Can chronic atrophic gastritis be cured?

Written by Li Ying
Gastroenterology
Updated on August 31, 2024
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Chronic atrophic gastritis is primarily a chronic digestive system disease caused by atypical hyperplasia. It is mainly characterized by upper abdominal dull pain, bloating, loss of appetite, weight loss, anemia, etc., and lacks specificity. It is a disease caused by multiple pathogenic factors and is a precancerous lesion. There are many causes, including Helicobacter pylori infection and dietary factors, among others. Moreover, treatment for atrophic gastritis can be targeted based on the specific condition, clinical symptoms, and auxiliary examinations.

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Written by Jiang Guo Ming
Gastroenterology
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How to effectively treat atrophic gastritis?

Relatively speaking, atrophic gastritis is much more serious than superficial gastritis. Treatment for this condition primarily depends on whether there is Helicobacter pylori infection. If there is Helicobacter pylori infection, a quadruple therapy is generally adopted to eradicate the bacteria, which can reverse some of the atrophy. If there is no Helicobacter pylori infection, treatment mainly involves symptomatic relief, such as protecting the gastric mucosa and increasing gastric motility, etc. Traditional Chinese medicine and herbal medicine also have relatively good effects on atrophic gastritis, often employing a comprehensive treatment after differential diagnosis. As for diet, it is recommended to eat light, easily digestible foods, eat at regular times and in small, frequent meals, and avoid stimulants like tobacco and alcohol, as well as raw, greasy, or spicy foods. (Please use medication under the guidance of a professional physician.)

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Written by Wu Hai Wu
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Can I eat eggs with atrophic gastritis and erosion?

Patients with atrophic gastritis and erosion can eat eggs, but should avoid overly stir-fried and fried eggs. People with atrophic gastritis should maintain a bland diet and eat small, frequent meals. They should avoid binge eating and drink, and keep regular and moderate eating habits. Additionally, they should avoid foods or medications that may damage or irritate the gastric mucosa, such as quitting smoking and drinking, and avoiding strong tea, coffee, chili peppers, mustard, etc. With atrophic gastritis and erosion, it is important to enhance the body's immunity, and take medications that protect the gastric mucosa. Sometimes, traditional Chinese medicine and herbal treatments can also effectively protect the gastric mucosa.

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How to treat chronic non-atrophic gastritis with bile reflux?

For cases of chronic non-atrophic gastritis with bile reflux, it is first necessary to clarify whether there is a Helicobacter pylori infection, which can be determined by a breath test. Based on this, regular visits to the department of gastroenterology for diagnostics and treatment can be established. Firstly, it is important to take oral medication to protect the gastric mucosa and then to promote gastrointestinal motility. Regular follow-ups are very important. Generally, for patients with non-atrophic gastritis and bile reflux, it depends on whether the condition is high or low. For those in the high category, it is necessary to undergo a gastroscopy every six months.

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Written by Jiang Guo Ming
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Is atrophic gastritis serious?

Chronic atrophic gastritis, compared to chronic non-atrophic gastritis, is relatively more severe. It is usually due to the atrophy of the gastric mucosal glands that this condition occurs. Under gastroscopy, the gastric mucosa can be seen to become pale, and the submucosal blood vessels are easily exposed. Sometimes, the gastric mucosal cells are replaced by intestinal epithelial cells, which is what we refer to as intestinal metaplasia. Some believe that this condition is a precancerous lesion, so it must be given sufficient attention. Firstly, it is necessary to check for Helicobacter pylori infection; if present, comprehensive antibiotic treatment is required. Some believe that if Helicobacter pylori is completely eradicated, partial reversal of gastric mucosal atrophy can happen, and in some cases, it may even return to normal, making the eradication of Helicobacter pylori particularly important. If there is no Helicobacter pylori infection, symptomatic treatment is advocated, such as protecting the gastric mucosa, etc. Additionally, traditional Chinese medicine has relatively better effects in treating atrophic gastritis compared to Western medicine, and further diagnosis and treatment in a traditional Chinese medicine department can be considered. (Note: The use of medications should be under the guidance of a professional doctor.)

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What is the cause of recurrent atrophic gastritis?

Recurrent atrophic gastritis is likely caused by Helicobacter pylori infection. When atrophic gastritis recurs, a Carbon-13 urea breath test or Carbon-14 urea breath test should be conducted to detect whether there is an infection of Helicobacter pylori. If the test is positive, a two-week quadruple therapy containing a bismuth agent should be used to eradicate Helicobacter pylori. Consider using a proton pump inhibitor, such as omeprazole or lansoprazole, combined with two of the antibiotics amoxicillin, clarithromycin, metronidazole, and furazolidone, as well as bismuth citrate, to form the quadruple therapy. (Please use medication under the guidance of a doctor.)