately.
Interaction with Alcohol
Ethanol Moderate
Avoid or limit the uptake of alcohol while taking this medicine as the risk of adverse effects are increasingly high. Contact your doctor if an excess of drowsiness is experienced.
Interaction with Lab Test
Prolactin test Moderate
Report the use of this medicine before undergoing a laboratory test to determine the levels of the hormone prolactin in the body. This medicine can interfere with the test and yield false positive results.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Diltiazem Moderate
Report the use of diltiazem or any other medicine taking for managing high blood pressure to the doctor. These medicines should be used with caution as the risk of adverse effects are increasingly high. Your doctor may determine the best course of treatment after assessing the conditions.
Pregabalin Moderate
Report the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent monitoring while using these medicines together. Do not stop the use of any medicine without consulting your doctor.
Sucralfate Moderate
Report the use of either of the medicine to the doctor. You may require a dose adjustment and frequent clinical monitoring while using these medicines together. Do not stop the use of any medicine without consulting your doctor.
Tramadol Major
Report the use of any narcotic pain-killer medicine to the doctor. These medicines should be used with extreme caution as the risk of adverse effects are significantly high. Your doctor may decide the best course of treatment after assessing the conditions.
Aluminium Hydroxide/Magnesium Hydroxide Moderate
Report the use of any aluminum or magnesium containing antacids to the doctor before receiving this medicine. You may need a dose adjustment and frequent clinical monitoring to safely use these medicines together.
Ipratropium Moderate
Report the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent monitoring while using these medicines together. Do not stop the use of any medicine without consulting your doctor.

Popular Questions & Answers

I am 40 years old with apparently no disease. I have allergic cough but the doctor diagnosed it as GERD and I took raciper plus for 5 months. On stopping the medicine I had nausea and I was irritable with lack of concentration. Another doctor then prescribed me neopride 25 mg and mirtaz 14 mg which I took for 8 months. Now I stopped taking these but again I am having a feeling of nausea, dry mouth and irritability. All these symptoms are relieved by neopride but I don't want to take it. Please suggest what should I do for relief and how long will it take to cure.

MD-General Medicine, D.M, Gastroenterology & Hepatology
Gastroenterologist, Ahmedabad
Continue the raciper and neopride for a month, then stop neopride and continue raciper Take raciper in the morning 30 min before breakfast for best results If you are not satisfied with your motions please also take isphagul 2 tablespoons with one large glass of water at night daily for at least two months Keep a gap of at lease 2-3 hrs between dinner and sleep Eat slightly smaller meals, and maybe more frequently. Do not sleep on your right side at night.
2 people found this helpful

I am 42 years old and having heart burn and acidity and its very painful please suggest what to do?

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
I am 42 years old and having heart burn and acidity and its very painful please suggest what to do?
Dear , Do the following: Take daily, first thing in the morning a home made juice with the following. The volume can change as per convenience: Doodhi 150 grms, cucumber 50 grams, tulsi 5 to 8 leaves, few drops lemon juice, big bunch dhaniya (coriander) fresh green leaves with soft stalks, 5 grms ginger. Add pinch of rock salt. Put all in mixie with some warm water. Pour in glass and drink completely. On 7 different ays, add an option of following. Tulsi / neem leaves / peepal leaf / raw mango leaf / sadaphuli leaves / pudina leaves. Stop eating bread, non-veg, alcohol, fried and packaged foods. Daily, after this, drink atleast 2 glasses of hot water. Walk for 30 mins to digest properly. Daily, eat your food slowly, chew it well. Drink 1 glass of butter milk /chaach daily BEFORE food. Do not eat heavy food before sleeping. Keep 60 to 90 mins time before dinner and sleep. Do this routne for alteast 4 weeks for lasting results. You will begin to see benefits within one week. You are suffering from indigestion and only proper eating habits and fresh green vegetables and fresh fruit can solve the problem. Medicines do not help much. Do inform how you improve. Regards.

