What are the good ways to treat chronic gastritis?

Personally, I feel that I can use drugs**, and I should also develop a good living habit, eat regularly, ensure adequate sleep, and have balanced nutrition.

It is necessary to pay attention to the usual diet, follow the doctor's instructions, do not eat spicy food, do not smoke, do not drink alcohol, and eat more things that are easy to digest.

The goal of chronic gastritis is mainly to alleviate symptoms and improve the inflammatory response of the gastric mucosa, most of which can be improved by drugs**, and in rare cases, endoscopy is required.

Drug-induced**, if the patient, after C13 or C14, confirmed to have Helicobacter pylori infection, it is often recommended that the patient be given proton pump inhibitors, bismuth agents and two antibiotics based on HP, after giving **, the patient's chronic gastritis symptoms often have a more definite improvement, in the patient maintenance stage, the commonly used drugs are based on the delicate number of patients' symptoms, such as if there are symptoms of acid reaction, H2 receptor blockers will be given, or proton pump inhibitors, the most commonly used is famotidine or drugs such as omeprazole, rabeprazole, and semeprazole**.

Gastric mucosal protector has both tablets and suspensions, tablets include membrane Gustar, including Daxi, and the suspension is aluminum and magnesium plus these drugs, which also have a good effect on protecting the gastric mucosa.

The patient has abdominal pain, or abdominal distention, or a sense of fullness in the upper abdomen, which is a factor of poor motivation, and the patient can be given morpholine, membranous star, and Rich These powered drugs can be positive, and then the special situation is that the patient needs to be given endoscopy, such as destroying the head fruit on the basis of chronic atrophic gastritis, and finding that the patient has high-grade intraepithelial neoplasia, it is necessary to recommend the patient to undergo endoscopic mucosal resection, which is a special gastritis and needs to be vigilant.

Chronic gastritis mainly consists of medications** and endoscopy**.

**The main purpose is to improve the patient's symptoms, as well as to alleviate the inflammation of the gastric mucosa, the drug ** includes the following categories, inhibiting gastric acid secretion, and then protecting the gastric mucosa, as well as (promotility) gastric motility, inhibiting gastric acid secretion mainly includes H2 receptor blockers, and proton pump inhibitors two categories of drugs, H2 receptor blockers include famotidine as the representative of this class of drugs, and then in China has been used for more than 20 years, the effect is very good, is a drug that inhibits gastric acid, There are also relatively strong drugs that inhibit gastric acid, mainly proton pump inhibitors represented by omeprazole and rabeprazole, which are relatively powerful drugs that inhibit gastric acid, mainly for patients, with more obvious abdominal pain and acid reflux, heartburn This kind of patients, of course, there is special gastritis is chronic atrophic gastritis is not very suitable for use, proton pump inhibitors, which are acid suppression, and are also to protect the gastric mucosa.

In addition, if the patient has the symptoms of abdominal distension, abdominal pain, and dyspepsia, he can often be given some motility drugs, such as morpholine or Richie, including the motility of the upper gastrointestinal tract and the motility of the whole gastrointestinal tract.

Chronic gastritis is briefly divided into three categories: superficial gastritis, atrophic gastritis, and hypertrophic gastritis. Different categories of drugs, methods, and prognosis are different, and it is best to go to the hospital for examination and correct medication.

1.Acute gastritis.

1) General**.

Bed rest, removal**, a light liquid diet or appropriate fasting. Patients with vomiting and diarrhea should be supplemented with electrolytes and water in time.

2) Symptomatic**.

administration of gastric mucosal protectors and antacids; Antibiotics should be given to people with bacterial infections.

3) Special treatment.

Acute purulent gastritis should be given as early as possible with a high dose of sensitive antibiotics, and surgery can be performed when an abscess is formed locally and the drug is ineffective. Corrosive gastritis caused by swallowing strong acids and alkalis can be treated with milk, egg whites or other liquid mucosal protectors, and analgesics such as morphine can be given in severe pain.

2.Chronic gastritis.

1) General**.

Quit smoking and alcohol; Avoid drugs that damage the gastric mucosa, such as aspirin, indomethacin, erythromycin, etc.; Eat regularly and avoid excessively hot, salty and spicy foods; Active**Chronic oral, nasal, and pharyngeal infection foci.

2) Medications**.

1) Drugs to protect the gastric mucosa.

Commonly used drugs include colloidal bismuth hypocitrate (CBS), sucralfate, mezlin-S, aluminum hydroxide gel, gastrin, etc.

2) Drugs that adjust the function of gastrointestinal motility.

Epigastric fullness with domperidone, etc. If hiccups, bloating, or reflux are the main symptoms, gastric motility drugs can be used.

3) Antibiotics.

If the gastroscopy finds that Helicobacter pylori is positive, antibiotics should be taken, clarithromycin, ampicillin, etc., all have the effect of clearing HP, and generally two can be used, often combined with gastric mucosal protectors and antacids.

4) Stomach acid lowering medications.

Such as alkaline antacids, sodium bicarbonate, aluminum hydroxide; H2 receptor antagonists cimetidine, ranitidine; Proton pump inhibitors omeprazole, ssoprazole, etc.

5) Painkillers.

Patients with severe epigastric pain can take oral atropine, probenzine, belladonna tablets, or 654-2 to reduce gastric acid secretion and relieve abdominal pain symptoms.

6) Other symptomatic drugs.

It can be used to help digestion, such as pancreatic enzymes, yeast tablets, lactase, dimethicone tablets, etc. To prevent bile reflux, aluminum magnesium carbonate and cholestyramine can be taken to adsorb bile; For patients with hematemesis and blood in the stool, cifenamiguanidine is taken orally.

Use that Chinese medicine stomach & Tai San, Shetai Chinese Medicine Hall is specialized in ** old stomach disease. One of the best things about them is that they can sign contracts**.

Beijing University of Chinese Medicine East Hospital - Department of Gastroenterology - Meng Jie - Chief Physician - The best method of chronic gastritis?

Patients with chronic gastritis should first pay full attention to your stomach and develop good living and eating habits. Then it is paired with drinking Bao Bao tea to strengthen gastrointestinal peristalsis, remove toxins in the stomach and intestines, and strengthen the spleen and stomach.