What medicine should be taken for atrophic gastritis with erosion?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 25, 2024
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Chronic atrophic gastritis with erosion requires drug treatment based on the specific symptoms of the patient and whether there is a Helicobacter pylori infection. The infection rate of Helicobacter pylori is very high, often exceeding 50%, so it is also necessary to check for Helicobacter pylori infection in cases of chronic atrophic gastritis. If there is a Helicobacter pylori infection, antibacterial treatment is needed, typically employing a quadruple therapy. If there is no Helicobacter pylori infection, symptomatic treatment is generally used. Common treatments include protecting the gastric mucosa, suppressing gastric acid, and enhancing gastric motility, among others. Additionally, it is important to pay attention to daily diet and lifestyle habits, focusing on light and easy-to-digest foods, and avoiding raw, greasy, spicy, and irritating foods; quitting smoking and drinking can also be helpful. (Specific medication usage should be conducted under the guidance of a doctor.)

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Written by Wu Hai Wu
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Does chronic atrophic gastritis require lifelong medication?

If the patient has lifelong atrophic gastritis, they may need to follow a doctor's advice and take medications that increase mucosal nutrition for life, such as sucralfate, live gastric ketone, prostaglandin E1, etc. The main causes of atrophic gastritis are Helicobacter pylori infection, as well as other factors such as autoimmune mechanisms, genetic factors, and decreased gastric mucosal barrier function. The main symptoms of atrophic gastritis include obscure pain in the upper abdomen, distension, burning pain, along with accompanying symptoms like weight loss and anemia. Treatment for atrophic gastritis involves eradicating Helicobacter pylori and using medications that protect the gastric mucosa.

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Written by Si Li Li
Gastroenterology
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Non-atrophic gastritis with focal erosion treatment

Non-atrophic gastritis with erosive lesions, primarily diagnosed through gastroscopic examination that revealed erosive and other changes in the gastric mucosa. If erosion is detected, doctors generally perform a biopsy under gastroscopy to ascertain the nature of the erosion. If the erosion is inflammatory, it can be treated with oral medications, including acid-suppressing and stomach-protective drugs, promoting gastric motility, and protecting the gastric mucosa. If the erosion involves intestinal metaplasia or atypical hyperplasia, it requires endoscopic APC treatment or endoscopic submucosal dissection (ESD) to eliminate the erosive areas, thereby addressing the erosion fundamentally. Additionally, attention should be paid to a light and easily digestible diet.

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Written by Si Li Li
Gastroenterology
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How to treat chronic atrophic gastritis with intestinal metaplasia?

The treatment of chronic atrophic gastritis with intestinal metaplasia mainly includes the following aspects: The first is general treatment. Firstly, the diet should be light and easily digestible, avoiding spicy, stimulating, fried, grilled, cold, and sweet foods. It is important to exercise regularly and avoid emotions such as anxiety and depression. The second is the treatment against Helicobacter pylori, including a proton pump inhibitor plus two antibiotics, and a bismuth agent, with a treatment course of 14 days. Additionally, medications that promote gastric motility and protect the gastric mucosa are used. The fourth involves endoscopic treatments, including endoscopic APC treatment or endoscopic mucosal resection. The fifth, combining traditional Chinese medicine, differentiating syndrome treatments and oral herbal medicines, can also achieve good effects.

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Written by Si Li Li
Gastroenterology
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Can atrophic gastritis eat rock candy?

Patients with atrophic gastritis should not eat rock sugar. The main symptoms of atrophic gastritis include upper abdominal distension and pain, belching, acid reflux, nausea, vomiting, poor appetite, and indigestion. A gastroscopy can reveal the atrophy of gastric mucosal glands, which can diagnose atrophic gastritis. The treatment primarily involves fighting Helicobacter pylori, suppressing acid and protecting the stomach, enhancing gastric motility, and repairing the gastric mucosa. Dietary considerations are crucial; one must quit smoking and drinking, avoid strong tea and coffee, and refrain from consuming spicy, fried, raw, cold, sweet foods, and barbecued items. Rock sugar, being a sweet food, must be strictly avoided as sweet foods can increase gastric acid secretion, leading to stomach mucosa irritation and worsening of the condition. Therefore, patients with atrophic gastritis should not consume rock sugar.

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Written by Zhu Dan Hua
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Why is a biopsy necessary for atrophic gastritis?

Atrophic gastritis is generally treated with biopsy, which is the standard for diagnosing atrophic gastritis, so biopsy is typically conducted when considering atrophic gastritis. Atrophic gastritis is increasingly common in clinical settings, especially among middle-aged and elderly patients. It begins with symptoms of chronic gastritis, such as abdominal pain, bloating, nausea, and belching, and sometimes may include changes in appetite. Patients usually undergo gastroscopy, which shows atrophy of the gastric mucosa, alterations in red and white patches, or white-like mucosa. Histopathological examination can further support the atrophic changes. In clinical settings, when considering atrophic gastritis, treatment focuses on protecting the stomach and screening for Helicobacter pylori. If Helicobacter pylori is positive, treatment targeting Helicobacter pylori is recommended. Regular gastroscopic examinations are necessary, typically every six months to a year.