Sir my mother is 45 years old. She has problem in her throat from 3 years. She has irritation and pain in her throat. There is inflammation , pains too. I have consulted so many Dr.So sir please guide me what should I do now.

ENT Specialist, Vijayawada
Sir my mother is 45 years old. She has problem in her throat from 3 years. She has irritation and pain in her throat....
Oralhygene+avoid cold+drez gargles+raciper xp, 1@night+trika, 0.25 mg, 1@ night+ceftas o, 2/day+brustan, 2/day x 10 days, in each attack.

Popular Health Tips

Stomach Ulcer: 4 Best Ways To Treat It!

MBBS
General Physician, Jammu
Stomach Ulcer: 4 Best Ways To Treat It!

Ulcer pain can be uneasy and unbearable at times. It is caused by a bacterium known as the H. Pylori. Pain medication, lifestyle changes, and healthy eating habits can ensure pain relief from this condition. Here is a list of 4 best ways to get instant pain relief from an ulcer:

  1. Medication - H. Pylori is often found in the digestive tract. Doctors suggest various combinations of antibiotics kill this bacterium. Some of those include tetracycline, levofloxacin, metronidazole, and tinidazole. These are prescribed as per the resistance rate of the bacteria. There are other sets of medication that blocks acid production in the body. These drugs which commonly go by the name of PPIs include esomeprazole, lansoprazole, and pantoprazole. The third set of medications reduces acidity in the stomach and gives instant relief. They are readily available over the counter and goes by the name antacid. The final line of medicines that are often prescribed by doctors includes Cytotec and Carafate. They protect the tissue lining of the intestine and the stomach.
  2. Consumption of cranberry - Cranberry has multiple health benefits. One of those includes the ability to fight against bacteria of the urinary tract. They also do not allow the bacteria to settle on the surface of the bladder. Cranberry in the form of juice, supplement and as a whole can be consumed daily to get relief from the stomach ulcer. It should be taken in specific quantity as too much of cranberry consumption can upset the stomach. Packaged cranberry juice from the market can be avoided as they contain high level of fructose which can unsettle the stomach.
  3. Flavonoids - A compound known as bioflavonoids are known to be extremely helpful for pain relief from an ulcer. These compounds naturally occur in many vegetables and fruits such as soybeans, berries, apples, legumes, green tea, broccoli and berries. Bioflavonoids available in red wine and citrus food should be strictly avoided as they can trigger ulcer pain. Bioflavonoids should be taken in measured quantities as too much consumption of it can cause harm in blood clotting. It can be consumed in the form of supplements if the body doesn’t receive the same from the daily diet.
  4. Deglycyrrhizinated licorice - This compound is nothing but licorice with the sweet flavour pulled out of it. A study showed that they are capable of completing curing the ulcer containing bacteria by inhibiting their growth. Deglycyrrhizinated Licorice is available in the form of candy and can be consumed once the pain starts. Supplements too are available in the market. Not more than 2 ounces of Deglycyrrhizinated Licorice should be consumed in a day as they can cause fluctuation in blood pressure and lead to heart diseases. In case you have a concern or query you can always consult an expert & get answers to your questions!
6249 people found this helpful

Homeopathy For Forgetfulness / Memory Loss

BHMS
Homeopath, Navi Mumbai
Homeopathy For Forgetfulness / Memory Loss

Memory slips are aggravating, frustrating, and sometimes worrisome. When they happen more than they should, they can trigger fears of looming dementia or Alzheimer’s disease. there are many mundane—and treatable—causes of forgetfulness. Here are seven common ones and how can homeopathic treatment can help you.To know more about homeopathy and homeopathic treatment read more.....

Lack of sleep.

Not getting enough sleep is perhaps the greatest unappreciated cause of memory slips. Too little restful sleep can also lead to mood changes and anxiety, which in turn contribute to problems with memory.

