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*If metabolic alkalosis: replace volume defecit with intravenous NaCl and KCl.
*If metabolic alkalosis: replace volume defecit with intravenous NaCl and KCl.
*Blocking of acid secretion:
*Blocking of acid secretion:
**Histamine receptor antagonists:
**[[Gastroprotective Drugs#Histamine (H2) Receptor Antagonists|Histamine receptor antagonists]]:
***cimetidine
***cimetidine
***ranitidine
***ranitidine
***pirenzepine
***pirenzepine
**Adenyl cyclase inhibitors:
**Adenyl cyclase inhibitors:
***Prostaglangin E2 (PGE) analogues
***prostaglangin E2 (PGE) analogues (misoprostol)
**H:K ATPase inhibitors
**[[Gastroprotective Drugs#Proton Pump Inhibitors|H<sup>+</sup>:K<sup>+</sup>ATPase inhibitors ]]:- for use when patient is refractory to histamine antagonists
***omeprazole
***omeprazole - good for exercise induced gastric ulceration
===Mucosal protectants===
===Mucosal protectants===
Such as misoprostol can be given alongside NSAIDs to decrease the risk of ulceration. '''Sucralfate''', which is polyaluminium sucrose sulphate, binds to damaged mucosa and assists in the treatment of gastric ulceration. It is best given 2 hours after acid inhibitors to prevent interference.
===Prophylaxis===
===Prophylaxis===