If an ulcer is present, a precautionary biopsy of the ulcer is usually taken to rule out malignancy as it is not uncommon for a malignancy to manifest as an ulcer. Treatment and Prognosis Identifying and avoiding the causative factors are essential in the treatment of acidity. A suitable diet must be strictly followed avoiding spicy, salty and acidic foods. Smoking and alcohol consumption must be stopped. Those with highly nervous and emotional disposition and those involved in high-stress jobs must be encouraged to take lifestyle modifying measures.
Antacids provide immediate relief of symptoms by neutralising the excess acid secreted.
Another group of drugs called the Proton Pump Inhibitors, which selectively disable a mechanism in acid-making cells thus stopping acid production are more powerful and include Omeprazole and Lansoprazole. If ulcers have developed, they must be diagnosed rapidly and treated to prevent complications like perforations. Long term therapy lasting for weeks may be required to produce complete healing. Surgical methods of reducing the acid secretion like Vagotomy are being used with decreasing frequency. Patients with highly nervous and emotional disposition and those involved in high-stress jobs must be given psychological treatment.