Medications.

Tranquilizers, antidepressants, some blood pressure drugs, and other medications can affect memory, usually by causing sedation or confusion. That can make it difficult to pay close attention to new things. Talk to your doctor or pharmacist if you suspect that a new medication is taking the edge off your memory. As shown in the table below, alternatives are usually available.

*Medications* that may affect memory and possible substitutes
If you take these drug, ask about switching to one of these drugs:
1.paroxetine (Paxil) another antidepressant such as fluoxetine (Prozac) or sertraline (Zoloft), or a different type of antidepressant such as duloxetine (Cymbalta) or venlafaxine (Effexor)
2.cimetidine (Tagamet) a different type of heartburn drug, such as lansoprazole (Prevacid), omeprazole (Prilosec), or esomeprazole (Nexium)
3.oxybutynin (Ditropan) or tolterodine (Detrol, Detrusitol) other medications for an overactive bladder, such as trospium (Sanctura), solifenacin (Vesicare), or darifenacin (Enablex)
4.amitriptyline (Elavil), desipramine (Norpramin), or nortriptyline (Aventyl, Pamelor) another type of medication, depending on why your doctor has prescribed a tricyclic antidepressant (neuropathic pain, depression, etc.)

5.*captopril (Capoten)* a different type of ACE inhibitor, such as enalapril, lisinopril, or ramipril
cold or allergy medication containing brompheniramine, chlorpheniramine, or diphenhydramine loratadine (Claritin) or other non-sedating antihistamine
(Adapted from Improving Memory: Understanding age-related memory loss, a Harvard Medical School Special Health Report)

 

Underactive thyroid

A faltering thyroid can affect memory (as well as disturb sleep and cause depression, both of which contribute to memory slips). A simple blood test can tell if your thyroid is doing its job properly.

Alcohol.

Drinking too much alcohol can interfere with short-term memory, even after the effects of alcohol have worn off. Although “too much” varies from person to person, it’s best to stick with the recommendation of no more than two drinks per day for men and no more than one a day for women. One drink is generally defined as 1.5 ounces (1 shot glass) of 80-proof spirits, 5 ounces of wine, or 12 ounces of beer.

Stress and anxiety.

Anything that makes it harder to concentrate and lock in new information and skills can lead to memory problems. Stress and anxiety fill the bill. Both can interfere with attention and block the formation of new memories or the retrieval of old ones.

 

Depression.

Common signs of depression include a stifling sadness, lack of drive, and lessening of pleasure in things you ordinarily enjoy. Forgetfulness can also be a sign of depression—or a consequence of it.

If memory lapses are bugging you, it’s worth a conversation with your doctor to see if any reversible causes are at the root of the problem. Something like getting more sleep, switching a medication, or a stress reduction program could get your memory back on track.

TREATMENT PROTOCOLS FOR POOR MEMORY

Spleen Kidney and heart are the 3 organs which provides memory

●Following are the three patterns of poor memory :

1) spleen deficiency causes poor memory, inability to concentrate and study.

2) deficiency of kidney essence causes poor everyday memory.

3) heart deficiency causes poor memory of past events , forgetting names.

1) Spleen deficiency causes
poor memory inability to concentrate
and study:
Main symptoms :
1) poor memory
2) tiredness
3) poor appetite
4) *pale tongue*
5) *weak pulse*

Treatment principle :
1) tone the spleen
2) strengthen intellect. Spleen houses intellect , which controls memorisation, study and concentration.

