Gastritis might not necessarily be remedied by massage. Treatments for gastritis can include eradication of Helicobacter pylori, using medications to reduce gastric acid secretion, protecting the gastric mucosa, and enhancing gastric motility, among others. If the patient experiences depression or anxiety, anti-anxiety medications may also be used to adjust the patient's mood. The primary causes of gastritis may be infection by Helicobacter pylori, consumption of substances that damage or irritate the gastric mucosa such as aspirin or anti-rheumatic drugs, or ingestion of spicy and irritating foods, which harm the gastric mucosa. This results in inflammation, congestion, and edema of the gastric mucosa, where massage may not be effective. (Medication should be used under the guidance of a professional doctor.)