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Is aspirin contraindicated in patients with gastric ailments?

Q: My brother, aged 62 is hypertensive and taking losar H and ecosprin 75 mg as prescribed by cardiologist. As he had gas problem, gastroenterologist suggested upper GI endoscopy, which revealed mild antral gastritis and duodenitis in the bulb. The doctor prescribed Pantodac 40 daily for two months. However, when he went to an internist, he was told not to take aspirin as per the diagnosis. I just want to know whether my brother has any major problem and whether aspirin is not advisable. I shall be pleased to receive your guidance.

A:Aspirin is not to be taken by patients who have any gastro-intestinal lesion since it can become worse, bleed or even progress to ulcer. Moreover, for uncomplicated high blood pressure, unless there are risk factors for stroke or heart attack, aspirin is not very essential. The patient does not have a serious problem at the moment and it should resolve with pantoprazole (Pantodac) therapy for 2 to 4 weeks.


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