2) Kidney essence deficiency
causes poor memory everyday.
Main symptoms :
1) poor everyday memory
2) can not remember names , faces, roads etc.
3) dizziness
4) tinnitus
5) weakness
6) if kidney yang is deficient , tongue will be
pale
7) if kidney yin is deficient the tongue will be
red

Treatment principles :
1) tone the kidney
2) nourish essence and marrow

3) Heart deficiency causes

  • Poor memory of past events 
  • Forgetting names 

Main symptoms :

1) poor memory of past events
2) forgetting names
3) absent mindedness
4) tiredness
5) slight breathlessness
6) if there is heart yang deficiency the tongue will be pale with heart cracking
7) if there is heart yin deficiency the tongue will be red with heart crack

Treatment principle :
1) *tone the heart*
2) strengthen the mind and memory

Homeopathic treatment

There are many remedies in homeopathy to treat this condition. It requires a detailed study of the patient to know his/her lifestyle and life circumstances to be able to diagnose at the correct cause/causes so as to administer the right remedy. Since homeopathic medicines do not have sideeffects this is a very great advantage.

7 people found this helpful

Procedures That Can Help Treat Slip Disc & Sciatica!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Procedures That Can Help Treat Slip Disc & Sciatica!

The intervertebral discs are made-up of two concentric layers, the inner gel-like Nucleus Pulposus and the outer fibrous Annulus fibrosus. As a result of advancing age, the nucleus loses fluid, volume and resiliency and the entire disc structure becomes more susceptible to trauma and compression. This condition is called as degeneration of the disc. The disc then is highly vulnerable to tears and as these occur, the inner nucleus pulposus protrudes through the fibrous layer, producing a bulge in the intervertebral disc. This condition is named as herniated disc. This can then cause compression to the spinal cord or the emerging nerve roots and lead to associated problems of Sciatica radiating pain from back to legs in the distribution of the nerve. Other symptoms could be a weakness, tingling or numbness in the areas corresponding to the affected nerve. Sometimes bladder compromise is also present, which is made evident for urine retention and this need to be taken care as an emergency.

Excessive weight, bad postures, undue movements, improper weight lifting and other kinds of traumas may weaken the intervertebral discs. When this occurs the pulpous nucleus will bulge against the annulus, or even be squeezed through it (extruded disc).

The first steps to deal with a herniated or prolapsed lumbar disc are conservative. These include rest, analgesic and anti-inflammatory medication and in some cases physical therapy. At this point, it is convenient to have some plain X-rays done, in search of some indirect evidence of the disc problem, as well as of degenerative changes on the spine.

If in a few days these measures have failed, the diagnosis has to be confirmed by means of examinations that give better detail over the troubled area, as the MRI, CT which will show the disc, the space behind it and in the first case, the nerves. In some instances, the EMG (electromyography) is also of great value, as this will show the functionality of the nerves and muscles.

Once the diagnosis has been confirmed, one of the best alternatives existing today is the Ozone Discolysis as the results obtained are excellent and practically has no complications. This novel treatment avoids the use of surgery in 80% of those who needed it. In most patients left with painkillers as the only treatment, the symptoms eventually disappear, only that this could take weeks to months. Ozone speeds up these developments, see the same result in a few weeks. The problem has to be seen and approached integrally and frequently the combination of therapies has to be used, most frequently physiotherapy. Also, it has to be known that those who had a herniated disc have 10 times more chances of having another herniation than the rest of the population.

If despite the ozone therapy the symptoms persist, Drill Discectomy/ Laser Discectomy are good alternatives before open surgery (Discectomy) which has to be contemplated in those true emergencies, as mentioned above, this is possibly the first choice.

Once the conservative treatment fails:

Early aggressive treatment plan of pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only 5% of total LBP patients would need surgery & 20% of discal rupture or herniation would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then.

Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon pt`s pathology & response to treatment.

Using precision diagnostic & therapeutic blocks in chronic LBP, isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed.

LESI: Lumbar Epidural Steroid Injection

Indicated in – Acute radicular pain due to irritation or inflammation.

