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Does anyone know if its safe to take all three of these meds together, i know you can take the nexium and zantac for extreme cases of heartburn but is it safe to take the mylanta along with it. I still have extremly bad burning in my chest and back and under my armpits and breatbone?

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Dogs also suffer from stomach ulcers like humans do. Ulcers are characterized by patches of inflamed and eroded mucosa covered by white or yellow pus. Deeper ones appear as punched-out areas that include all the layers of the stomach wall. Ulcers can be single or multiple, and can range in size from less than an inch to several inches wide.

Signs and Symptoms of Ulcers in Dogs

Possible signs and symptoms of ulcer in dogs include lack of appetite, listlessness or sporadic or chronic vomiting after eating, weight loss and anemia. You might also notice blood, blood clots or things that resemble coffee grounds (old blood) in your dog’s vomit. Heavy bleeding can cause your dog to go into shock and discharge black stools.

Causes of Ulcers in Dogs

In humans, bacteria are often the cause of ulcers, but generally not in dogs. Corticosteroids or non-steroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen are usually the cause of ulcers in dogs. Other conditions such as liver diseases, kidney failure, extreme stress (caused by a severe illness or major surgery), chronic gastritis, mast cell tumors (which stimulate acid secretion), and shock also make your dog more prone to having ulcers.

Treating Ulcers in Dogs

Ulcer drugs for people are also effective in dogs. Some of these medications include histamine blockers such as Tagamet (cimetidine), Pepcid (famotidine), and Zantac (ranitidine); mucosal protectants like Carafate (sucralfate) and Cytotec (misoprostol); Prilosec (omeprazole); and antacids such as Mylanta, Maalox, and Amphogel.

These drugs are best taken in combination (for instance, a histamine blocker along with an antacid). Your vet can prescribe a combination that is appropriate for you dog’s condition and indicate the number of times your dog has to take them. Treatment may last for three to four weeks, followed by a gastroscopy to ensure that healing is complete.

Perforated ulcers however, require surgery, while dogs with gastrointestinal bleeding should be hospitalized for observation and further tests. Anemia may require blood transfusion. It is also necessary to treat illnesses that cause ulcer.

Reduce the Risk for Ulcer

There are also a number of things you can do to lower your dog’s risk for ulcer. If your dog is arthritic for instance, give him medications along with food so that the lining of the stomach will not get irritated as much. Provide your dog with safe chew-toys to keep him from picking up and gnawing on whatever’s lying on the ground such as wood, coins and batteries. Many ulcers are caused by ingestion of sharp objects. Help relieve stress in your dog. Spend time with your dog and brush his coat regularly. Brushing his coat not only helps de-stress your dog, it also removes loose fur, especially if your dog is a longhair breed, that can be swallowed when he licks himself, adding to stomach ulcer discomfort. Lastly, do not feed your dog human food. Spices and seasonings in human food, like salt in particular, can harm your dog’s stomach. Feed him high quality dog food. And if your dog is used to getting scraps from the table, have some dog biscuits on hand so he does not think he is missing out.

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The kidneys are a pair of bean-shaped organs that lie on either side of the spine in the lower middle of the back. Each kidney weighs about ΒΌ pound and contains approximately one million filtering units called nephrons. Each nephron is made of a glomerulus and a tubule. The glomerulus is a miniature filtering or sieving device while the tubule is a tiny tube like structure attached to the glomerulus. The kidneys are connected to the urinary bladder by tubes called ureters. Urine is stored in the urinary bladder until the bladder is emptied by urinating. The bladder is connected to the outside of the body by another tube like structure called the urethra.

Chronic Kidney Disease Causes

Although chronic kidney disease sometimes results from primary diseases of the kidneys themselves, the major causes are diabetes and high blood pressure.

Type 1 and type 2 diabetes mellitus cause a condition called diabetic nephropathy, which is the leading cause of kidney disease in the United States.

High blood pressure (hypertension), if not controlled, can damage the kidneys over time.

Glomerulonephritis is the inflammation and damage of the filtration system of the kidneys, which can cause kidney failure. Postinfectious conditions and lupus are among the many causes of glomerulonephritis.

Polycystic kidney disease is an example of a hereditary cause of chronic kidney disease wherein both kidneys have multiple cysts.

Use of analgesics such as acetaminophen (Tylenol) and ibuprofen (Motrin, Advil) regularly over long durations of time can cause analgesic nephropathy, another cause of kidney disease. Certain other medications can also damage the kidneys.

Clogging and hardening of the arteries (atherosclerosis) leading to the kidneys causes a condition called ischemic nephropathy, which is another cause of progressive kidney damage.

Obstruction of the flow of urine by stones, an enlarged prostate, strictures (narrowings), or cancers may also cause kidney disease.

Other causes of chronic kidney disease include HIV infection, sickle cell disease, heroin abuse, amyloidosis, kidney stones, chronic kidney infections, and certain cancers.

Chronic Kidney Disease Treatment

Self-Care at Home

Chronic kidney disease is a disease that must be managed in close consultation with your health care practitioner. Self-treatment is not appropriate.There are, however, several important dietary rules you can follow to help slow the progression of your kidney disease and decrease the likelihood of complications.This is a complex process and must be individualized, generally with the help of your health care practitioner and a registered dietitian.

The following are general dietary guidelines:

Protein restriction: Decreasing protein intake may slow the progression of chronic kidney disease. A dietitian can help you determine the appropriate amount of protein for you.

Salt restriction: Limit to 4-6 grams a day to avoid fluid retention and help control high blood pressure.

Fluid intake: Excessive water intake does not help prevent kidney disease. In fact, your doctor may recommend restriction of water intake.

Potassium restriction: This is necessary in advanced kidney disease because the kidneys are unable to remove potassium. High levels of potassium can cause abnormal heart rhythms. Examples of foods high in potassium include bananas, oranges, nuts, and potatoes.

Phosphorus restriction: Decreasing phosphorus intake is recommended to protect bones. Eggs, beans, cola drinks, and dairy products are examples of foods high in phosphorus.

Other important measures that you can take include:

carefully follow prescribed regimens to control your blood pressure and/or diabetes;stop smoking; and lose excess weight.In chronic kidney disease, several medications can be toxic to the kidneys and may need to be avoided or given in adjusted doses. Among over-the-counter medications, the following need to be avoided or used with caution:

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Treats & Prevents Kidney Stones

Certain analgesics: Aspirin; nonsteroidal antiinflammatory drugs (NSAIDs, such as ibuprofen [Motrin, for example]).Fleets or phosphosoda enemas because of their high content of phosphorus.Laxatives and antacids containing magnesium and aluminum such as magnesium hydroxide (Milk of Magnesia) and famotidine (Mylanta)

Ulcer medication H2-receptor antagonists: cimetidine (Tagamet), ranitidine (Zantac), (decreased dosage with kidney disease)

Decongestants such as pseudoephedrine (Sudafed) especially if you have high blood pressure Alka Seltzer, since this contains large amounts of salt.

Herbal medications

If you have a condition such as diabetes, high blood pressure, or high cholesterol underlying your chronic kidney disease, take all medications as directed and see your health care practitioner as recommended for follow-up and monitoring.

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