Patients with chronic erosive gastritis should nourish and protect the stomach in this way: Did you know?
Chronic erosive gastritis, also called non-atrophic superficial gastritis, is a mild and common type of chronic gastritis. It is mostly caused by Helicobacter pylori infection, long-term use of antipyretic and analgesics and other drugs that damage the gastric mucosa, smoking and drinking, spicy food and other bad eating habits, duodenogastric reflux, etc.
It often manifests as symptoms such as upper abdominal discomfort, pain, acid reflux, belching, loss of appetite, and indigestion related to eating. If it is not cured in time, the inflammation can become chronic and turn into atrophic gastritis, which is difficult to cure.
The treatment of erosive gastritis should firstly avoid behaviors that damage the gastric mucosa and stimulate the excessive secretion of gastric acid, such as quitting smoking and alcohol, eating less high-fat, spicy stimulation, too sour and sweet food, regular diet, etc. are conducive to disease treatment and recovery. The main points of drug treatment are as follows:
Rational application of gastric mucosal protective agent: suitable for patients with gastric mucosal erosion, bleeding or obvious symptoms, drugs include colloidal bismuth, bismuth potassium citrate, etc., which have both anti-acid and bile salt adsorption effects. Carbonic acid preparations and sucralfate with mucosal protection, etc.
For chronic erosive gastritis, eradication of Helicobacter pylori is critical. According to the specific situation, a proton pump inhibitor or a bismuth + two antibiotics triple therapy or two antibiotics + a proton pump inhibitor + a bismuth quadruple therapy can be selected. Two antibiotics such as clarithromycin, amoxicillin, metronidazole, tetracycline, levofloxacin, and furazolidone can be selected according to specific conditions; four antibiotics plus proton pump inhibitors and bismuth can also be used. combination therapy. The course of treatment is generally 14 days.
Acid suppression or antacid treatment: suitable for patients with gastric mucosal erosion or symptoms such as heartburn, acid regurgitation, and upper abdominal hunger pain as the main manifestations. According to the severity of the disease or symptoms, antacids such as aluminum hydroxide, H2 Receptor blockers such as famotidine, ranitidine, etc., or proton pump inhibitors such as omeprazole, lansoprazole, esomeprazole, rabeprazole, etc.
For gastric mucosal injury caused by bile reflux, taking non-steroidal anti-inflammatory drugs and other reasons, hydrochloric magnesium carbonate, aluminum hydroxide gel and other drugs can be given respectively.
Gastric motility-promoting drugs are mainly used for patients with symptoms such as upper abdominal fullness and early satiety. Moformine, mosapride citrate, cisapride, etc. can be used.
For those with poor sleep and obvious mental symptoms, they can take oryzanol or estazolam to relieve mental symptoms.
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