  • Symptomatic herniated disc with failed conservative therapy
  • Acute exacerbation of discogenic pain or pain of spinal stenosis
  • Neoplastic infiltration of roots
  • Epidural fibrosis
  • Chronic LBP with acute radicular symptoms
  • Epidural- lumbar injection

ESI Treatment Plan

Compared to interlaminar approach better results are found with a transforaminal approach where drugs (steroid+ LA/saline +/- hyalase) are injected into anterior epidural space & neural foramen area where herniated disc or offending nociceptors are located. Whereas in interlaminar approach most of drug is deposited in posterior epidural space.Drugs are injected total 6-10 ml at lumbar, 3-6 ml at cervical & 20+ ml, if caudal approach is selected. Lumbar ESI is performed close to the level of radiculopathy, often using paramedian approach to target the lateral aspect of the epidural space on involved side. Cervical epidural is performed at C7-T1 level.

SNRB- Selective Nerve Root Block 

Fluoroscopically performed it is a good diagnostic & therapeutic procedure for radiculopathy pain if

  • There is minimal or no radiological finding.
  • Multilevel imaging abnormalities
  • Equivocal neurological examination finding or discrepancy between clinical & radiological signs
  • Postop patient with unexplainable or recurrent pain
  • Combined canal & lateral recess stenosis.
  • To find out the pathological dermatome for more invasive procedures, if needed

Intradiscal Procedures 

Provocative Discography - Coupled with CT

A diagnostic procedure & prognostic indicator for surgical outcome is necessary for the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines.

Percutaneous Disc Decompression (PDD)

After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed

Ozone Discolysis: Ozone Discectomy a revolutionary least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no postoperative discomfort or morbidity and low cost.

Dekompressor: A mechanical percutaneous nucleosome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression.

Epidural Adhenolysis or Percutaneous Decompressive Neuroplasty for Epidural Fibrosis or Adhesions in Failed Back Surgery Syndrome (FBSS)

A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4492 people found this helpful

Peptic Ulcers - 6 Possible Reasons Behind them

MCh HPB Surgery, Fellow European Board of Surgery, MS - General Surgery, MBBS
Gastroenterologist, Guwahati
Peptic Ulcers - 6 Possible Reasons Behind them

Peptic ulcer disease is a form of disease in which painful sores or ulcers are developed in the lining of the stomach or in the duodenum, which is the first part of the small intestine. Complications include severe blood loss and perforation of the stomach and intestines.

What can cause peptic ulcers?
Ulcers occur due to the imbalance of digestive fluids in the stomach or duodenum. Usually, ulcers are caused by the infection due to bacteria known as Helicobater pylori.
Here are the factors which may lead to peptic ulcer:

  1. One can use painkillers, which are known as nonsteroidal, anti-inflammatory drugs, by the likes of aspirin, naproxen, ibuprofen and several others.
  2. These kinds of ulcers may also occur due to excessive production of acid from gastrinomas.
  3. Excessive alcohol consumption may also cause peptic ulcer.
  4. Smoking cigarettes and chewing tobacco may cause such ulcers.
  5. Sometimes serious illness may cause peptic ulcer as well.
  6. Radiation treatment of the affected area may also lead to peptic ulcer.

What are its signs and symptoms?
There are several symptoms of peptic ulcer. They include the following:

  1. People experience a sensation of burning or gnawing pain in the upper or middle part of the stomach, between meals and during night time.
  2. Bloating is experienced.
  3. A feeling or sensation of heartburn.
  4. Nausea and vomiting are likely to be accompanied.
  5. In severe cases of peptic ulcer, dark or black stool is produced because of bleeding.
  6. The patient may vomit blood.
  7. Weight loss and abdominal pain are indicated, especially in the upper to mid abdomen region.
  8. Indigestion and change in appetite are also noticed.
  9. There is pain in the chest.

How to treat them?
Peptic ulcers can be treated in various ways, which include medication, lifestyle changes or surgery.
1. Lifestyle changes: Elimination of substances which lead to peptic ulcer should be avoided. Smoking and drinking should be restricted. Certain NSAIDS may lead to ulcer, and they should be stopped.
2. Medication: Proton pump inhibitors help in reducing acid levels, which allow healing of the ulcer. Different types of PPI are esomeprazole, dexlansoprazole, omeprazole, pantoprazole and iansoprazole.

Several antibiotics may also be used when a patient has helicobacter pylori infection. Several combinations of antibiotics may be used for the treatment. Bismuth may be used as well.
Upper endoscopy can be done as a part treatment of ulcer to cure bleeding ulcers. In case the ulcer creates a hole in the stomach’s wall, surgery is required. Peptic ulcer is a serious health condition and if not treated properly, it can cause several health hazards. There are several treatment options for peptic ulcer, and you should opt for the one that suits you the best.

25 people found this helpful

Stomach Ulcer - 4 Best Ways To Get Pain Relief!

MBBS
General Physician, Ahmedabad
Stomach Ulcer - 4 Best Ways To Get Pain Relief!

Ulcer pain can be uneasy and unbearable at times. It is caused by a bacterium known as the H. Pylori. Pain medication, lifestyle changes, and healthy eating habits can ensure pain relief from this condition. Here is a list of 4 best ways to get instant pain relief from an ulcer:

  1. Medication - H. Pylori is often found in the digestive tract. Doctors suggest various combinations of antibiotics kill this bacterium. Some of those include tetracycline, levofloxacin, metronidazole, and tinidazole. These are prescribed as per the resistance rate of the bacteria. There are other sets of medication that blocks acid production in the body. These drugs which commonly go by the name of PPIs include esomeprazole, lansoprazole, and pantoprazole. The third set of medications reduces acidity in the stomach and gives instant relief. They are readily available over the counter and goes by the name antacid. The final line of medicines that are often prescribed by doctors includes Cytotec and Carafate. They protect the tissue lining of the intestine and the stomach.
  2. Consumption of cranberry - Cranberry has multiple health benefits. One of those includes the ability to fight against bacteria of the urinary tract. They also do not allow the bacteria to settle on the surface of the bladder. Cranberry in the form of juice, supplement and as a whole can be consumed daily to get relief from the stomach ulcer. It should be taken in specific quantity as too much of cranberry consumption can upset the stomach. Packaged cranberry juice from the market can be avoided as they contain high level of fructose which can unsettle the stomach.
  3. Flavonoids - A compound known as bioflavonoids are known to be extremely helpful for pain relief from an ulcer. These compounds naturally occur in many vegetables and fruits such as soybeans, berries, apples, legumes, green tea, broccoli and berries. Bioflavonoids available in red wine and citrus food should be strictly avoided as they can trigger ulcer pain. Bioflavonoids should be taken in measured quantities as too much consumption of it can cause harm in blood clotting. It can be consumed in the form of supplements if the body doesn’t receive the same from the daily diet.
  4. Deglycyrrhizinated licorice - This compound is nothing but licorice with the sweet flavour pulled out of it. A study showed that they are capable of completing curing the ulcer containing bacteria by inhibiting their growth. Deglycyrrhizinated Licorice is available in the form of candy and can be consumed once the pain starts. Supplements too are available in the market. Not more than 2 ounces of Deglycyrrhizinated Licorice should be consumed in a day as they can cause fluctuation in blood pressure and lead to heart diseases. If you wish to discuss about any specific problem, you can consult a general physician.
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About Raciper Plus 75Mg/40Mg Capsule
When is Raciper Plus 75Mg/40Mg Capsule prescribed?
What are the contraindications of Raciper Plus 75Mg/40Mg Capsule?
What are the side effects of Raciper Plus 75Mg/40Mg Capsule?
Key highlights of Raciper Plus 75Mg/40Mg Capsule
What are the substitutes for Raciper Plus 75Mg/40Mg Capsule?
What are the dosage instructions?
Where is the Raciper Plus 75Mg/40Mg Capsule approved?
What are the interactions for Raciper Plus 75Mg/40Mg Capsule?